Key Takeaways
- Cystic acne is deep within the skin and not surface level, so you need deep acting products to get rid of it.
- The cause of persistent or “stubborn” breakouts is often attributed to hormones, genetics, stress and lifestyle, and not poor hygiene.
- When it comes to skin treatments, just a targeted one worked best for me, with a gentle skin care routine, not an aggressive scrubbing or over washing.
- Noticeable supporting factors in my skin’s recovery rate were diet, sleep and stress management.
- I have experienced the results to be not immediately noticeable but have taken weeks of regular use. If you continue to have acne, it is best to see a dermatologist, as some acne will need prescription strength treatment.
Intro
I still recall seeing the first cyst on my jaw — not a regular acne, but a big, firm bump that hurt to touch, that throbbed! I had been experiencing breakouts before and was all too familiar with the routine of washing the face, spot treatment, and waiting it out.
Table Of Content
- Key Takeaways
- Intro
- Understanding Cystic Acne vs. Regular Breakouts
- What Actually Causes Cystic Acne?
- Why My Standard Treatments Kept Failing
- How Eradikate Worked for Me
- What I Noticed With Consistent Use
- How I Learned to Use It Effectively
- Supporting My Skin Through Treatment
- The Role of Diet and Hydration
- Stress, Sleep, and Hormonal Acne
- Setting Realistic Expectations
- Common Myths About Cystic Acne (That I Used to Believe)
- What I Look for in an Ingredient List Now
- Cystic Acne and the Risk of Scarring
- The Simple Routine I Settled On
- Frequently Asked Questions
- Final Thoughts
- Author Information
This was not the case, however. So there was nothing I normally do that made a difference, it was a bit of a lie down in there for about two weeks before it calmed down. This experience led me down a research rabbit hole and on to a few targeted treatments, such as Eradikate.
I’m writing this guide from there — combining personal experience, and research — because I know how frustrating it can be to do everything and still find a new cyst the next day. This is no cure-all tale. A true account of what cystic acne is, why it doesn’t respond to a lot of products, what I found out by going a more targeted route, and what habits made a huge difference for me throughout the process.
Understanding Cystic Acne vs. Regular Breakouts
Not knowing about the difference, I used to treat all breakouts the same — which was my problem. Acne is the common term used for pimples, which are caused by a clogged pore filled with skin cells and oil that is found close to the skin’s surface, as in the case of whiteheads and blackheads.
I have found that these were quite well cleansed with a simple cleanser, spot or a salicylic acid product. However, cystic acne is a whole other ball game. It grows much deeper in the skin, and is usually caused by inflamed pores well below the skin surface. You don’t have a whitehead; instead, you have a large lump that’s firm and painful and can remain for days or even weeks.
These typically appeared around my jawline and sometimes on my back and I noticed that they didn’t seem to form the same way as the surface pimples and if they did they were much more likely than the surface pimples to leave a scar.
When all the cleansers and spot treatments have failed, and nothing’s making a dent — that’s usually a tip-off that the problem is deeper than the surface and requires something deeper, more effective treatment — that’s what I happened to have found myself in, and it was my lucky day.
What Actually Causes Cystic Acne?
As I was trying to figure out what was causing my cystic acne, I came to realize that there isn’t necessarily one sole cause. There were multiple intertwined elements, for me:
Hormonal fluctuations
I would always see my acne breakouts when menstruating. Various triggers like puberty, menstruation, pregnancy and conditions such as PCOS can stimulate oil production and make it more likely to get deep, swollen pimples.
Genetics
I have a mom that suffered from cystic acne in her 20s, and I believe that had some influence on me. The amount of oil and sensitivity to inflammation your skin produces can be genetically influenced.
Lifestyle factors
I had one of those times that are so stressful at work and noticed my skin had a definite change for the worse, without any changes in my routine. While diet, sleep pattern and chronic stress do not directly trigger acne, they can contribute to worsening acne by causing inflammation.
Bacterial involvement
Bacterial overgrowth of a bacterium that normally inhabits human skin (Cutibacterium acnes) can cause inflammation in clogged, deep pores, which is typical of cysts.
When I realized all these things were going on under the surface, I could see why my surface products weren’t making it to the actual issue.
Why My Standard Treatments Kept Failing
At one time, I believed that the more aggressive it would be, the quicker the results would come. I scrubbed harder, exfoliated more and every time, it made my skin more irritated, more inflamed and it’s just not that my skin looked better for a few days later actually.
Another habit that I used to have was using multiple active products in the same product line, like using a strong exfoliant, benzoyl peroxide, and one with retinol. They didn’t help, they just irritated my skin, and did not complement each other.
The other one that I left for a while was lifestyle. There wasn’t any topical product that covered for the times that I was not sleeping enough, or eating poorly when I was stressed. When I began to take care of my skin and myself as one, I saw a difference.
