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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Cortisone Shots And Doxycycline Help Reduce Cystic Pimples On Chin?

I had a huge cystic pimple on chin I took the plan b one month and a half prior my skin was completely clear. Now my chin just breaks out. The cystic pimple was infected went to my dr he gave me two cortisone shots and put me on doxycycline but now a new under the skin boil hurts so bad and is appearing. Should I just take the medication as prescribed and hold off on seeing the dr
Thu, 23 Jun 2016
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Dentist,  's  Response
Hello,

I can understand your concern. Cysts are fluid filled cavities lined by a lining of cell layer (epithelium). As long as the lining surrounding the cavity is present under the skin, there are chances that the cyst will keep recurring.

As your doctor has diagnosed that the pimple like swelling you have is cyst, the permanent solution to prevent its frequent recurrence is its removal by a small surgery by oral and maxillofacial or a cosmetic surgeon.

Cysts are no usually painful unless they are infected. The previous time when you had the swelling and pain, the cyst must be infected. Thus, the doctor prescribed you steroids and antibiotics. The swelling is hurting again so it may be infected again. If you felt relief with Doxycycline previously, you can start that again and complete the course. Alternatively, you can take Cefadroxyl 500 mg (Droxyl) twice a day for 5 days which has lesser side effects that tetracycline you had. You can take Acetaminophen 500 mg or Ibuprofen 400 mg up to thrice a day to control pain.

However, I would advise to visit an oral and maxillofacial surgeon or plastic surgeon once to discuss the removal along with its lining.

I hope this answer helps you. Thank you for choosing HealthcareMagic. I wish you feel better soon.

Best,
Dr. Viraj Shah
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Will Cortisone Shots And Doxycycline Help Reduce Cystic Pimples On Chin?

Hello, I can understand your concern. Cysts are fluid filled cavities lined by a lining of cell layer (epithelium). As long as the lining surrounding the cavity is present under the skin, there are chances that the cyst will keep recurring. As your doctor has diagnosed that the pimple like swelling you have is cyst, the permanent solution to prevent its frequent recurrence is its removal by a small surgery by oral and maxillofacial or a cosmetic surgeon. Cysts are no usually painful unless they are infected. The previous time when you had the swelling and pain, the cyst must be infected. Thus, the doctor prescribed you steroids and antibiotics. The swelling is hurting again so it may be infected again. If you felt relief with Doxycycline previously, you can start that again and complete the course. Alternatively, you can take Cefadroxyl 500 mg (Droxyl) twice a day for 5 days which has lesser side effects that tetracycline you had. You can take Acetaminophen 500 mg or Ibuprofen 400 mg up to thrice a day to control pain. However, I would advise to visit an oral and maxillofacial surgeon or plastic surgeon once to discuss the removal along with its lining. I hope this answer helps you. Thank you for choosing HealthcareMagic. I wish you feel better soon. Best, Dr. Viraj Shah