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Skin & Hair Concerns
Question #11337
222 days ago
288

Acne,hyperpigmentaion,whiteheads - #11337

Manoj Kumar Nayak

I have lots of acne .. When I seethe doctor and started treatment it remove but when I stop one it started agin . like I tried all composition but I did not work . I tried isotretinon for 2 months and clindamycin adaplean etc

Age: 19
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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.
221 days ago
5

Hello dear See the acne or pimples are mostly due to hormonal alterations or physiological variation in the body. I am suggesting some curative and preventive measures for improvement. Please follow them for 1 month 1. Topical Treatments -Benzoyl Peroxide (2.5–5%) Kills bacteria and is anti-inflammatory in action. Salicylic Acid or Adapalene 0.1% can also be given as additive medications (on recommendation only from concerned physician) 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for 1week

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 Last resort are Laser Photodyanamic therapy Electrocautery But there are to be performed by specialist only Hopefully you recover soon Regards

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Managing persistent acne can indeed be frustrating, especially when it returns after stopping treatment. Acne often requires ongoing management, and it’s important to understand that some treatments control symptoms rather than providing a permanent cure — that’s why consistency in a skincare routine is essential. If you’ve been using isotretinoin, typically it demands a longer course for optimal results, sometimes 4 to 6 months depending on the severity of your acne, under proper medical supervision due to its potential side effects. Clindamycin and adapalene are more geared toward maintenance therapy, reducing inflammation and preventing new breakouts. You might benefiit from combination treatments; for example, a topical retinoid like adapalene to help with underlying causes and benzoyl peroxide to reduce bacterial presence on the skin. It’s critical to adhere to the regimen prescribed by your healthcare provider, and a dermatologist can tweak your treatments based on how well you respond. Hormonal therapy, like oral contraceptives, can also be an option for women whose acne is linked to hormonal fluctuations. Avoid frequent switching between treatments as this can worsen the skin; patience and consistent use are crucial for assessing the true effectiveness of a product. Lifestyle factors also play a role, including diet, stress levels, and skincare routines – it’s helpful to maintain a balanced diet, minimize stress, and ensure proper skin hygiene through gentle, non-comedogenic (won’t clog pores) products. If you’re dealing with significant hyperpigmentation post-acne, adding products targeting pigmentation, such as those containing niacinamide or vitamin C, might assist in evening skin tone. In severe or stubborn cases, a clinic visit for potential solutions like chemical peels, laser therapy, or microneedling could provide additional benefit. Always check in with your healthcare provider to tailor your management plan appropriately.

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