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Is Filler Injection Safe? Doctor’s Detailed Explanation
Hi everyone — it’s me again, your familiar companion in the world of beauty education and science-based skincare.
On the journey to reclaim smooth, flawless skin, the toughest and most terrifying “enemy” isn’t tiny blackheads or stubborn whiteheads — it’s those large, swollen, red, painful bumps with no visible head (also known as blind pimples / cystic acne / nodular acne).
They appear like uninvited guests, sitting right on your face, throbbing with pain when touched, and making you lose sleep because of how awful they look.
And honestly, most of us share the same instinct when we see this “enemy”:
We want to destroy it immediately.
Your hands start feeling itchy — you want to squeeze, press, and pop it, hoping the “core” will come out and the swelling will go down.
But it’s exactly this rushed reaction and lack of knowledge that can push your skin into a nightmare that’s hard to reverse.
My inbox is full of SOS messages like:
“I squeezed a cystic pimple and now it’s twice as swollen — what do I do?”
“Why did it turn into a deep dent scar after I popped it?”
Today, I’m dedicating this heartfelt post to analyzing the topic:
Mistakes to avoid when squeezing blind cystic acne (headless acne).
Let’s sit down together and look at this problem from a medical point of view — to protect our “million-dollar face.”
Before we talk about mistakes, we need to understand what we’re actually dealing with.
Unlike common acne that has a visible whitehead or blackhead, blind cystic acne (nodular acne) is a severe form of acne.
It forms when a pore becomes completely blocked deep inside the skin by oil, dead skin cells, and debris.
Then the bacteria C. acnes (Cutibacterium acnes) multiplies in this oxygen-poor environment, triggering an intense inflammatory reaction.
What makes this type of acne so dangerous is that the inflamed pocket sits very deep under the skin — and it has no opening (no channel) to push pus out to the surface.
That’s why you only see a hard, red, swollen lump that hurts badly — but there’s no head at all.
It’s like a time bomb buried under the ground.
Your body responds by sending white blood cells to surround the infection, creating swelling to isolate the bacteria.
When you forcefully interfere with this process using rough mechanical pressure, that’s where all the trouble begins.
Once you understand this “deep and trapped” nature, you’ll realize why learning what mistakes to avoid is absolutely crucial.
There’s actually a psychological condition called Dermatillomania (skin picking disorder) — where people can’t resist touching and squeezing anything that feels raised on their skin.
Sometimes, the pain of popping acne triggers the brain to release a bit of endorphin, giving a false sense of satisfaction.
On top of that, those viral “acne popping videos” all over social media have planted a dangerous belief:
“If it’s acne, you must pop it. If you don’t see the core come out, it’s not ‘clean.’”
But here’s the truth: those videos are often done by trained professionals, or on pimples that are already mature and ready to extract.
Applying that same mindset to blind cystic acne is basically self-destruction.
And of course — impatience plays a big role too.
Cystic acne can last for weeks or even a month without going away. It makes you anxious, especially if you have a party, photoshoot, or event coming up — and you want to “fix it fast.”
That’s exactly how the most common mistakes happen.
This is the most important part — read carefully and check if you’ve ever done any of these.
As mentioned, blind acne is a sealed inflammation pocket.
When you press hard with your fingers or a comedone tool, you’re creating extreme pressure on the pus deep inside.
Since there’s no opening, that pressure can cause the pocket to rupture underneath the skin.
Result: pus, blood, and bacteria spill into surrounding healthy tissue — and even deeper into the dermis.
This turns one localized pimple into widespread inflammation (cellulitis-like spread), making it swell 2–3 times larger after squeezing.
Your hands carry millions of bacteria from your phone, keyboard, door handles, and daily surfaces.
When you touch or squeeze a pimple, you can introduce additional harmful bacteria like staph or strep, worsening the infection.
This can cause secondary infection, leading to oozing, ulcers, and extremely slow healing.
Many people think piercing it with a needle is smart.
But poking at the wrong depth, wrong area, or using unsafe objects like sewing needles or safety pins is extremely dangerous.
You can tear tissue, break blood vessels, and destroy collagen — creating the perfect conditions for permanent atrophic (pitted) acne scars.
The skin around cystic acne is already damaged and very sensitive.
Applying harsh substances like toothpaste, garlic, or lemon directly can cause chemical burns.
It hardens and darkens the surface while the infection underneath continues growing.
Some people manage to squeeze out blood or pus and then leave the open wound untreated.
No disinfecting. No antibiotic cream. No protective patch.
That allows bacteria from the environment to enter again, causing reinfection — and the pimple often comes back in the exact same spot.
These mistakes may sound painfully familiar, right?
Please stop now — before it’s too late.
If you still think it’s not a big deal, here are the medical consequences you need to know:
When cystic acne is handled incorrectly, the dermal collagen structure gets destroyed.
When the wound heals, the body can’t replace the lost tissue fully — leaving behind deep dents and permanent pitted scars.
