Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on January 31st, 2026.
Cortisone shots can rapidly reduce severe, painful acne cysts
Treatment takes just minutes and can dramatically reduce inflammation
Not recommended for all types of acne breakouts
Potential side effects include skin discoloration and potential scarring
Dealing with severe acne can be frustrating and emotionally challenging. When over-the-counter treatments fail, many people turn to more advanced solutions like cortisone shots. These targeted injections offer a quick way to address painful, deep acne cysts that resist traditional treatments.
Cortisone shots are a specialized medical intervention designed to tackle the most stubborn and inflammatory acne lesions. Unlike typical topical treatments, these injections work directly at the source of inflammation, providing rapid relief and healing.
Cortisone shots involve injecting a diluted corticosteroid directly into an acne nodule or cyst. The primary goal is to reduce inflammation, minimize pain, and accelerate healing. Dermatologists typically recommend these acne treatments for specific types of severe breakouts.
Not all acne is suitable for cortisone injections. These shots work best for:
Deep, painful cystic acne
Large, inflamed blemishes
Acne that hasn't responded to topical treatments
Lesions at risk of causing significant scarring
Dermatologists carefully evaluate which blemishes are appropriate for cortisone shots. Ideal candidates are large, persistent acne lesions that are red, swollen, and particularly painful.
Procedure Step |
Details |
|---|---|
Preparation |
No special skin preparation required |
Injection |
Small 30-gauge needle used |
Duration |
Typically 30 seconds to a few minutes |
Anesthesia |
Optional local anesthetic available |
During the procedure, patients are usually positioned comfortably and asked to remain still. The tiny needle minimizes discomfort, and some doctors can mix a local anesthetic with the cortisone for additional pain reduction.
While cortisone shots can be effective, they aren't without risks. Potential side effects include:
Temporary skin discoloration
Minor skin depression or scarring
Potential lightening of the treated area
Rare instances of infection
Patients should understand acne scar prevention and discuss potential long-term implications with their healthcare provider.
Experts recommend limiting cortisone shots. They are not a long-term solution but rather an emergency intervention for particularly challenging acne lesions. Overuse can potentially lead to skin damage or uneven texture.
Most patients report minimal discomfort due to the small needle size and optional local anesthetic.
Many patients see significant improvement within 24-48 hours after the injection.
Not everyone is a suitable candidate. Consultation with a dermatologist is essential.
Yes, including topical treatments, oral medications, and comprehensive skincare routines.
Prices vary but typically range from $100-$300 per injection, depending on location and provider.
Cortisone shots can be an effective solution for stubborn, painful acne cysts. However, they should be used judiciously and as part of a comprehensive skincare strategy.
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Dealing with severe acne can be frustrating and emotionally challenging. When over-the-counter treatments fail, many people turn to more advanced solutions like cortisone [...]
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