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But it only takes a quick survey of the average school gym class to note that not everyone is affected by the same type. While the causes behind cystic acne are still not entirely understood, and researchers are always looking for new and improved ways to treat it, there is still a lot you can do to effectively tame it and keep it from leaving a lasting mark. Cystic acne is an inflammatory type of acne that causes bumps deep under the skin that are usually tender, red, and painful. Oil glands that keep your skin moist are attached to your pores, which is where hair grows and dead skin cells are eliminated. All types of acne pop up when your pores get plugged with oil and dead skin. With cystic acne, bacteria trapped deep in your pores cause inflammation—i.