HomeAnswersDermatologyacne scarsI have black spots and acne problem. Please help.

The black spots on my face are getting bigger and do not go away. What should I do?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

Dr. K. Shobana

Published At October 4, 2022
Reviewed AtOctober 12, 2023

Patient's Query

Hi doctor,

I have an acne problem that comes out on my face over time. Also, my face is covered with small irregular patches of black spots, so please suggest a treatment. They are bigger and do not go away for weeks. I have had this problem for the last ten years. I am taking Tretiva-20 (Isotretinoin), Throcin-500 (Azithromycin), and Clindamycin phosphate gel.

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

I understand your concern. With your descriptions, it seems you have acne-pigmented scars. Acne is a chronic problem. It has a variable course with medication. Therefore, it requires regular follow-up and long treatment. It usually occurs for up to 25 to 28 years of age, or more. Once the acne lesions heal, they leave acne scars, but these acne scars heal with post-inflammatory hyperpigmentation (PIH) for a short duration in light skin individuals, but in darker individuals, the PIH persists for a longer duration may be for two to three weeks, but this duration can be curtailed by using depigmenting cream and sunscreen and also sun protection. You can use Depiwhite cream (Hydroquinone) or Adapalene gel 0.1 % (Retinoid) at night daily and also use noncomedogenic sunscreen like Face guard or Sucrose soft gel with SPF 50+ during morning hours all over face after taking bath. Repeat once after every four hours.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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