Is sudden acne in young women after hair oil normal?
Patient's Query
Hello doctor,
I am a 23-year-old female. Until recently, I never had acne and would only get one small pimple around my period. However, three months ago, after changing my hair oil, I began developing multiple pimples on my face.
While the active pimples have now mostly settled with Tetrion, my skin still shows brown marks (post-acne pigmentation) along with dullness, blackheads, whiteheads, visible pores on my cheeks, and uneven texture, which is affecting my overall appearance.
Since I have never followed a proper skincare routine and have mostly relied on cream and sunscreen, I would now like to start a structured, long-term skincare plan that can help improve these concerns and prevent future breakouts.
In addition, I have darkening around the corners of my lips, and my lips look darker overall, so I would like to know whether this is due to pigmentation, dryness, or a nutritional deficiency, and what kind of lip care would be appropriate.
My height is 5 feet 6 inches, and my weight is about 99 pounds.
I would appreciate your guidance on whether I should continue or stop Tetrion, as well as recommendations for a complete skincare and lip-care routine to treat the marks, texture, and pigmentation.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
Thank you for reaching out and sharing your concerns so clearly.
I truly understand how distressing it feels when your skin suddenly changes, especially when you have spent most of your life with clear skin and now find yourself dealing with acne, pigmentation, blackheads, whiteheads, and uneven texture all at once. Please know that you are not alone in this, and more importantly, what you are experiencing is completely treatable.
Since you only used to get one or two pimples around your periods earlier, that was simply due to normal hormonal changes. However, when your acne suddenly increases after changing your hair oil, it indicates that your breakouts were externally triggered, most likely because the oil blocked your pores and caused follicular occlusion (which happens when hair follicles get clogged with oil). This, in turn, led to inflammation, post-acne pigmentation, clogged pores, and a disturbed skin barrier. The good news is that this is not a chronic acne condition, which means your skin has a very high chance of returning to its healthy state with the right care.
Now that your active pimples have mostly settled, but you are still left with blackheads, whiteheads, uneven texture, and brown marks, your skin needs a balanced approach-one that treats acne gently while also repairing pigmentation and dullness.
When it comes to Tretinoin (Tetrion), it is indeed a powerful and effective medicine for acne, clogged pores, and post-acne marks. However, for someone like you, who has a slim body frame, sensitive skin, and no long-standing acne history, using it daily is not necessary once the pimples are under control. In fact, continuing it daily can worsen irritation, dryness, dullness, and pigmentation, which is why you should now step down from daily use.
So, to help your skin heal properly and regain its glow, here is a gentle yet effective step-by-step routine for you:
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Start your day with a mild, refreshing face wash, used twice daily, to keep your pores clean without stripping your skin.
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Then, in the morning, apply a broad-spectrum sunscreen (SPF 30 (sun protection factor) or higher), because sun exposure is the biggest reason acne marks and lip pigmentation become darker and more stubborn.
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At night, to control blackheads, whiteheads, and uneven texture, apply a pea-sized amount of Aziderm 20 percent gel and leave it on for two to four hours, then wash your face and apply Kojivit plus cream. Aziderm contains Azelaic acid, which is much gentler than tretinoin yet highly effective for clogged pores, acne, and rough skin texture.
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For your brown acne marks and dull skin, continue Kojivit Plus cream once daily at night. It contains Kojic acid, Arbutin, Glycolic acid, and vitamin C derivatives, which help lighten pigmentation and restore brightness. This cream will also help improve the darkness around your lips.
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Now, regarding your lip pigmentation, this can be worsened by vitamin B-complex deficiency, dryness, and habits like lip licking or rubbing. So, take one vitamin B-complex tablet daily for 15 to 20 days, avoid touching or scrubbing the lip area, and apply a lip balm with SPF during the day.
Along with this routine, a few small habits will make a big difference. Avoid picking pimples, always remove makeup before sleeping, use clean towels and pillow covers, and stop using the hair oil that triggered your acne. If you need to oil your hair, apply it only for 30 minutes before washing, so it does not clog your facial pores.
If you follow this plan consistently for four to six weeks, you should start seeing clear improvement in texture, pigmentation, and overall glow.
I hope this helps.
Please revert in case of further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I truly appreciate the time and care you took to understand my concerns and guide me so clearly. It has made me feel much more confident and at ease about my skin.
I am sharing my recent facial photographs to give you a better view of my skin texture, pigmentation, and marks. Please let me know if the images are clear or if you need any additional views.
Thank you.
Hi,
Welcome back to icliniq.com.
Thank you so much for sharing your photos (attachments were removed to protect the patient's identity). I truly appreciate the effort you took to follow up and send such clear images-it really helps in understanding how your skin is healing.
After carefully reviewing them, I want to reassure you that what I see is actually very encouraging. You currently have only one or two small active pimples, and most of what you are noticing are post-inflammatory hyperpigmentation (brown marks) along with mild uneven texture. This is a good stage of recovery, because it means the active acne is almost under control, and we are now mainly dealing with the leftover marks, which naturally fade with the right care and patience.
Since your skin is already responding well, you should continue the same treatment plan we discussed earlier, as it is clearly working for you. In addition, for the few active pimples that appear, you can use Clindamycin one percent gel (Clindol gel) as a spot treatment in the afternoon, once daily, for seven to 10 days. Apply it only on the active pimples and not on the brown marks or the entire face, as this will calm bacterial inflammation without irritating your skin.
Please remember that pigmentation always fades more slowly than pimples heal, so consistency is the key. Right now, the most important things for you are regular treatment, strict sunscreen use, and avoiding picking or changing products too often. Your skin is on the right track, and with time, the marks will continue to lighten.
I hope this helps.
Please revert in case of further queries.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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