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How to reduce hyperpigmentation? Acne scar and open pores. How to remove under arm pigmentation?
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Skin & Hair Concerns
Question #11041
45 days ago
132

How to reduce hyperpigmentation? Acne scar and open pores. How to remove under arm pigmentation? - #11041

Arya

"I have been having acne issues for the past few years. Now I have multiple problems on my face – acne marks, hyperpigmentation, dark spots, and uneven skin tone. I also notice open pores and rough texture on my cheeks, forehead, and around the nose. My skin looks dull and I want to improve the overall texture and brightness. Sometimes new pimples also come, which leave more scars. I would like to know what skincare routine, creams, or medical treatment can help me reduce hyperpigmentation, acne scars, and large pores safely without side effects. Please suggest the best possible solution."

Age: 19
Chronic illnesses: No chronic diseases
Acne
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear Please be aware I think probably due to advent of adolescence you are facing increase acne ,pimples and hyperpigmentation You can take below medications and instructions to control or inhibit the excess pigmentation and acne Topical Treatments -Benzoyl Peroxide (2.5–5%) Kills bacteria and is anti-inflammatory in action. Salicylic Acid, Adapalene 0.1% can also be given as additive medications but on recommendation only 2.Clindamycin 1% or Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. Aquaphor moisturizer for two Weeks Niacinamide serum –antiinflammatory in nature In addition use aloevera - tulsi solution to apply topically for 1 month

In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification Hope your problem subsides

Regards

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
45 days ago
5

Hello arya Kindly follow this skin routine as pimple are causing scars and pigmentation

Morning 1)Gentle foaming face wash (salicylic acid 1–2%) 2)Niacinamide serum (5–10%) to reduce oil and open pores 3)Oil-free, gel-based sunscreen (SPF 30–50)

Night Cleanser – same as morning. Active treatment (alternate nights): apply only area affected

Option A (for marks/pigmentation): Azelaic acid 10–20% or Niacinamide.

Option B (for acne & texture): Adapalene or Retinol (start 2–3 nights/week, very thin layer).

Moisturizer- oil free light Moisturizers

For dullness: Gentle exfoliation (AHA/BHA toner/serum 1–2 times weekly, not daily

(glycolic/salicylic/azelaic peels) Only after acne and scars are reduced

Lifestyle & Diet

Avoid oily/junk food, excess dairy, and high-sugar foods.

Add protein (dal, eggs, paneer, nuts), omega-3 (flaxseed, walnuts, fish), fruits, and veggies.

Drink 2–2.5 L water daily.

Manage stress & sleep well – very important in acne.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
43 days ago
5

Long-term acne with marks, pigmentation, and open pores usually needs a combination of gentle daily care and medical treatment. A dermatologist may prescribe retinoids, mild chemical peels, or laser options to safely improve scars and pigmentation while controlling new breakouts. Please consult a dermatologist for proper evaluation and treatment.

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

Ok here is your treatment RX, 1) Epiduo gel Apply only on the acnes at night 2) Tab doxycycline 100mg 1 tab after breakfast for 7 days 3) Tab limcee 500 1 tab daily after meal for 1 month 4) Face wash Ahaglow Use twice daily

One question Is your period regular?

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First, addressing hyperpigmentation and acne scars often requires a multifaceted approach. Using a topical retinoid like retinol or prescription-strength tretinoin can promote cell turnover and encourage new cell growth, which aids in fading scars and evening out skin tone. However, it’s important to use sunscreen daily, as retinoids can make your skin more sensitive to the sun. In addition, incorporating vitamin C serum in the morning helps brighten the complexion and provides antioxidant protection. A gentle exfoliating treatment once or twice a week with products containing alpha-hydroxy acids (AHAs) like glycolic acid can help remove dead skin cells and improve skin texture. However, limit use to avoid over-exfoliation, which can aggravate your skin.

For open pores and uneven texture, niacinamide can be beneficial by decreasing sebum production and improving skin barrier function. Meanwhile, treatments like microneedling or chemical peels performed by a dermatologist may provide substantial improvement in scars and texture but always assess whether these options align with your tolerance and skin type. To avoid new acne formation, a salicylic acid-based cleanser can help unclog pores and reduce inflammation. However, if breakouts persist or worsen, a topical antibiotic or benzoyl peroxide can be effective to target acne-causing bacteria.

Remember, building a consistent routine over several months is key, and sudden changes can exacerbate conditions. Keep a balanced diet, staying hydrated and managing stress also plays a role in supporting skin health. Before starting any treatment, consulting with a dermatologist is advisable especially for prescription medications and procedures to tailor the plan specifically to the needs of your skin type. This ensures safety and minimizes the risk of adverse effects.

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