Age, hormonal imbalances and stress are normally the culprits that cause cystic breakouts, Instead of Salicylic and BZP use a mild gel cleanser with some lactic acid and spot treat with a bentonite clay based mask leaving it on the spots overnight to help dry up the blemishes consider supporting this by taking digestive enzymes and probiotics to help keep acidity levels down, Laser Acne treatments,high-frequency and or LED blue light will help clear them up as well.View Thread
Most cystic acne is caused by hormonal imbalances and stress, (helps to know age range ) Your issue might have to be addressed from that angle, alot of GYN's or NP's offer that service a blood draw is required to get accurate levels. Consider using digestive enzymes and probiotics to help keep your acidity levels down as this can contribute to cystic breakouts as well. Laser Acne treatments do work very effectively and can help address the discoloration. A less pricey option is spot treating with high frequency, and or LED blue lite stay away from abrasive type treatments. Salicylic acid helps to keep oils at bay but does not have an effect on cystic acne try spot treating with a betonite clay based mask leave on overnight will help form a head, and draw out impurities. In Good Health!View Thread