Nodular Acne: Understanding the Stubborn Skin Battle and Winning Strategies

Stubborn Skin

Among the various types of acne scars, Nodular acne stands out as one of the most stubborn and persistent. 

Its skin-deep and painful lesions can take a huge toll on our emotional and physical well-being. 

In this blog, we will delve further into the complexities of nodular acne and discuss effective strategies to combat it.

Understanding Nodular Acne

Nodular acne goes beyond surface-level acne scars

It forms beneath the skin’s layers creating large, painful, and red bumps known as Nodules. 

The reason why Nodules are a more severe form of acne is because these inflamed lesions occur when clogged pores are infected with trapped oil, dirt, and bacteria.

As a result, the inflammation caused by Nodular acne leads to lasting marks on the skin. 

Winning Strategies

  • Disciplined Skincare Routine: A gentle yet effective skincare regimen is crucial for treating nodular acne.

By incorporating salicylic acid or benzoyl peroxide in your acne treatment routine, you will be addressing the trapped bacteria and clogged pores in the skin. 

Wash your face twice a day with a mild, oil-free cleanser, and avoid harsh scrubbing. This may lead to unnecessary dryness, peeling, or inflammation. 

  • Say No To “Picking” or “Squeezing”: With nodular acne marks being itchy, red, and sometimes puss-filled, it can be tempting to pop or squeeze them.

Doing so can worsen inflammation, increase infection risk, and lead to scarring. 

Try to resist the urge and instead focus on gentle skincare practices or treatments. 

  • Seek Professional Advice: Consulting a dermatologist is pivotal in combating nodular or severe forms of acne.

They can help prescribe oral medications, such as Isotretinoin to treat severe cases.

Because of severe or painful inflammation characterizing nodular acne lesions, dermatologists can sometimes provide interim relief via cortisone injections to quickly reduce inflammation. 

  • Healthy/Balanced Lifestyle Choices: Nodular acne can also be influenced by lifestyle factors such as diet and stress.

Go for a nutritious, well-balanced diet with fruits, vegetables, and whole grains, while reducing the intake of ultra-processed foods.

Fluctuating hormone levels also trigger frequent breakouts that can be managed via stress-reducing techniques such as Yoga, regular movement, or meditation. 


Due to its challenging, frustrating, and persistent nature, Nodular acne might take considerable time to treat. Consistency, professional guidance, and dedicated skincare routines can get you closer to healthier, clearer skin. Stubborn skin conditions like nodular acne marks require a comprehensive approach and perseverance to regain control over your skin.