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How to treat persistent acne in a 15-year-old with sensitive skin?
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Skin & Hair Concerns
Question #29547
26 days ago
85

How to treat persistent acne in a 15-year-old with sensitive skin? - #29547

Client_c1cc86

Hello Doctor, I am 15 years old and have acne on my face. Some old pimples are healing, but new pimples keep coming again and again. I have acne on my forehead, temples, and cheeks. Some are small while some are red and painful. My skin is sensitive and gets irritated easily. Currently, I am using a gentle facewash, light moisturizer, and benzoyl peroxide gel. Still, new pimples are not stopping. Please suggest a safe treatment for my age to stop new pimples and avoid irritation. Thank you.

How long have you been experiencing acne?:

- 3-6 months

How would you describe the severity of your acne?:

- Moderate — several pimples

Have you noticed any specific triggers for your acne?:

- No clear triggers

How is your skin's reaction to the products you are currently using?:

- Mild irritation, but tolerable

Do you have any other skin concerns besides acne?:

- Oily skin

How often do you wash your face?:

- Twice a day

Have you seen a dermatologist for your acne before?:

- No, this is my first time
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Doctors' responses

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.
26 days ago
5

Hello dear Please do not worry and follow instructions below. Usually the appearance ranges from red inflammatory to comedonal white heads. These may be related with physiological variation or hormonal alterations 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

2778 answered questions
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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.
25 days ago
5

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. 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

1716 answered questions
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In your case, managing acne while maintaining the sensitivity of your skin is essential. Since you’re already using benzoyl peroxide, which can be effective but sometimes irritating, let’s consider a few additional steps you could take. First, if not already, use a benzoyl peroxide concentration that is lower, maybe 2.5% instead of a higher one like 5% or 10%, which might be less irritating. Additionally, consider adding a topical treatment with salicylic acid; it’s available in spot treatments or face washes, and it can help with exfoliating your skin and clearing out pores. However, be cautious with overlapping products as they collectively might over-dry or irritate your skin. For sensitive skin, using a non-alcoholic toner after cleansing can help maintain your skin’s pH balance and add a step of gentle care. Also, your diet could be playing a role—you might want to evaluate if excessive dairy or high glycemic foods correlates with your breakouts. An over-the-counter antioxidant serum enriched with niacinamide, applied as a lightweight layer, might support your skin’s barrier as well. Be consistent with sunscreen – look for those labeled as non-comedogenic and specifically made for sensitive skin. If these steps don’t yield improvement or if acne worsens, it’s best to see a dermatologist. They might recommend treatments like topical retinoids or oral antibiotics which can more effectively target the deeper causes of acne. Sometimes, for hormonal acne patterns, prescribed oral contraceptives or spironolactone might be considered under clinical guidance suitable for your age. Managing stress and getting enough sleep can contribute positively, as the body’s overall well-being often reflects through the skin’s health.

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