Cystic acne happens when an infection/inflammatory process goes deep into your skin. If a cyst bursts, the infection can spread, causing more breakouts.
By definition, cystic acne tends to scar.
Hence if your cystic acne looks very red, angry and inflamed like that 2 big zits on the chin:
It’s best to nip it in the bud early by seeing a dermatologist/doctor for effective treatment.
Cheers