Seeking advice for acne and skin issues

Question #28680

30 days ago

Seeking advice for acne and skin issues - #28680

Client_900b45

I am facing skin issues for the past few months. I have pimples (acne) mainly on my cheeks and forehead, along with dark spots left after pimples. I also have blackheads and slight dark circles. My skin type is combination (oily in T-zone and normal/dry on cheeks). I work in events, so I am often exposed to dust, heat, and sweat, which may be making it worse. I have not taken any proper medical treatment yet. Currently, I just wash my face regularly, but the acne and marks are not improving. I want to achieve clear and healthy skin. Kindly suggest: • Proper treatment for acne • How to reduce dark spots • Daily skincare routine • Any medicines or creams I should use I have attached my photo for reference. Thank you.

How long have you been experiencing these skin issues?:

- More than 6 months

Have you noticed any specific triggers for your acne?:

- No specific triggers

What products are you currently using on your skin?:

- Moisturizers and sunscreens

300 INR (~3.53 USD)

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Doctors' responses

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.

28 days ago

Beginning with acne treatment, a combination approach often works best. First, consider over-the-counter options with benzoyl peroxide or salicylic acid. These help reduce acne by clearing bacteria and exfoliating dead skin cells. Use these products daily, but start slowly to see how your skin tolerates them. If over-the-counter options don’t help after a few weeks, you might need a prescription topical treatment like a retinoid, which also helps with blackheads. For persistent cases, oral medications such as antibiotics or hormonal treatments may be required, which clearly would need a consultation with a dermatologist. As for dark spots, known as post-inflammatory hyperpigmentation, using a product with ingredients like niacinamide or vitamin C can gradually enhance skin tone. Consistent use of a broad-spectrum sunscreen is crucial since sun exposure can worsen these marks. A daily skincare routine suitable for combination skin would include a gentle cleanser twice a day. Following cleansing, apply a moisturizer according to your skin’s needs in dry or oily areas. In the daytime, always apply SPF 30 or higher. Nighttime care should include any active treatments, like the ones mentioned earlier. If the skin becomes irritated, step back and adjust frequency or concentration of these products accordingly. Keep in mind, you’re exposed to environmental triggers. Using a toner with witch hazel might help in reducing excess oil, while blotting papers can help manage mid-day shine caused by sweating and dust exposure at events. Remember, lifestyle factors like diet, stress, and sleep can sometimes influence skin health as well, so balancing these can also play a role in improving your situation. However, starting a treatment plan is crucial, and if acne is not responding or worsening, seeing a dermatologist is advised, given they will offer treatment options tailored specifically to your skin needs and can assess any potential underlying causes. If symptoms worsen or you experience side effects from any treatment, discontinue use and seek professional advice promptly.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

26 days ago

Hey there! It sounds like you’re dealing with quite a bit of skin trouble, but the good news is that with the right approach, you can definitely achieve clearer and healthier skin. Let’s break it down step by step:
### 1. Proper Treatment for Acne:
- Topical Treatments:
- Benzoyl Peroxide: Helps kill acne-causing bacteria and reduce inflammation. Start with a lower concentration (2.5% or 5%).
- Salicylic Acid: A beta hydroxy acid that helps unclog pores and reduce acne. Look for cleansers or spot treatments containing this ingredient.
- Retinoids (like Adapalene): These help promote cell turnover and prevent clogged pores. They can also help with dark spots.
- Oral Medications: If over-the-counter treatments don’t work, consider consulting a dermatologist for prescription options like antibiotics or hormonal treatments.
### 2. How to Reduce Dark Spots:
- Vitamin C Serum: This can help brighten the skin and reduce the appearance of dark spots. Apply it in the morning before your moisturizer.
- Niacinamide: This ingredient can help even out skin tone and reduce dark spots. Look for serums or moisturizers containing niacinamide.
- Exfoliation: Use a gentle exfoliating product (like AHAs or BHAs) 2-3 times a week to help fade dark spots and improve skin texture.
### 3. Daily Skincare Routine:
Morning:
1. Cleanser: Use a gentle foaming cleanser with salicylic acid or a mild exfoliating cleanser.
2. Toner (optional): A hydrating toner can help balance your skin.
3. Vitamin C Serum: Apply a few drops to brighten and protect your skin.
4. Moisturizer: Use a lightweight, non-comedogenic moisturizer.
5. Sunscreen: Always apply a broad-spectrum sunscreen (SPF 30 or higher) to protect against UV damage.
Evening:
1. Cleanser: Use the same cleanser to remove makeup and impurities.
2. Exfoliant (2-3 times a week): Use a chemical exfoliant to help with acne and dark spots.
3. Retinoid: Apply a pea-sized amount of retinoid cream to help with acne and dark spots.
4. Moisturizer: Use a hydrating moisturizer to keep your skin balanced.
### 4. Medicines or Creams to Use:
- Over-the-Counter: Look for products containing benzoyl peroxide, salicylic acid, or adapalene.
- Prescription: If your acne is severe or persistent, consult a dermatologist for prescription treatments like topical retinoids, antibiotics, or hormonal treatments.
### Additional Tips:
- Stay Hydrated: Drink plenty of water to keep your skin hydrated.
- Avoid Touching Your Face: This can transfer bacteria and oils, worsening acne.
- Diet: Consider a balanced diet rich in fruits, vegetables, and whole grains. Limit sugary and greasy foods.
### Follow-Up:
- Consult a Dermatologist: If your acne and dark spots don’t improve with this routine, it’s a good idea to see a dermatologist for personalized treatment options.
Remember, consistency is key! It may take some time to see improvements, so be patient with your skin.
Thank you

