my 14 y.o son has cyctic acne, this is what I do to help him. On the cysts I put cortisone cream directly on the cyst, shrinks them overnight. I have him take vitamin A and zinc..I've read conflicting statement on how much Vit A you should take but I give him 10,000 3x a day and zinc morining and night, after his breakout has subsided he takes one vit A a day and one zinc along with Vit C..I also have him wash( and this may sound strange) with an antibacterial (soft soap) to get all the oils off his face, then with a pore scrub, then with green tea soap...I know this sounds like alot but it has helped him soooo much...he still gets the occasional cyst but then we tackle it and it's gone almost immediately...hope this helps