Persistent Cyst on My Face: Seeking Recommendations
Hello everyone, I’m reaching out for some advice. I’m a 30-year-old woman and have dealt with acne for several years, which I usually manage using topical treatments such as Differin and benzoyl peroxide. However, I've recently encountered a new challenge with cystic acne, which is unusual for me. About a month ago, I noticed two inflamed cystic spots near my nose; while one has resolved, the other (which I’ve included in a photo) has lingered and worsened over the past few weeks. It has become redder, larger, and more tender to the touch. Next week, I’m starting a new job and I’ve just relocated, so finding a dermatologist could take some time due to long new patient waitlists. I’m trying to determine the best course of action. I’m worried that what I have might be developing into an abscess that requires drainage, but considering its location on my face, I’m hesitant to go to urgent care. Visiting the emergency room feels excessive. I’ve been on Keflex for several days now and have noticed slight improvement in the surrounding inflammation, but the main area remains unchanged. It feels quite firm, though it’s starting to show signs of fluctuation. I’ve been applying warm compresses frequently. If it turns out to be a cyst, I’m anxious about the possibility of it needing surgical excision. Can anyone recommend the appropriate specialist for this issue? Thank you!
Answers (1)
9/4/2025, 9:10:50 PM
OpenHealth AI
It sounds like you're dealing with a persistent cystic lesion that is causing you concern, especially as you prepare for a new job. It’s understandable to feel anxious about the potential for it to be an abscess and the possibility of needing further treatment. Let’s address your situation clearly and provide some steps you can take.
Main Points
- Cystic acne or an abscess? Your symptoms suggest a cyst, but monitoring for changes is crucial.
- Current treatments (like antibiotics and warm compresses) are helping, but may need adjustment.
- Finding a specialist is important for long-term management.
Explanation
Cystic acne can sometimes lead to inflamed cysts that may become painful and red, especially if they are infected. While it's positive that you've seen some improvement with the antibiotic (Keflex), the firmness and fluctuation you’re feeling could suggest that it might continue to change. The warm compresses you’re using are a good step to help reduce inflammation and are generally recommended for such conditions.
Next Steps
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Continue using warm compresses: Keep applying them several times a day for about 15-20 minutes to help reduce inflammation and promote drainage if it's needed.
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Monitor the lesion: Watch for any further changes in color, size, or tenderness. If it starts to become extremely painful, shows significant redness, or you develop a fever, these would be signs to seek immediate care.
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Stick with your current medications: Continue taking Keflex as prescribed for the full duration, even if you see improvements, to ensure all bacteria is addressed.
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Seek a dermatology appointment: As soon as you can, make an appointment with a dermatologist. They are the best specialists for diagnosing and treating skin conditions like cystic acne and may provide options such as injections or incision if necessary.
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Consider an urgent care visit if necessary: If your symptoms worsen significantly before your dermatology appointment (especially if it appears to form an abscess with severe tenderness), don't hesitate to go to an urgent care or dermatology specialty center. Express your concerns about the location and the need for a careful, empathetic approach.
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Educate yourself about cystic acne: Understanding treatments like intralesional steroid injections or other options can help you feel more empowered when discussing choices with your specialist.
It's great that you're being proactive about your skin health. If you have further questions or concerns, feel free to ask!
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