Acne, acne marks, dark spots, acne scars, pigmentation, uneven skin tone

Question #11392

220 days ago

307

Acne, acne marks, dark spots, acne scars, pigmentation, uneven skin tone - #11392

Elina swain

I have hormonal acne issues, lots of treatment I used but not work... Dark spot are there, acne marks are there, hyperpigmentation are there, uneven skin tone are there.. I m using fash os gel face wash and benzac ac.. But I see not working.. Kindly suggest

Age: 33

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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.

220 days ago

Hello dear
See i think in your case acne are due to hormonal alterations only.
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	or Tretinoin	( if already not taken).
3.Azelaic Acid	10 percent for two weeks.
4. Oral Medications -tablet Doxycycline 1 month twice a day for 5 days
Niacinamide serum –antiinflammatory in nature
In addition use aloevera - tulsi solution to apply topically for 1 month
Below procedure are the last resort
Laser treatment
Photodyanamic therapy
Electrocautery
In case of no improvement in 2 month, kindly consult dermatologist in person for better clarification .
Please get the invasive procedures from the concerned doctor only as there can be chances of complications with the concerned procedure
Hopefully you recover soon
Regards
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.

219 days ago

hormonal acne, hyperpigmentation, uneven skin tone not improving on benzoyl peroxide alone. Needs retinoid-based night treatment, azelaic acid for pigmentation, sunscreen use, and possible short-course oral antibiotics. If hormonal imbalance suspected, test & treat accordingly. Regular dermatologist follow-up essential.

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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.

217 days ago

Persistent hormonal acne with dark spots, hyperpigmentation, and uneven skin tone usually requires a combination of topical treatments, oral medications, and lifestyle management. Since your current regimen (face wash + benzoyl peroxide) isn’t effective, a dermatologist can prescribe options like topical retinoids, chemical peels, oral hormonal therapy (like spironolactone or combined OCPs), and professional spot treatments for pigmentation. Along with treatment, continue gentle cleansing, sunscreen, and avoiding harsh scrubs to prevent further darkening and irritation.

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Dr. Bhoomi Shah

I am working as a consultant doctor in cosmetology, trichiology and aesthetic medicine, and most of my day goes into helping people with skin and hair issues that trouble them in routine life. For more than 3 years now I had the chance to see and treat over 50000 patients, and that kind of exposure shapes the way I approach every new case. Sometimes it’s acne that refuses to settle, sometimes hair loss that makes people anxious about their looks, other times pigmentation, scars or early aging signs that disturb confidence. Each case is different, even when the diagnosis look similar on paper. In cosmetology I deal with both medical and cosmetic aspects, from treating chronic skin conditions to working on appearance related concerns. I like to combine evidence based methods with practical care, because people don’t just want temporary results, they want something safe and sustainable. Trichiology keeps me engaged with all forms of hair problems, from dandruff to alopecia. I know hair fall may sound minor to some, but for the person going through it, it can affect self-image deeply. I keep this in mind when planning treatment, making sure expectations are realistic but also giving space for hope. Aesthetic medicine adds another layer, where the focus is not only to fix disease but also to improve overall appearance and wellbeing. In this field precision matters, because even a small change can impact how a person feels about themselves. I spend time discussing with patients before any procedure, clearing doubts, sometimes repeating answers again, because trust is very important. Looking back at my work so far, the most valuable part has been the interaction with thousands of individuals who come with different backgrounds, concerns and goals. I try to keep my practice approachable and patient centered, no matter if it’s a simple rash or a long standing condition. The idea is not only to treat but also to support people in regaining their confidence. And I still keep learning every day, because skin and hair medicine is always evolving and no two patients are exactly same.

219 days ago

Hello dear
I understand your concern about skin , I can really help you out
You should take
Capsule Doxycycline 200mg 1-0-0 for 7 days
Tablet rabeprazole 1-0-0 for 7 days before meal
Apply melean cream at night daily for 2 weeks
I would suggest some good salicylic acid face was to be used
Avoid hot water dipping and all such household ideas, instead do ice massage over face daily for 2 weeks in morning , it reduces inflammation and pigmentation too
Drink lots of fluids
Feel free to ask after 2 week
Thank you

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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.

190 days ago

Hormonal acne can be quite challenging to manage and often requires a multifaceted approach because it’s driven by internal factors like hormonal fluctuations. It’s crucial to understand that while topical treatments like benzoyl peroxide (Benzac AC) and gentle face washes (like Fash OS gel) are parts of the equation, they may not be sufficient on their own, especially when hormonal factors are dominating. Consider consulting a dermatologist for oral medications such as oral contraceptives or anti-androgens like spironolactone, which can help regulate the hormonal imbalances contributing to acne. For topical treatments, you might add a retinoid at night, which can address multiple issues like acne, acne marks, and pigmentation. Retinoids promote cell turnover, helping to fade dark spots and improve skin texture, but they can also be irritating, so start with a low concentration and increase gradually.
Also, while using these treatments, make sure you’re applying a good, broad-spectrum sunscreen daily, as UV exposure can worsen hyperpigmentation and hamper the healing of acne scars. If hyperpigmentation remains an issue despite using all these measures, products containing ingredients like niacinamide or azelaic acid might help lighten them gradually. Lifestyle factors like diet also play a role. Reducing high glycemic index foods and dairy might improve acne for some people. Remember, when trying new treatments, give them time- at least 8-12 weeks- to see their full effects. If these adjustments do not yield the desired improvements, it would be wise to pursue further evaluation, maybe seeing a healthcare provider for tailored treatments such as chemical peels or laser therapy, which can offer more significant results for scars and pigmentation. It might be a trial-and-error process, which can be frustrating, but determining the right combination can substantially improve your skin health.

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