Introduction Under-the-skin pimples—also known as cystic pimples or cystic acne—are among the most painful and stubborn types of breakouts. Unlike surface pimples, they form deep within the skin, causing swelling, tenderness, and inflammation. These pimples often never develop a visible “head,” which is why they feel like hard, painful bumps under the surface. Cystic pimples can be emotionally frustrating because they last longer, resist simple treatments, and can leave behind scars or dark marks. Understanding why they form and how to manage them safely can make a huge difference in preventing damage and speeding up healing. Introduction: What Are Under-the-Skin…