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