Severe acne is sometimes called nodular acne, is a disfiguring skin disease. It consists of extremely large pimples, or cysts, blackheads, and whiteheads. The cysts are often painful when touched, which can make for an unpleasant experience when washing one’s face.
This form of acne can make you feel socially awkward because of the disfigurement it causes, which is why, for your emotional well-being, please see a dermatologist.
When you visit your dermatologist he or she will probably begin by asking you about any acne treatments you’ve had in the past. Using this information, as well as a simple judgment of the severity of your condition, she may or may not have you begin the oral medication for the severest of acne, called Accutane.
Accutane does carries major risks which you will need to discuss with your doctor. You will also have to go for routine blood work. If you are cleared to proceed with this treatment one 20 week course will often clear up most of your acne. It does get worse before it gets better, but it will be worth it!
Your doctor may also perform an in-office procedure called cortisone injections. If you have acne scars, the doctor may suggest Dermabrasion (In recent years, laser treatments have begun to replace dermabrasion, and there is even a light treatment known as Blue Light Therapy, which can be used as an alternative to Accutane.