It is important for people with cystic acne never to squeeze or rupture their blemishes. Never,ever! Thats what causes pockmarks. Scars fade over time and can be covered,pockmarks slightly fill in by themselves,but they will always be there. A dermatologist can perform epidermabrasion,laser treatments, and fill in the holes with silicone like substances. Generally, it is hormonal acne that is cystic,and pressure on the skin makes it worse. Squeezing at blemishes cuases the fluid in the sac below the surface to release inflammation. Scarring after cystic acne is generally the patient's fault. Many people can not leave their hands off their faces,and many people become obsessive with "getting rid of it faster". Over use of harsh products can stimulate the body to make more oil. Acne can not be" scrubbed away" or "dried up". Use of certain products like Benzyl Peroxide,Topical Erythromycin (I needed to use these as a teenager with cystic acne)salcylic acid all work not only on the surface of the skin but also below it as well. Avoid clogging the face with oils and lotions. Vitamin E capsules will just clog the pores. These are also insoluable to the skin. Mederma and alpha hydroxy acids and skin bleaching agents can help fade the scars slightly,but not fill in pock marks. I hope this helps some. ......buy only non comedogenic products,snd do not lean your face in your hands or put pressure or squeeze/pick at your skin. The hands are an amazingly rich source of bacteria and viruses,mainly staph and strep.