How to reduce mild acnes and acne marks - #11005
I have ultra-sensitive, reactive, and allergy-prone skin with a history of mild acne. Over the past month, my acne has been increasing day by day, and I now have post-acne marks, slight pigmentation, dullness, and an oily-combination skin type (my T-zone is especially oily). About one month ago, I used Dr. Sheth’s Haldi cream and a hyaluronic acid sunscreen, after which my skin broke out with more pimples. My skin reacts negatively to both chemical and natural ingredients, including turmeric, milk, red sandalwood, and neem. Currently, I also have allergic reactions and pimples on my shoulders and neck. The acne on my neck is red in color and widespread. I would like your advice on safe treatment options for my acne, pigmentation, post-acne marks, and overall sensitive skin condition.
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Doctors’ responses
Hello dear Please be aware See you have already taken medications for acne. I suggest you to please get following tests done and share reports Accordingly we can prescribe medications Serum tsh Patch test Blood test for allergy Interdermal skin test Culture Rbs CBC Please get these tests done for confirmation of diagnosis and best treatment Hope you recover soon Regards
Morning CeraVe Foaming Cleanser Lightweight moisturizer - CeraVe Moisturizing Lotion Look for ceramides + niacinamide (barrier friendly, reduces redness, supports healing).
Sunscreen La Shield Fisico apply 3-4 hourly repeatly
Night
Gentle cleanser (same as morning).
Lightweight moisturizer.
Acne treatment (start very mild, every 2nd night at first):
Clindamycin 1% gel (prescription, safe for sensitive skin, controls acne bacteria).
If tolerated after 2–3 weeks → add Azelaic Acid 10% cream/gel at night (very safe for sensitive skin, helps both acne + pigmentation + redness)
For Neck/Shoulder Acne :Use Clindamycin gel 2-3 nights per week
What to Avoid
DIY remedies (turmeric, neem, sandalwood, milk, lemon, etc.) → irritants for reactive skin.
Strong acids (AHA, BHA peels) → too harsh right now.
Heavy creams / oils (coconut oil, shea butter, ghee, etc
Hello, Based on your symptoms, I can suggest the following treatment plan for your acne:
Morning Routine
FW (Face wash)
2% Glutone Salicylic serum
Sensylia / Hydro Active (moisturizer)
Barelyan (sunscreen)
Evening Routine
FW (Face wash)
Aziclear Serum
Sensylia / Hydro Active (moisturizer)
Medications
Tab. Globlite OSP – 1 tablet daily × 3 months (after breakfast)
Tab. Tretin Iso 20 – 1 tablet daily × 2 months (after dinner)
Additional Advice
Please also check if you have dandruff, as it can worsen acne. If present, use an anti-dandruff shampoo every alternate day. Apply it on the scalp, leave it for 5–6 minutes, and then wash off.
Maintain a healthy lifestyle, good hydration, and avoid oily/skincare products that may clog pores.
Thank you.
Here it is.
Gentle cleanser (Cetaphil/CeraVe) Moisturizer (Simple Hydrating / CeraVe Lotion) Spot treatment (Clindamycin AM, Adapalene PM slowly) Mineral sunscreen daily After 4–6 weeks → Azelaic acid for marks
Please visit a dermatologist. Thank you.
Your skin sounds highly sensitive with both acne and allergic tendencies, so harsh or experimental products may worsen it. Gentle, non-comedogenic cleansers, oil-free moisturizers, and fragrance-free mineral sunscreens are usually safer, but targeted treatment should be carefully chosen. Please consult a dermatologist for proper evaluation and treatment.
Considering your sensitivity and allergy-prone skin, selecting treatments that minimize irritation while addressing acne and pigmentation is key. Start by simplifying your skincare routine: stick to gentle, non-comedogenic products—those free from potential irritants like fragrances, sulfates, and alcohol. Use a mild cleanser with neutral pH twice daily to avoid stripping your skin of its natural oils. For acne, topical treatments like benzoyl peroxide or salicylic acid can be effective, but given your sensitivity, they could prove too harsh. Instead, consider a low-concentration azelaic acid, which can address both acne and pigmentation, or niacinamide to calm irritation and reduce sebum production. For hyperpigmentation and post-acne marks, consider over-the-counter options like alpha-arbutin, which can help lighten these areas gently over time.
Avoid physical exfoliants as they can aggravate sensitive skin; opt instead for sporadic use of a salicylic acid toner if tolerated. Moisturizing is crucial, so choose a long-wear non-comedogenic moisturizer that fortifies the skin barrier. Consider a mineral-based sunscreen with zinc oxide or titanium dioxide to defend against UV-related pigmentation without the chemical irritation of some sunscreens. Address your body acne on shoulders and neck with specialized body washes containing benzoyl peroxide or salicylic acid, and use looser clothing fabrics to minimize rubbing and irritation.
If reactions persist, consult a dermatologist for potential patch testing to isolate specific triggers. They can discuss tailored treatments, perhaps even oral medications, like antibiotics or spironolactone, if prescription options are necessary. Diet and stress management shouldn’t be ignored—reduce high-glycemic foods and try stress-reducing techniques, as these could influence sebum production and inflammation. Always introduce new products individually over a couple of weeks to monitor initial reactivity with your skin.
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