These Are the Huge “Sideburns” of Cystic Acne — And Why They Happen
At first glance, they can look like swollen sideburns, painful lumps hiding beneath the skin along the jawline, cheeks, or near the ears. But these are not facial features or simple pimples — they’re cystic acne, one of the most severe and misunderstood forms of acne.
Unlike surface-level whiteheads or blackheads, cystic acne forms deep under the skin. These cysts are large, inflamed, tender to the touch, and often feel hard or rubbery. Because of their location along the jaw and side of the face, many people describe them as looking like exaggerated “sideburns.”
Why does this happen?
The main driver is hormonal imbalance. Areas along the jawline and lower cheeks are especially sensitive to hormones like androgens. When these hormones fluctuate, oil glands produce excess sebum, clogging pores deep below the surface. Bacteria become trapped, leading to intense inflammation and cyst formation.
Common triggers include
Hormonal changes (puberty, menstrual cycles, pregnancy)
Polycystic ovary syndrome (PCOS)
High stress levels
Poor sleep
Certain medications
Heavy or pore-clogging skincare products
Why cystic acne is different — and dangerous to ignore
Cystic acne isn’t just a cosmetic issue. These deep lesions can be extremely painful and are much more likely to cause permanent scarring if squeezed, picked, or left untreated. Unlike regular pimples, they don’t come to a “head” and won’t heal quickly on their own.
Trying home remedies or popping them often makes things worse, spreading inflammation deeper into the skin.
What actually helps
Dermatologists often recommend targeted treatments such as
Prescription retinoids
Oral or topical antibiotics
Hormonal therapy (like birth control or spironolactone)
Isotretinoin (for severe, resistant cases)
Gentle skincare is also essential. Harsh scrubs, alcohol-based toners, and over-washing can aggravate cysts rather than calm them.
When to see a doctor
If you notice large, painful bumps along your jawline or “sideburn” area that last for weeks, return frequently, or leave dark marks or scars, it’s time to seek professional help. Early treatment can prevent long-term skin damage and dramatically improve quality of life.
Cystic acne can be emotionally exhausting, but it is treatable. With the right approach, even the most stubborn “sideburn” cysts can heal — and your skin can recover stronger than before.
