How to treat acne, dark spots, and scars on oily skin?

Question

Hello doctor,

I have had acne and oily skin for the past four years. It is a hereditary problem. It leaves spots, scars, and holes in the face. This problem appears mainly in humid weather conditions. I am currently on homeopathic treatment. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Acne or pimples is a very common condition seen in the teenage years and early twenties due to the hormonal changes occurring in your body. There is no need to worry about it. Even if it does reduce, the chances are that you may get another bout of acne over your face. Hence it is more important that you avoid fiddling or pressing the lesions since it will leave scars and pigmentation, which takes a long time to go. Acne treatment is usually given according to the grade of acne you have, which can range from Grade I (mild) to Grade 4 (very severe). Also, the treatment varies from topical cream applications, chemical peeling, dermabrasion, and in severe cases, oral medications.

As you have not mentioned the area involved over the face and types of lesions (example, blackheads or red spots or pustules) I will suggest the following treatment for the time being:

1) Adapalene and Benzoyl peroxide gel, to be applied over the pimples in a pea-size amount at night. Stop if there are any redness and irritation.

2) Do use a good moisturizer if there is any dryness.

3) For pigmentation or dark spots, you can use a depigmenting cream containing Kojic acid over the spots at night.

4) Scars treatment can be only suggested after looking at the scars.

Do follow up with good clear photographs of the lesions for a better solution.