How to reduce n heal my acne on sensitive skin? - #11596

You need to visit dermatologist as you have cystic/nodulocystic acne with sebaceous filaments/comedones filling your pores Treatment for this is ISOTRETINOIN Skincare basics (supportive, not cure alone)

Gentle cleanser: Non-foaming, no harsh scrubs.

Moisturizer: Lightweight, non-comedogenic (gel or lotion).

Topical actives (night):

Retinoid (adapalene or tretinoin) – keeps pores unclogged.

Benzoyl peroxide (BPO 2.5–5%) – kills acne bacteria, reduces resistance.

Hello dear See acne arise due to infection or due to hormonal alterations Iam suggesting some medications Kindly follow them for 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% or 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 Regards

1.Your description suggests cystic acne which is deeper and more severe than common pimples and often leaves marks or scars if untreated.

2.For sensitive skin start with a gentle face wash twice daily and avoid scrubbing or harsh soaps.

3.Use a light non comedogenic moisturizer and always apply a gel based sunscreen during the day to protect your skin.

4.Topical medicines like azelaic acid or niacinamide are safer for sensitive acne prone skin. Stronger options like adapalene or benzoyl peroxide should only be used if prescribed by a dermatologist.

5.Avoid picking or popping acne as it worsens scarring and pore enlargement. Maintain clean pillow covers and avoid oily creams or makeup.

6.Since your acne is persistent and cystic I strongly recommend consulting a dermatologist who can decide if you need oral medicines like antibiotics or isotretinoin for long term control and scar prevention.

Since this is severe acne, OTC products alone usually won’t fix it long-term. Here are the main evidence-based options:

1. Prescription Medications (dermatologist needed) • Oral isotretinoin (Accutane) → Most effective for nodulocystic acne. Shrinks oil glands, prevents scarring. Usually taken 6–9 months. Needs monitoring (liver, cholesterol, pregnancy prevention if applicable). • Oral antibiotics (doxycycline, minocycline) → Reduce inflammation, but usually short-term (not a cure). • Hormonal treatment (for females) → Oral contraceptives or spironolactone can help if acne is hormonally driven. • Topical retinoids (tretinoin, adapalene, tazarotene) → Prevent new clogged pores and improve skin texture over time. • Topical benzoyl peroxide + antibiotic → Controls bacteria and inflammation.

2. Procedures (done by dermatologists) • Steroid injections → For painful cysts. • Chemical peels, laser, microneedling → Later, to improve scarring and enlarged pores.

Since this is severe acne, OTC products alone usually won’t fix it long-term. Here are the main evidence-based options:

1. Prescription Medications (dermatologist needed) • Oral isotretinoin (Accutane) → Most effective for nodulocystic acne. Shrinks oil glands, prevents scarring. Usually taken 6–9 months. Needs monitoring (liver, cholesterol, pregnancy prevention if applicable). • Oral antibiotics (doxycycline, minocycline) → Reduce inflammation, but usually short-term (not a cure). • Hormonal treatment (for females) → Oral contraceptives or spironolactone can help if acne is hormonally driven. • Topical retinoids (tretinoin, adapalene, tazarotene) → Prevent new clogged pores and improve skin texture over time. • Topical benzoyl peroxide + antibiotic → Controls bacteria and inflammation.

2. Procedures (done by dermatologists) • Steroid injections → For painful cysts. • Chemical peels, laser, microneedling → Later, to improve scarring and enlarged pores.