How to manage acne on my cheeks, neck, and ears?

Question

Hello doctor,

I am 40 years old. I have major adult acne breakouts mainly on my cheeks, neck, and under my ear. I am dark complexioned, so when it does clear, it leaves scarring and dark spots. The last dermatologist I consulted suggested birth control. Could please give some suggestions?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I saw your pictures (attachment removed to protect patient identity). I can see pus-filled acne along with post acne pigmentation. Start using Azithromycin 500mg of any brand for six consecutive days after breakfast. Apply Epiduo gel (Adapalene and Benzoyl peroxide) once daily bedtime for a short contact period of 30 minutes then rinses off with cool water. Start Biluma cream (Octinoxate, Propylene Glycol, Light Liquid Paraffin) once daily in the morning on the spots. Avoid all sorts of dairy products bedtime and prefer carrots and spinach along with few soaked almonds. Have reviews about salicylic acid peeling and plan for three sessions accordingly.

I hope this will help you.

Thank you.