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Acne and pigmentation more than a year
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Skin & Hair Concerns
Question #11364
356 days ago
485

Acne and pigmentation more than a year

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
$7.5
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Doctors' responses

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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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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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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