Severe Acne Treatment

Unsurprisingly, acne is the most common skin disorder in the U.S which affects 40 to 50 million Americans. Acne of any type is difficult to deal with, but severe acne is particularly distressing. Acne is caused when the oil glands in your skin get infected or inflamed. When the oil is pushed out through your hair follicles, it can clog pores and cause open and closed comedones (black and whiteheads.


What Is Severe Acne?

Severe acne is usually seen as lesions under the skin.

This can appear on the face and other parts such as the neck, shoulders, chest, and back. In severe acne cases, skin becomes reddened and inflamed with the appearance of pustules.

Severe acne appears on the skin as

  • Nodules: A nodule is a hard acne lesion that gets deep within the skin. They heal quite slowly and persist for weeks and months.
  • Pustules: Quite similar to papules, white blood cells are also present. When our body senses bacteria in a ruptured hair follicle, it sends white blood cells as a response. This, in turn, causes pus to build up and be seen as yellow or white head at the surface of the skin.
  • Cysts: Acne cysts are seen as a hollow cavity with a build-up of fluid or pus. Squeezing or popping these cysts can worsen its appearance as they are deep within the skin.
  • Papules: Papules are seen as red or pink-colored bumps on the skin. They do not contain pus and or visible fluids. Fortunately, they aren’t painful but can be tender to the touch.


What Causes Severe Acne?

The study of acne has not resulted in a conclusive result but it has shown that a variety of factors can exacerbate acne. These include your family genetics and hereditary factors, eating habits, lifestyle, and hormonal changes.


Unlike other forms of acne, seeking treatment is a given considering that it can cause long-term and permanent damage in the form of:

  • Small ‘ice-pick’ pits
  • larger pits
  • shallow depressions i
  • Red scars

Generally, treatment of severe cystic acne includes medication, topical creams and self-care measures.

Skin Care Routine

Use a gentle cleanser.

  • Wash your face at least twice a day with a mild cleanser and warm water. Avoid products with ingredients such as facial scrubs, astringents and masks which can irritate the skin.  If you have oily skin, use a foam wash or gel to protect the skin. While if you have dry or sensitive skin, look for products with benzoyl peroxide, adapalene and/or tazarotene.

Don’t ignore the Moisturizer

  • If you’re on medication or topical treatment, your skin may become dry, leaving it deprived for moisture. Apply a light oil-free moisturizing serum or gel at least once a day that won’t leave you feeling greasy. Use moisturizer at least once a day that is oil-free, non-comedogenic and does not contain petroleum jelly or mineral oil.


  • Apply a DIY or professional chemical-free mask once a week to detox your skin with effective ingredients like green tea, aloe vera,  charcoal etc. These can help you calm severe active acne and prevent future ones.

Avoid irritants

  • Avoid oily or greasy cosmetics, sunscreens, alcohol-based products or excessive makeup. Use products labeled water-based or non-comedogenic, which means they are less likely to cause acne.

Spot Treatments

  • Use products with acne-fighting ingredients which can reduce or eliminate excess oil such as tea tree, sulfur, green tea,benzoyl peroxide, salicylic acid and more.

Protect your skin from the sun

  • Exposure to harsh rays of the skin directly will not only damage your skin but can also put you at risk for skin cancer. Especially for people on acne medication, the sun can affect you more prone to damage. Regularly use a non-oily  sunscreen of minimum 30 SPF at least half an hour prior to stepping outside and do not forget to reapply every few hours.

Don’t over-exfoliate

  • If you have severe acne skin, you have to be mindful of exfoliation. Scrubbing excessively or using products containing acid will strip away the natural protector factors on your skin. We recommend weekly exfoliation with our gentle scrub to resurface rough, dull-looking skin that will not cause damage.
  • Now there is no single product that can magically contain all acne-fighting ingredients! Sometimes you will have to do trial-and-error to find the best combination that works for you. Usually, the best acne treatment includes a cleanser, exfoliant and a treatment product to be used regularly.


Oral Medication:

If home remedies and routines aren’t helping your acne, we recommend visiting ad dermatologist who may put you on  medications.

  • For medium to severe acne, doctors generally prescribe oral antibiotics to fight bacteria and inflammation. Of course, oral antibiotics should be used for a short time to prevent antibiotic resistance. Usage of antibiotics may cause side effects like upset stomach and dizziness.
  • Oral contraceptives. Oral contraceptives in some combinations have been approved by doctors to control acne. The most common side effects of these drugs are weight gain, breast tenderness and nausea.
  • Anti-androgen agents. In cases where antibiotics aren’t helping, antiandrogen agents work by blocking the effect of androgen hormones on the glands that cause sebum. Some common observed side-effects include breast tenderness and painful periods.


This is why we recommend the Exposed Skin Care System which uses the power of nature and science to control acne while being gentle on your skin. All the ingredients are safe and regulated by the FDA and most importantly these products are gentle enough to work on a variety of skin types, including sensitive skin.

Our Ultimate kit has 6 products consisting of cleanser, tonic, treatment serum, scrub, and moisture complex. Workable for all skin types, this kit can reduce acne and improve quality of skin.

Our Expanded kit has 9 products consisting of  cleanser, tonic, scrub, serum, moisture complex, clarifying mask and probiotic capsules. This system supports severe acne routines to clean skin, treat and prevent blemishes, and improve tone and texture.