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The first step is to get the acne under control in the first place. For ongoing cystic acne, a prescription might be the most effective way to control or eliminate it, so dont hesitate to see a doctor. Abrasive over the counter acne products can be irritating to your skin and may contain questionable chemicals, so talk to your doctor about which products are truly safe and effective. If you cant see a dermatologist for any reason, make sure to keep the skin clean to avoid infection, but steer clear of abrasive or harsh products.