What is the treatment for my acne and black spots, as I have oily skin?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

As per the history and images provided (attachment removed to protect the patient's identity), you have acne vulgaris due to excess sebum or oil secretion and post-acne hyperpigmentation or PIH (dark spots). Acne often appears due to hormonal fluctuations, imbalances, genetic reasons, climate changes, food habits, or a reaction to new products being used on the face. Dark spots may accompany acne, which develops following inflammation of acne due to severe and long-term acne left untreated or due to habitual picking of acne (since you do not have the habit of doing so, the other reasons for dark spots would be considered the cause for the same) and once the inflammation goes down, it becomes red initially and then darker due to secretion of melanin pigment in excess. There are medications and procedures available for managing the same.

I would suggest the following:

1. Apply AHA glow S foaming face wash (Salicylic acid and Glycolic acid), massage gently in circular motions, and wash off within one minute twice daily.

2. Apply Clinmiskin gel (Clindamycin and Nicotinamide) twice daily.

3. Apply Aziderm 10 % cream (Azelaic acid) in a very thin layer on the affected area on alternate days at night. Make sure your face is cleansed and dried well. Your hands and face should be dry without any moisture. Apply the cream in a pea-sized quantity only on the affected areas in a very thin layer. Please do not use it all over the face, and do not use it in large quantities since the medication is strong and may cause irritation.

4. Tablet Ascorbic acid 500 mg chewable tablet twice daily after food.

5. Capsule Evion 400 mg (vitamin E) once daily at night after taking food.

6. Consult a specialist doctor, discuss with them, and take medicines with their consent.

The PIH may be managed with more significant benefit only by undergoing procedures, as medications have limitations. In contrast, procedures can penetrate through the skin to help with internal problems and correct them. Below are the procedures:

1. Laser therapy procedures may be done once a month to helping in reducing current acne and fade hyperpigmented spots. When combined with medication, Q switch lasers can be very beneficial and do wonders for treating acne and post-acne dark spots. However, they are done in monthly sessions and may require in-person consultation with a dermatologist to undergo the procedure.

2. Other more superficial procedures like chemical peels - Glycolic acid peels once in two weeks to one month may be done on your skin to manage the existing acne and dark spots. They cause mild peeling of the affected area and are done in sessions, rejuvenating the skin and reducing its appearance. You may need to consult a dermatologist in person for the procedure details and to undergo the procedure.

3. avoid oily, fried food, sweets, chocolates, milk, and dairy products.

4. Consume more fruits, vegetables, and a fiber-rich food, and ensure adequate hydration.

I hope this helps.

Thank you.