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Your teen may be embarrassed about talking to a doctor about his acne, but several moms, including Kerri C., advise seeking medical help anyway for severe or persistent acne, noting that a bad case of cystic acne can cause permanent scarring. In fact, as Connie F. shares, this is sometimes preferable to trying over-the-counter treatments first: she waited too long with her son, and by the time he saw a dermatologist, his pores had turned to bleeding sores, and he had scarring.