Painful acne that stays under the skin (often called cystic or nodular acne) usually needs a slightly stronger and consistent treatment approach, so avoid squeezing or picking as it can worsen inflammation and cause scars, and start with proven treatments like Benzoyl Peroxide or a retinoid-based gel to reduce bacteria and unclog pores, while using a gentle cleanser, oil-free moisturizer, and sunscreen daily. However, because these deeper pimples often do not respond fully to creams alone, it is best to consult a dermatologist who may prescribe oral medicines such as antibiotics or, in more severe cases, isotretinoin to control the condition and prevent new breakouts, and with proper treatment and patience over several weeks, you can achieve good improvement.