How to treat acne, brown marks, and itchy dry skin?

Question

Hello doctor,

My primary concern is acne, especially the redness, which is sometimes itchy, and my skin feels dry and dehydrated. I also have red and brown marks. I have been suffering from acne for years, and my skin feels itchy and dry. Recently, I am developing acne on my chin and jawline, but my acne is common in my cheeks. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I have gone through the details and the image you provided (attachment removed to protect the patient's identity).

It is Grade 1 or mild acne. Acne occurs for multiple reasons, including hormonal fluctuations, especially during teenage and early adolescence. They may also be found during adulthood due to dietary factors, including intake of oily and fried food, sweets, milk and dairy products, and red meat. Acne can also occur due to other reasons like stress, oily skin type, and genetic factors, wherein there is a similar history within the family, which runs and gets transmitted to the next generation. And young females may present with acne in case of any underlying gynecology condition like PCOS (polycystic ovarian syndrome). Therefore it is important to rule out their presence. PCOS is usually associated with other symptoms as well, including weight gain, unwanted facial hair growth, menstrual irregularities, and hair loss, some of which may or may not be present

My advice :

1. Use a SA (salicylic acid) facial cleanser twice daily, apply, massage in gentle circular motions for a minute, and wash off.

2. Apply Duac gel (Clindamycin and benzoyl peroxide gel) on acne spots only after washing and drying the face twice daily.

3. Take the tablet of ascorbic acid 500 mg twice daily after food for one month. Avoid eating extremely hot and spicy food, water, and milk while consuming this tablet.

4. Avoid eating oily, fried food, sweets, red meat, milk, and dairy products. Instead, consume more fruits, vegetables, fiber, and at least 12 glasses of water daily in a 250 ml glass size.

5. Avoid picking acne to prevent the formation of scars.

6. Go for an in-person consultation with a gynecologist to rule out PCOS.

Acne may be managed when they occur. The internal and external factors may act as triggers for the formation of acne on and off. Make sure to check the factors and avoid them whenever possible.

Hope this helps.

Thanks and take care.