Most acne boils can be treated at home. Treatment should begin as soon as a boil is noticed otherwise it may result in skin surface complications at a later stage.
The primary treatment for most boils is heat application, usually with hot soaks or hot packs. Heat application increases the circulation to the area and allows the body to better fight off the infection by bringing antibodies and white blood cells to the site of infection.
As long as the boil is small and firm, opening the area and draining the boil is not helpful, even if the area is painful. However, once the boil becomes soft or "forms a head" (that is, a small pustule is noted in the boil), it can be ready to drain. Once drained, pain relief can be dramatic. Most small boils, such as those that form around hairs, drain on their own with soaking. On occasion, and especially with larger boils, the the larger boil will need to be drained or "lanced" by a healthcare practitioner. Frequently, these larger boils contain several pockets of pus that must be opened and drained.
Antibiotics are often used to eliminate the accompanying bacterial infection. Especially if there is an infection of the surrounding skin, the doctor often prescribes antibiotics. However, antibiotics are not needed in every situation. In fact, antibiotics have difficult penetrating the outer wall of an abscess well and often will not cure an abscess without additional surgical drainage.