How to reduce acne and acne spots

Question #11383

47 days ago

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How to reduce acne and acne spots - #11383

Aarushi

I have been suffering from acne since 2 years and these acne in my face have spots which didn'tgo easily they takes 2 months atleast to goo from skin and during summer my back is also getting full of acne and spots of acne which seems like ewwww please guide me what to do as iam facing these problems from too long and day by day it is worsening but not improving iam using dot and key facewash but it doesn't give me anyimprovement

Age: 16

Chronic illnesses: Acne

300 INR (~3.53 USD)

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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.

47 days ago

Hormonal changes (teenage/PCOS in some cases)  excess oil, clogged pores.
Summer heat + sweat  more back acne (“bacne”).
Using just a facewash (Dot & Key) not enough; acne needs treatment ingredients like benzoyl peroxide, salicylic acid, adapalene, etc.
Touching/squeezing pimples makes spots last longer
Morning ☀️
Face wash  Salicylic acid based (like Cipla Saslic DS foaming facewash ).
Oil-free moisturizer (like Cetaphil DAM ).
Sunscreen (non-comedogenic, matte gel type – e.g., Re’equil Oxybenzone & OMC free sunscreen).
Evening
Cleanser (same as morning).
Treatment gel/cream (ONLY pea-sized):
Adapalene 0.1% gel (Deriva-AC) OR Clindamycin + Niacinamide gel (Clindac-A +).
Start with 3 nights/week, increase slowly.
Moisturizer again (to prevent dryness)
Lifestyle
Don’t pick/squeeze pimples → that’s why spots are lasting 2+ months.
Shower after sweating (sports/gym/summer).
Diet: Reduce dairy (milk, paneer, cheese), oily food, junk. Add fruits, vegetables, nuts, water.
Sleep 7–8 hrs, manage stress (yes, even at 16, stress worsens acne).

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Dr. Murtaza Manzoor

I am an MBBS doctor with full-time clinical training and hands-on experience across general medicine, surgery, emergency care and honestly whatever walks into OPD or ER on any random day. I’ve managed all sorts of patients—from high fevers that just wouldn’t go away to breathlessness, weird chest pains, infections, gut issues, even those undiagnosed cases where nothing is adding up but the patient’s clearly not okay. I learnt early on that diagnosis isn't just about checking symptoms off a list. Sometimes it's gut, sometimes it’s pattern. I rely on clinical signs, solid history taking, and lab + imaging support when needed. But I don’t jump to conclusions fast—I’ve seen how that backfires. Treating is one part but explaining to patients in words that *actually* make sense to them? That’s something I focus on a lot. I try to break things down without losing accuracy…though yeah not everyone listens fully the first time. Happens. I don’t box myself into one specialty right now because honestly general practice gives you the widest scope. Whether it’s BP out of control or post-viral fatigue or someone just super anxious about a cough—they all come to us first. Knowing when to treat, when to refer, and when to just *listen* is something I’m still working on, tbh. Anyway, I believe good medicine is half knowledge, half patience. You treat the disease but you also treat the person living with it. That’s where I try to keep my focus.

47 days ago

use topical isotretnoin
and eat low glycemic foods

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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.

