- Severe acne is made of cystic lesions under the skin, inflammatory papules, and pustules. In some cases, these skin expressions confluence and cause abscess. It is important to turn off these inflammations as quick as possible in order to avoid scaring. In this segment, Dr. Ringpfeil go over the treatment options that include oral medication, light therapy, and laser treatments. br br Ringpfeil Advanced Dermatology br 569 W.