There isn’t much research showing that, or how well, these stickers (or any acne patches, for that matter) work. But theoretically, microdart patches are different because they feature tiny, dissolving microneedles. If you just cringed, note that they aren’t sharp or big enough to actually pierce or damage the skin. Instead, they’re supposed to penetrate the area just enough to deliver active ingredients (like salicylic acid and niacinamide) into your pimple.
Before you try one though, don’t get your hopes up too high: Some derms previously told SELF that microdart patches likely aren’t effective enough for a burgeoning hell-cyst. However, Dr. Turegano says they could be worth trying since there’s relatively little risk. (Plus, it’ll at least stop you from touching—and aggravating—the spot.)
6. Consider an OTC hydrocortisone cream.
If your goal is to address the redness or tenderness of your cystic pimple, Dr. Turegano recommends applying an OTC hydrocortisone cream. For full transparency, not all experts agree with this tip: Some, like Dr. Rodney, question whether a steroid ointment that only sits on the surface of your skin can actually do anything for a deep-down bump. Also, using hydrocortisone too frequently can thin out and damage your skin.
In Dr. Turegano’s experience though, “a 1% over-the-counter cream can at least help soothe inflammation for particularly angry pimples,” especially if you’re experiencing pain or tenderness. “However, it’s a short-term fix, and it’s not something to apply regularly,” she adds—meaning you shouldn’t use it more than once or twice daily for two days, max.
How can a dermatologist treat cystic acne breakouts?
There are plenty of reasons why “just go to a dermatologist !” isn’t the easiest advice to follow. Like most medical visits, derm appointments can be expensive and a pain to schedule, and not everyone has access to these specialists. But the reality is, getting professional advice from a board-certified dermatologist is the best move if you’re looking to banish a stubborn cyst—especially if you’ve already exhausted all the options in your bathroom cabinet.
For starters, these skin experts can figure out if an underlying health issue (like polycystic ovary syndrome, or PCOS, for instance) is responsible for your chronic flare-ups. They can also prescribe stronger treatments, including prescription topical retinoids (like Tretinoin), oral antibiotics, and medications like spironolactone that can regulate hormones (namely testosterone) and reduce sebum production. (Despite its well-studied efficacy, however, note that this anti-androgen pill may come with side effects like irregular menstruation, dizziness, and headaches, so consult your derm to assess whether it’s the best option for you.)
“Another in-office treatment that works well—and fast—is a steroid shot,” Dr. Rodney says. Basically, a derm will inject a corticosteroid directly into your cyst, which should flatten it within 24–48 hours, Dr. Turegano explains. As miraculous as that sounds, this treatment option is more for the occasional lump vs. chronic cystic breakouts (since it doesn’t address the root cause of your acne). There’s also a chance that your pimple could shrink too much, leaving you with a dent. “Thankfully, the divot wouldn’t be permanent,” Dr. Turegano says, adding that it should go away in a month or two. But still, it’s a possible side effect to consider before scheduling a shot.
We get that this advice may not be the instant fix you were hoping for. But just know that sticking with some of the above treatments “can minimize the cyst slowly but surely, as long as you’re consistent and patient,” Dr. Rodney says. And if after two, maybe three, weeks you’re not seeing any improvement, it’s time to—you guessed it—call in a pro.
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