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How do I manage acne, dark spots, and red marks?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have concerns about acne, including dark spots and red marks. How can I manage these? I am worried.

Kindly help.

Answered by Dr. Misha Saghir

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on your given description, you have comedonal acne, pigmentation, and redness. This is treatable with the right treatment and lifestyle modification. I will guide you with a step-by-step routine to manage it.

• For morning and night, use a non-foaming cleanser such as a gentle non-foaming cleanser.

• For the evening, use a pea-size amount of Adapalene 0.1 percent gel on the entire face, followed by a moisturiser. This will manage your acne and marks.

• Use a non-comedogenic moisturiser.

• Use Azelaic acid cream 10 to 15 percent, a pea-size amount on the whole face. This will manage your acne and pigmentation.

• Use a broad-spectrum sunscreen with sun protection factor 50 during the day to avoid further pigmentation.

• To manage your acne faster, you can take Doxycycline 100 milligrams (mg) per day for at least one month if you are not pregnant or lactating. Even if you do not want to use oral medicine, you can use topical medicines only as well.

• Results will take five to eight weeks.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 25, 2026
Reviewed At February 25, 2026

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Misha Saghir, MBBS, FCPS (Dermatology Resident) • Clinical Dermatologist & Tele-Derm Specialist • Experienced in skin, hair, nail, and cosmetic concerns • Expertise in acne, pigmentation, eczema, psoriasis, vitiligo, melasma, infections, skin hair and nail disorders • Former General Practitioner with 2 years in government healthcare • Provides evidence-based, patient-centered online consultations • Practical treatment plans with clear guidance and follow-up

This doctor is not available for online consultations on the platform anymore.

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