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bellagi, i too have dealt with cystic acne for many years. after trying every pill and topical available that did not work, i finally found something that helped me. my question to you is.. is your cystic acne mainly on the chin and jaw area? if so, you may be experiencing hormonal acne. that's exactly what i have and the only thing that cleared me was spirnolactone. although i get a few pimples around my period, it's nothing like i use to have. i have not had a painful cyst in over a year. so i wanted to find out what you have tried and what you are currently on. my regemine is 50mg of spiro per day. clean with cetaphyl and at nite put on tazorac cream. it's been a real miracle especially when i see pics of what my skin looked like before. so if you have any questions, let me know. i have definitely been there so i know what you are going thru.
that is a good question. this is one thing about hormonal acne from the web

What Does Hormonal Acne Look Like?
Acne that is triggered by hormonal fluctuations may look red and raised and feel like hard bumps under the skin. "Hormonal acne tends to be more inflammatory rather than comedonal (whiteheads and blackheads)," according to Dr. Lewis. "Often, hormonal acne can be cystic," she adds.

This type of acne has a predilection for the chin, mouth, jawline and neck.

as to why it happens, i'm not really sure but i know that many women who have it on their chin respond well to spiro because it deals with hormonal aspect of the acne. i never really got an answer from my doc and will ask him next time..

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