Nodular acne is characterized by severe inflammatory nodules, pustules, cysts, nodules and scar tissue on the investigator’s static facial examination chart. It is often accompanied by an overactive sebaceous gland that releases excessive sebum and contributes to the inflammation. Both the older and more recently recognized risk of physically scarring from acne are present. The nodules may be painful or cause redness, irritation, tenderness or inflammation of the skin surface. The cysts and nodules can become big enough to become a source of deep ulcers that extend into the dermis layer of the skin.
Acne is known to be a severe medical condition that is associated with a number of severe health risks. The possibility of severe scarring in nodular acne is high because the acne lesions are shallow, contain large amounts of dead cells, and inflammatory mediators and bacteria are present in the clogged pores. In addition, the size of the scars and their location on the face or body areas may take several months to heal. Even though the acne lesions may have healed months ago, scarring doesn’t go away immediately and may take several months to fade completely.
There are two types of nodular acne lesions that can appear, the superficial and deeper kind. The deep kind is also referred to as an ice pick. It is called such because the acne lesions are situated deep beneath the skin surface leaving it hanging with only a thin margin of skin above it. On the other hand, superficial acne nodules are those found on parts of the face, neck, chest or shoulders. It is easier to identify these kinds of acne nodules because they are not as deep.
Nodular acne occurs when the skin pores get clogged with debris and bacteria. These debris and bacteria combine and cause inflammation, which results to redness, swelling, and pain. The inflammation is caused by the production of an excessive amount of oil by the glands. When the pores are clogged, white blood cells rush to the sites of inflammation causing it to become filled with pus-filled pockets.
Now that you have an idea of what nodular acne is, you may now find ways to treat this condition. If it’s still severe, it is best to consult a dermatologist who is able to perform acne laser treatments. The process involves the use of laser or pulsed light to target the bacteria that causes inflammation. When the white blood cells arrive at the infected sites, they destroy it. However, if the inflammation doesn’t go away immediately, or if the pus filled pockets don’t drain immediately, your doctor may recommend oral antibiotics to treat it.
In some cases, nodular acne can be treated with over-the-counter medications, although in most of the cases, oral antibiotics should be taken as well. However, if the inflammation doesn’t go away within a few weeks, it’s best to see your dermatologist. If your acne is very severe forms, your doctor might need to perform cyst extraction which involves breaking open a cyst to remove the pus. This is one of the effective ways to treat cystic acne because the cyst will be gone and you can prevent any infection from developing. You can also ask your dermatologist for stronger oral antibiotics to deal with severe forms of nodular acne.
You can treat nodular acne scars effectively with chemical peels. This procedure involves the employment of acid to help slough off dead skin cells and stimulate the skin to produce collagen. The collagen production will help make your scars less noticeable.
One of the most difficult things about dealing with nodular acne breakout is that there are many factors that can lead to excessive oil secretion by the sebaceous glands. Some people tend to secrete too much oil as they are genetically predisposed to do so. Others have excess hormones which may trigger this over-production of sebum. When the sebaceous glands over-produce oil, the pores get clogged and bacteria can begin to infect the hair follicles. These clogged pores can lead to unsightly pimples and bumps that will eventually turn into acne scars.