I have severe acne with scars and oily skin. Please help.

Hi,

Welcome to icliniq.com.

I went through your photograph and found that you are suffering from nodular cystic acne with scarring. It is a severe type of acne. Acne is common at a young age. It occurs due to blockage and inflammation of sebaceous glands under the influence of androgen hormone. They also occur due to cosmetics. Diet has a little role and generally, they subside in mid-twenties. They need treatment to avoid scarring which may be permanent. If you have increased hair growth and menses irregularity you have to rule out PCOD (polycystic ovary disease). You can take capsule Isotretinoin 20 mg once daily with meals for four weeks, Clindamycin gel twice daily over the pimples, Salicylic acid face wash once daily, only for 30seconds, and tablet Azithromycin 500 mg once daily on empty stomach for one week and three on consecutive days per week for three weeks. If you want to use sunscreen. Review after four weeks. Scarring or pores left after healing can be treated surgically by needling, microderma abrasion, or by laser only after remission.

Hi,

Welcome back to icliniq.com.

Diet is not having much effect on acne. But some report says that chocolates, some milk products, and high fat diet should be avoided. Azithromycin is an antibiotic but it also has anti-inflammatory properties. It inhibit the growth of bacteria. Keep using Clindamycin gel. I hope this helps.