How Eradikate Worked for Me
Eradikate is a topical formula that penetrates the skin to treat bacteria and inflamed cysts and not just the pustules or blemishes that can be seen.
I personally observed that the redness and tenderness decreased within the first week or so of regular use but not to the extent of being dramatic or instant — just more relaxed and less angry looking cysts. I actually didn’t see a definite pattern of decreased new acne until about 4-5 weeks later. I will be honest this timeline is for me, and skin type, severity, and regularity of use will all influence how long it will take (or not take) to see similar results.
Note: personal results may differ from this and this is just my experience. People thinking about using Eradikate or any acne treatment should check the list of ingredients for allergens and speak to a dermatologist especially if they have sensitive skin, are pregnant or are taking other prescription acne treatments.
What I Noticed With Consistent Use
I have personally found over time when I used this product in conjunction with soothing skin care that I experienced the following changes:
- Existing cysts felt less tender, and decreased in size more predictably.
- Deep breakouts’ inflammation was reduced quicker
- This is because there were fewer new flare-ups after I was consistent for a couple of weeks.
- I was able to see improvement in my skin texture – all my acne and breakouts are gone.
- I have fewer scars than I had before due to the fact that I didn’t pick or over treat any breakouts.
As I said, this is my experience — not a promise — because skin varies in terms of severity of the acne and skin type, and of course, there are underlying causes to each skin.
How I Learned to Use It Effectively
After a bit of a trial and error, this is the method I used that seemed the most successful.
Start with a clean, dry base. I used a non-stripping soap, and began to pat my skin off dry rather than rub it with a towel. I started going through and eliminating some of the really harsh scrubs.
Apply a thin layer directly to affected areas. I was told to massage it gently, not apply pressure, as it would seem to cause more irritation to the skin. I took it 2 times a day when I first started, then once I got my skin used to it, two times a day.
Expect a brief adjustment period. It caused mild dryness and peeling the 1st week or 2, which is a common side effect of many active acne treatments. But when my skin was more than mildly irritated, I took a step back to every other day for a while. When the irritation persists and worsens, it is a time to call it quits and pay a visit to a dermatologist.
Supporting My Skin Through Treatment
It was a fairly short period of time before I realized that it was the treatment alone that was not the key to the results — and the rest of my regimen was just as important.
I kept to a mild, non-irritating cleanser and non-comedogenic moisturizer, as going without them to “dry out” the skin, actually made it oilier. Sunscreen began to be a must for me as well because I noticed that the post-acne marks remained for a longer time on days when I didn’t apply sunscreen.
There are some practices that helped make a difference:
- Did not pick or squeeze cysts at all — probably the most important factor in decreasing scarring.
- I began weekly changes to my pillowcase, and wipe my phone screen down. I began changing pillowcases weekly, and wipe down my phone screen beforehand.
- During the worst of the flares I didn’t wear much make up as I wanted to allow the skin to heal.
The Role of Diet and Hydration
I found that there is actually a trend for my diet and my skin, although I know that there are a lot of things that trigger other peoples’ skin. The high sugar and highly processed foods seemed to be associated with more flares for me and reducing these and increasing my intake of veggies, whole grains, and zinc and omega-3 foods over the long-term seemed to help my skin heal.
I also noticed a big difference in the appearance of my skin every day with staying hydrated. Neither of these took the place of my treatment, but they were a definite addition.
Stress, Sleep, and Hormonal Acne
Stress was certainly one of my personal hidden triggers. In the times of stress, my skin would react even if I did nothing different than its regular skin care routine. I tried little things to make my acne go away, such as walking for a short while, writing in my diary, doing some simple breathing exercises… and it did help to take the edge off.
Sleep was of great importance, also. The skin rejuvenated quicker in those weeks when I always had seven or eight hours of sleep, than those weeks when it was five or six hours of sleep per night.
Setting Realistic Expectations
The biggest advice I give to people would be, if anyone ever said this to me, use any treatment, but it doesn’t just go away in an instant — Deep cystic acne won’t clear up in a day.
The only thing that allowed me to see real changes weekly, was the fact that I started taking pictures of myself with similar lighting, and that was the only way I could really see if I was making any progress or not, since day-to-day changes at the mirror were not readily apparent. In my experience, it is the consistency that is more important than intensity.
The weeks I didn’t start new habits or maintain them, or the weeks that I did apply them, but scrubbed too hard, were the weeks I didn’t make the most.The weeks that I did not adopt new habits or persist in old habits like scrubbing too hard were the weeks that I didn’t make the most of.
Common Myths About Cystic Acne (That I Used to Believe)
Say goodbye to the myth of dirty skin – mythological acne. It used to be my belief and over-washed continuously. The hormones, genetics and inflammation under the skin are the top causes of cystic acne — washing my skin just ruined my skin barrier and made it worse.
