I am 20 years old. How can I manage forehead acne?

Hello,

Welcome to icliniq.com.

Thank you for sharing your query with me. Really sorry for what you were going through, and I appreciate sharing the picture (attachments removed to protect the patient’s identity) for clarity.

I understand your concern, especially since this has appeared suddenly and is spreading. Based on your history and the description of multiple tiny, similar-looking pimples on one side of the chin that are now extending to other areas, this is most suggestive of a monomorphic acneiform eruption, and a strong possibility is Malassezia (fungal) folliculitis rather than routine acne alone.

This condition often presents with small, uniform papules or pustules that can appear abruptly and spread, particularly in individuals who already have acne-prone skin, like in your case, with a long history of forehead acne. Aloe vera gel may soothe the skin slightly, but it will not treat the underlying cause.

At this stage, it is important to start targeted treatment. can apply Ketoconazole 2% cream as a thin layer over the affected areas twice daily for about two to three weeks. Alternatively, a Ketoconazole shampoo as a face wash, leaving it on the skin for a few minutes before rinsing.

Try to avoid heavy creams, oily products, or frequent touching of the area, as these can worsen the condition. Avoid manually popping the pimples, as it can result in pigmentation and scarring.

Keep your skincare routine simple with a gentle cleanser and non-comedogenic moisturizer. If there is significant itching or no improvement within two to three weeks, then you may need to incorporate Adapalene gel.

I hope it helps with your query.

Thank you.