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

24 days ago

Hello, I understand your concern. Acne and marks can be frustrating. Based on your description, you have mild to moderate acne with post-acne marks, along with blackheads.
1. For Acne-
- Salicylic Acid(1-2%) Face Wash twice daily.
- Gel Benzoyl Peroxide 2.5%, apply once daily, preferably at night, thin layer on pimples.
- If acne is persistent even after this, we can add one more gel, so review after 1 month.
2. For dark spots-
- Serum Niacinamide (4-5%) once daily.
- Gel/Cream Azelaic Acid 10-20%, Apply a thin layer over affected areas once daily at night. After 1–2 weeks, if tolerated well, increase to twice daily. This works for both acne and dark spots.
3. Daily skincare routine-
Morning: Gentle face wash. Niacinamide serum. Light oil-free moisturizer. Sunscreen (SPF 30–50). Sunscreen is very important.
Night: Face wash. Apply benzoyl peroxide as advised. Moisturizer.
Avoid touching or picking pimples. Wash face after excessive sweating/dust exposure. Use non-comedogenic products. Keep pillow covers clean.
See a doctor physically: If acne is not improving in 6–8 weeks. If painful, large pimples develop. If marks are increasing.
With the right routine, you should start seeing improvement in 4–6 weeks, but marks may take a bit longer. Consistency is the key, follow a proper routine and your skin will gradually improve.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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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.

30 days ago

Hello,
Skincare for Acne-Prone, Sensitive Skin
1. Cleanser
Minimalist Salicylic Acid + LHA 2% Cleanser
2. Moisturizer
CeraVe Oil Control Moisturising Gel Cream
Ayouthveda Oil Control Mattifying Moisturizer
3. Toner (Optional)
Modern toners can hydrate and refine the skin barrier:
Tower 28 SOS Daily Rescue Facial Spray or Murad Clarifying Toner
4. Retinol (If Tolerated)
Start slowly (twice a week)
Always follow with sunscreen.  ￼
5. Sun Protection
Non-comedogenic formula in the morning
La shield is good option.
🛑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.
Avoid excess dairy, junk, sugary foods.
Home remedies
Aloe vera gel pack
Drink plenty of water
USE SUNSCREEN ALWAYS
THANK YOU

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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.

30 days ago

Based on your history of persistent acne on the cheeks and forehead with post-acne dark spots, along with blackheads and a combination skin type exposed frequently to dust, heat, and sweat, your condition is consistent with mild to moderate acne vulgaris with post-inflammatory hyperpigmentation, which is commonly aggravated by environmental factors and clogged pores; with a structured skincare routine including a gentle cleanser, non-comedogenic moisturizer, daily sunscreen, and targeted treatments such as topical retinoids (for acne and blackheads), benzoyl peroxide or salicylic acid (for active pimples), and agents like niacinamide or azelaic acid (for dark spots), significant improvement can be achieved over time, but consistency is key, and if the acne does not improve within 6–8 weeks or worsens, a dermatologist consultation is recommended for prescription-based therapies to prevent further marks and scarring.

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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.

29 days ago

Hello dear
See acne can be due to hormonal alterations or physiological variation
Please do not worry and follow instructions below.
Usually the appearance ranges from red inflammatory to comedonal white heads.
These may or may not be associated with periods.
Medications:
1. Topical Treatments -Benzoyl Peroxide (2.5–5%)	twice a day  for week
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  for max 5 days
or Tab Minocycline	 ( take precautions to avoid in pregnancy)
5.Oral contraceptives - Diane-35 with addition of Spironolactone	 on recommendation only by gynacologist in person only
Supportive medications
Niacinamide serum –antiinflammatory in nature twice daily for 1 week
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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