Fact: Exposing yourself to the sun does not clear up acne. In the past I believed that a tan was going to camouflage the acne. It was nothing but a temporary façade of redness and greater odds of dark spots and slower healing. Now I put on sunblock every day — even when I’m in flares.
Fact: Don’t pop a cyst – it will heal faster on its own. I have discovered this the hard way — each time I have popped a cyst it is always taken longer to heal, and there is always a trace that is left behind. When pressure is applied to the area, it squishes the pus and bacteria into the area.
This myth is not true: if a product is not working in a short period of time, it is not the right product. In my younger years (20’s) I changed products every day and thought I was going to get the quick results. Generally, it takes 4 to 8 weeks before one can fairly evaluate most of the treatments.
What I Look for in an Ingredient List Now
The next thing I’ve become is someone who reads the ingredients of things before purchasing them. The following is a list of what I’m looking for and why:
- Benzoyl peroxide The acne-killing properties of benzoyl peroxide are important to treat inflammatory, cystic acne, and are widely used in these products; however, some can dry the skin.
- Salicylic acid unclogs pores, although not as effective as it is to break up cysts that are deep.
- I found that Niacinamide is soothing and anti-inflammatory, and that helped my skin to be less prone to reacting in general.
- Sulfur will help to decrease inflammation, although it did smell a bit.
- Tea tree oil is non-irritating and more natural, and while I find this mild enough, it doesn’t seem to be potent enough for moderate to severe cysts as an isolate.
As someone with sensitive skin/history of reactions, I do strongly suggest that you do check the full ingredient list for yourself, not what the marketing says, because my own, or yours, may be different.
Cystic Acne and the Risk of Scarring
I was most afraid of having a scar during all this, and I think it was the easy ways that I stayed out of scarring:
- An early treatment for acne rather than a waiting period for it to go away.
- No picking or squeezing at any time, although this was sometimes very tempting
- Applying sunscreen on a regular basis, so that dark marks didn’t stay on the body.
- Don’t switch treatments every few days, but be patient with one treatment.
I’ve found that existing scars are not a focus of most topical treatments, not just Eradicates, but of any other product. That’s another topic which typically has other solutions such as dermatologist chemical peels or microneedling.
The Simple Routine I Settled On
After many iterations, I ended up with the following routine that was successful for me:
Morning: Lightly cleanse then apply a non-comedogenic moisturizer and sunscreen (SPF 30+).
Evening: Purifying Cleanser, targeted treatment for those affected, moisturizer (if necessary).
Daily: NEW Pillowcase, Clean my phone screen, One progress photo in the same light.
This was a lot simpler to determine what it is that was actually helping or harming, rather than making a guess as to which of five products was working or not.
Frequently Asked Questions
Q1: Is Eradikate effective for hormonal acne?
In my experience, hormonal breakouts improved with consistent use, but I’d still recommend looping in a dermatologist if over-the-counter treatment alone isn’t resolving things, especially with a condition like PCOS.
Q2: Is this type of treatment safe for sensitive skin?
I have moderately sensitive skin and tolerated it fine once I started slowly. I’d still suggest patch-testing first and easing into daily use rather than going all in immediately.
Q3: Can it be combined with prescription acne medication?
I’d always check with a dermatologist before combining anything with prescription treatments like retinoids, oral antibiotics, or isotretinoin — combining actives without guidance can backfire.
Q4: How long before I see results?
For me, it was about four to five weeks before I saw a consistent pattern of improvement, though some redness and tenderness eased up sooner. Your timeline may look different.
Q5: What side effects should I watch for?
I had mild dryness and some peeling early on, which settled down. Significant irritation, burning, or a rash-like reaction isn’t typical and is worth stopping for and checking with a dermatologist.
Final Thoughts
I wish I had known then what I do now: that what is causing that first painful bunion on my jawline is below the skin, that this is more than just a skin issue, and that I need a treatment that works from the inside out, and a few gentle skin care and lifestyle habits to get it to work.
If you’re interested in targeted treatment such as Eradikate, I would suggest reading the ingredients, using it sparingly and allow the treatment to work for a few weeks before determining the outcome.
If your acne is severe or not getting better, don’t put it off like I did for a dermatologist – it’s not just that some acne needs prescription strength treatment! Clearer skin was never a reality for me, but with the proper treatment, patience and practice, I finally had better skin — and I hope you do as well.
Medical disclaimer: This article reflects my personal experience and general research, and is for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Please consult a licensed dermatologist before starting any new skincare product, especially for cystic acne.
Author Information
Mahrukh is the founder of BeautyKob and writes practical skincare and haircare guides focused on simple routines, ingredient awareness, and beginner-friendly beauty habits.






