(4) Cysts are very large inflamed closed sacs in or under the skin lined with epithelium containing fluid or semisolid material. Because they are lumps beneath the surface of the skin and are filled with fluids, they would be felt as soft and very tender. This is the most severe form of pimple. A cysts start as a rupture of the follicular wall deep within the dermis, resulting to the development of a membrane surrounding the infection. As the cysts make their way to the surface of the skin, they destroy skin tissues and damage the follicles, hence, scarring is most likely to occur. Individuals who are at risk of having cystic outbreaks must consult a dermatologist for proper topical, as well as systemic medications or treatment.
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