My face is covered with small irregular patches of black spots, and I have an acne problem. Please help.

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

Answered by
Dr. Suvash Sahu
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Oct 04, 2022 and last reviewed on: Sep 21, 2023

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.



Welcome to

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.

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