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Acne and pigmentation more than a year
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Skin & Hair Concerns
Question #11364
45 days ago
117

Acne and pigmentation more than a year - #11364

Monalisa Mishra

I started having lots of acne and pigmentation, it's been more than a year. Had medication and it had stopped. Now again started having many pimples and acne.What's the solution. Please help. Becauseof acne , also having acne marks

Age: 37
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.
41 days ago
5

Hello dear See it seems acne are occurring due to relapse by stoppage of medication or hormonal fluctuations Iam suggesting some medications and precautions Kindly follow them for atleast 1 month 1. 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. 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 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 Hopefully you recover soon Regards

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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.
41 days ago
5

Let me know if your periods are normal. RX 1) Face wash Ahaglow Use twice daily 2) Epiduo gel Apply on the affected areas at night for 4 weeks 3) Use a light moisturizer.

Thank you.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
38 days ago
5

Hi Monalisa,

#For Acne Adapalene gel (0.1% at night, very thin layer) OR benzoyl peroxide gel (2.5–5%). Use only on acne spots

Do NOT pick/squeeze pimples – this worsens pigmentation.

#For Pigmentation/Marks

Niacinamide 5% serum (morning or night, if skin is not irritated). Azelaic acid acid 10–15% cream/gel at night (safe for marks and acne both). Consistency is key — pigmentation takes 2–3 months to lighten.

🥗 Lifestyle

Avoid excess dairy, junk, sugary foods. Drink enough water, get 7–8 hrs sleep. Manage stress (yoga, meditation, walks help).

If acne is not receding please consult a dermatologist in person Thank

Thank you dear

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Acne recurring after initial treatment is not uncommon and managing it requires a multifaceted approach. First, let’s revisit your skincare routine. Make sure you are using a gentle cleanser twice daily and avoiding harsh scrubs which can worsen inflammation. Non-comedogenic moisturizers and sunscreens will help in keeping the skin barrier healthy. Topical treatments like benzoyl peroxide and salicylic acid could be beneficial; they reduce inflammation and prevent clogged pores. Have you tried topical retinoids? These can be effective for both active acne and pigmentation. Be aware they might initially cause irritation, so it’s best to introduce them gradually. Nighttime application, a pea-sized amount on dry skin, and ensuring good hydration can mitigate side effects. For pigmentation and scars, agents like azelaic acid or niacinamide can address hyperpigmentation and help with overall skin texture. Sometimes, oral medications might be indicated, especially if you have cystic or hormonal acne. Birth control pills or spironolactone might be considered if hormonal causes are suspected. It seems like considering a visit to a dermatologist could be important if over-the-counter treatments aren’t effective within a few months. They might discuss prescription-strength topical treatments or procedures like chemical peels or laser therapy. Adopting healthy lifestyle changes, like a balanced diet low in dairy and high-glycemic index foods, adequate hydration, and proper sleep, can support ongoing treatment efforts. Remember, managing acne is ongoing, requiring patience and consistent care. Be careful with squeezing or picking at acne lesions, as this can increase scarring. If you notice any rapid escalation or new symptoms, it’s crucial to reach out for professional advice promptly.

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