Cystic acne if one of the most severe type of acne that anyone can suffer from. It often occurs in teens and young men and women. It causes problems with self esteem and self image. It is when an infection goes deep into the skin causing red bumps and cysts filled with pus. If a pimple bursts it causes more infection. It is often on the face that is why it affects self esteem. Cystic acne is more likely to develop during your teens and early 20’s. Older adults and younger children can get it too. It often appears on the face, back, upper arms,and shoulders.