Cystic acne already causes deep trauma, and squeezing worsens inflammation even more.
This triggers melanocytes to produce excess melanin for “protection,” resulting in stubborn dark marks that may take 6 months to over a year to fade.
When the inflammation ruptures under the skin, it can connect to nearby follicles and form tunnels filled with pus.
This is an aggressive acne form that’s extremely hard to treat and can seriously ruin the skin’s appearance.
This is especially concerning in the facial “danger triangle” (from the nose bridge to the corners of the mouth).
Infections in this area can travel through facial veins into deeper structures near the brain — potentially causing cavernous sinus thrombosis, meningitis, or even life-threatening complications.
So please — don’t gamble your health and beauty for one moment of impatience.
Instead of playing “home doctor” with high risk, why not choose the safer route?
At Foxy M.D Cosmetics & Clinic, we see many clients who come in to “fix” damage caused by squeezing at home.
But honestly, the best advice is:
Come early — when the pimple first forms — so we can treat it correctly and prevent scarring.
Foxy M.D’s protocol is built around the key principles:
Low pain – Low swelling – Maximum scar prevention
The doctor examines the depth and stage of the inflammation (acute swelling vs. forming a head).
This determines whether extraction is possible — or whether medication must come first.
Using gentle medical skincare cleansers and thorough disinfection (Povidone or medical antiseptics) for sterile conditions.
If the cyst is large and painful: the doctor will NOT squeeze immediately.
Instead, they may perform a diluted corticosteroid injection into the lesion to reduce inflammation quickly — often flattening the bump in 24 hours and lowering scar risk.
If it’s already softened and ready: the doctor uses a sterile medical needle to create a tiny controlled opening, then drains pus gently without damaging healthy tissue.
Blue light targets C. acnes bacteria deep in pores, helping prevent recurrence.
Red light reduces swelling and supports faster healing.
Soothing serums are infused to reduce inflammation and promote recovery, followed by a calming mask.
To prevent repeating the same “itchy hand” mistakes, you’ll be guided on cleansing, topical products, and scar prevention.
The biggest difference at Foxy M.D is medical safety + personalized treatment to protect your skin structure.
Some people think visiting a clinic is expensive — so they try to pop it at home.
But if you calculate properly:
Treating acne scars later can cost ten times more than treating acne correctly in the first place.
At Foxy M.D, treatment cost depends on:
Severity (a few isolated cysts vs. clustered, severe cystic acne)
Technology used (basic treatment vs. injection + IPL + peel for pigmentation)
Skin baseline health (weak skin or steroid-damaged skin may require recovery therapies too)
Medical acne care sessions can range from a few hundred thousand VND, depending on your needs — a small price for scar prevention and peace of mind.
To support healing and avoid these mistakes, you need discipline:
Clean twice daily (not more). Use a gentle gel cleanser with a balanced pH (around 5.5).
Use spot treatments such as:
Benzoyl Peroxide (antibacterial)
Salicylic Acid (BHA) (unclogs pores)
Adapalene (retinoid)
Only apply on the pimple — not all over healthy skin.
Reduce sugar, dairy, and high-GI carbs. These spike insulin and increase sebum.
Increase vegetables, green tea, zinc, and omega-3 to reduce inflammation.
Stop touching your face. Change pillowcases and towels every 2–3 days.
Sleep before 11 PM for skin repair. Manage stress — it’s a major trigger.
1) Can blind cystic acne go away on its own?
It can, but very slowly — sometimes taking months and often leaving deep marks or hardened scar tissue. Medical intervention shortens the process safely.
2) Should I use ice or heat?
When it’s swollen and painful, cold compress helps reduce swelling temporarily. When it starts maturing, gentle warm compress may help it come to a head. Keep temperature mild to avoid burns.
3) Do pimple patches work for blind pimples?
They don’t “drain” closed cysts well, but they do protect the area from bacteria and stop you from touching it — so they’re still useful.
4) When do I need oral antibiotics?
If cystic acne is widespread, severe, or likely to scar, a doctor may prescribe oral antibiotics (like doxycycline/minocycline) or isotretinoin. Never self-medicate.
5) How long does post-acne darkness last?
Deep marks from cystic acne may take 3–6 months or more to fade naturally. Faster options include chemical peels, vitamin C infusion, or laser toning once the skin has healed.
Blind cystic acne is scary — but it’s absolutely treatable.
The most important thing is to control your impatience and avoid the dangerous squeezing mistakes we discussed.
Remember:
Every time you forcefully squeeze a blind pimple, you’re gambling with permanent acne scars.
Let professionals help you handle it scientifically and gently.
Your skin is priceless — treat it that way.
If you’re struggling with painful, stubborn cystic acne, visit Foxy M.D Cosmetics & Clinic at:
248 Tran Cao Van, Da Nang
Our team is always ready to examine, listen, and guide you toward a safe, effective plan — so you can return to clear, smooth, confident skin.
Wishing you always stay beautiful, wise, and blessed with healthy skin!
