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What treatments are effective for persistent teenage acne?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had acne during my teenage years and have tried many treatments, but it has not gone away. Recently, I developed red, itchy, and inflamed bumps on my chin. I also have acne and acne scars on my cheeks. I am looking for advice on what to do.

Please help.

Thank you.

Answered by Dr. Moustafa Hamza Sharawy

Education:

MBBS

Professional Bio:

Dr. Moustafa Hamza Sharawy is an experienced general practitioner with clinical expertise in delivering comprehensive healthcare to patients of all age groups. He is skilled in diagnosing and managing a wide range of acute and chronic conditions, with a strong focus on preventive care and long-term wellness. Known for his compassionate and patient-centered approach, Dr. Sharawy emphasizes clear communication and individualized treatment plans. He is dedicated to ensuring high-quality, evidence-based care while building trusting relationships with his patients and supporting their overall health and well-being.      

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

For the red, itchy, inflamed bumps (possible perioral dermatitis or acne):

  1. Stop harsh products: Avoid overcleansing, scrubbing, or using alcohol-based products, as they can worsen irritation.

  2. Gentle cleanser: Use a mild, fragrance-free cleanser.

Anti-inflammatory treatment:

Antihistaminics, local or systemic:

  1. For active acne (cheeks and chin): Benzoyl peroxide.

  2. Niacinamide (10 percent): Reduces redness and oiliness.

For acne scars:

  1. Retinoid: Adapalene (or prescription Tretinoin) helps remodel collagen over time.

  2. Laser removal of scars.

Lifestyle adjustments:

  1. Diet: Reduce dairy, sugar, and processed foods (linked to breakouts in some people).

  2. Pillow-cases: Change them twice a week and avoid touching your face.

  3. Stress management: Stress worsens acne. Try sleeping, exercising, or meditating.

Follow up with your dermatologist.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 7, 2025
Reviewed At October 16, 2025

Education:

MBBS

Professional Bio:

Dr. Moustafa Hamza Sharawy is an experienced general practitioner with clinical expertise in delivering comprehensive healthcare to patients of all age groups. He is skilled in diagnosing and managing a wide range of acute and chronic conditions, with a strong focus on preventive care and long-term wellness. Known for his compassionate and patient-centered approach, Dr. Sharawy emphasizes clear communication and individualized treatment plans. He is dedicated to ensuring high-quality, evidence-based care while building trusting relationships with his patients and supporting their overall health and well-being.      

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Moustafa Hamza Sharawy is an experienced general practitioner with clinical expertise in delivering comprehensive healthcare to patients of all age groups. He is skilled in diagnosing and managing a wide range of acute and chronic conditions, with a strong focus on preventive care and long-term wellness. Known for his compassionate and patient-centered approach, Dr. Sharawy emphasizes clear communication and individualized treatment plans. He is dedicated to ensuring high-quality, evidence-based care while building trusting relationships with his patients and supporting their overall health and well-being.      

This doctor is not available for online consultations on the platform anymore.

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