46 days ago

Hi Aarushi
I understand your concern
Let’s go step by step:
Why acne + dark spots happen
•	Hormonal changes (very common at your age, 16).
•	Oily skin + clogged pores → acne.
•	Inflammation → leaves behind dark marks that take weeks–months to fade.
•	Heat and sweat (summers) → worsen back acne.
What you can do
1. Daily skincare routine
•	Gentle facewash (your current Dot & Key is okay, but don’t over-wash — max 2 times/day).
•	Oil-free moisturizer (gel or lotion-based). Hydration is important even for oily skin.
•	Sunscreen (SPF 30+) every morning — prevents dark spots from getting darker.
2. Acne treatment options (safe for teens)
(start one at a time, patch test first)
•	For face acne:
•	Adapalene gel (0.1%) at night (tiny amount on pimples & spots, not whole face at first).
•	Benzoyl peroxide 2.5% gel on active pimples (helps dry them, prevents new breakouts).
•	For back acne:
•	Use an antibacterial body wash with salicylic acid (2%) or benzoyl peroxide (keep it on skin for 2–3 minutes before washing off).
•	Wear cotton clothes, avoid tight sweaty outfits.
3. Lifestyle tips
•	Wash face after sweating / sports.
•	Avoid touching or squeezing pimples (causes spots & scars).
•	Balanced diet: cut down oily/junk food, sugary drinks, excess dairy.
•	Drink enough water + sleep 7–8 hrs.
4. For acne spots (marks after pimples heal)
•	Niacinamide serum (2–5%) in the morning can help fade marks faster.
•	Patience → spots usually take 6–8 weeks to lighten.
⸻
When to see a dermatologist 👩‍⚕️
•	If acne is severe (cystic, painful, spreading fast).
•	If scars (holes, pits) are forming.
•	If OTC gels/serums don’t work after 2–3 months.
Dermatologists may give you oral medicines (antibiotics, retinoids, hormonal therapy if needed) to control acne more strongly.
⸻
✅ Start simple:
Morning → gentle face wash + sunscreen
Evening → gentle face wash + adapalene OR benzoyl peroxide (alternate nights) + light
STAY HEALTHY AND HYDRATED DEAR

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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.

47 days ago

Hello dear
See as per clinical history
It seems either the advent of adolescence it is causing acne or hormonal fluctuations can be the reason
Iam suggesting some medications for improvement
Kindly follow them for 1 -2 months
. 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 or Tab Minocycline	 ( take precautions to avoid in pregnancy)
5.Oral contraceptives - Diane-35 with addition of Spironolactone	.on recommendation only by gynacolologist
Supportive medications
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
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.

47 days ago

you have teenage acne with marks. You need a consistent routine with salicylic acid wash, adapalene + benzoyl peroxide at night, sunscreen in the day, and azelaic acid for marks. Back acne needs special body wash + hygiene. With discipline, your acne and marks will improve in 8–12 weeks.

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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.

46 days ago

Persistent acne on the face and back with long-lasting spots often needs medical treatment beyond facewash, especially if it’s been 2 years and is worsening. Avoid squeezing pimples, use oil-free products, and keep the skin clean, but topical or oral medicines may be required. Please consult a Dermatologist who can prescribe treatments like retinoids, antibiotics, or hormonal evaluation if needed for lasting improvement.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

16 days ago

Start by examining your skincare routine and products. Using a gentle cleanser like the one from Dot & Key is fine, but if it’s not working, you may consider switching to a product containing salicylic acid or benzoyl peroxide. These ingredients can help reduce acne by unclogging pores and killing bacteria causing the acne. Additionally, incorporate a moisturizer suitable for acne-prone skin to prevent the skin from over-drying, which can stimulate more oil production and worsen acne. You mentioned acne worsening during summers, so ensure you are using a non-comedogenic sunscreen daily to protect your skin without clogging pores. For persistent acne, over-the-counter treatments might not be sufficient. Consider visiting a dermatologist for prescription options like topical retinoids or antibiotics, which are effective but require professional guidance due to potential side effects. Acne spots or post-inflammatory hyperpigmentation can be stubborn, but treatments like azelaic acid, niacinamide, or chemical peels conducted by professionals can help hasten pigmentation fading. In addition, assess lifestyle factors: Aim to maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, while reducing intake of high-glycemic foods and dairy, which might exacerbate acne for some individuals. Also, ensure you get adequate sleep and manage stress, both of which significantly affect skin health. Furthermore, practice good hygiene by changing pillowcases regularly and avoiding picking or squeezing pimples to prevent scars. If your acne is indeed worsening significantly or causing severe distress, a thorough assessment by a healthcare provider is advisable as hormonal imbalances or other underlying health issues might need to be addressed. Avoid delaying medical consultations when advised as timely intervention can prevent long-term complications and enhance outcomes. Lastly, if you’re currently under any medication, review them with your doctor for potential side effects related to acne. Keep in regular contact with healthcare professionals for ongoing support and tailored treatment plans.

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