How are pigmentation, pimples, and dark spots treated?

Q. How to treat pigmentation and dark circles?

Answered by
Dr. Sandhya Narayanan Kutty
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Oct 07, 2022 and last reviewed on: Oct 09, 2023

Hello doctor,

I am 23 years old, suffering from severe pigmentation, pimples, dark spots, and dark circles. Kindly help.



Welcome to

Thank you for your query. As per the history, it may be acne vulgaris and post-acne hyperpigmentation. Acne often appears due to hormonal fluctuations, imbalances, genetic reasons, climate changes, unhealthy food habits, reactions to new products being used on the face, and gynecological issues, most often PCOD (polycystic ovarian disease). They may be on and off each time the acne triggers or appears. Dark circles appear due to genetic factors, lack of sleep, stress, frequent straining of eyes due to regular watching of mobile screens, laptops, or computer screens, and frequent sun exposure. So I suggest you to follow a few instructions mentioned below. Use AHA glow S face wash (Glycolic Acid, Salicyclic Acid, Aloe extract, and Citric Acid). Apply and massage gently in circular motions, and wash it off within one minute. Do this twice daily. Apply Clinmiskin (Clindamycin) gel on the pimples twice daily. Take Limcee chewable tablets (Ascorbic acid tablets) once daily at night after food. Take capsule Evion (vitamin E) 400 mg daily in the morning after food with water. Avoid too much exposure to sunlight, mobile and computer screens. Avoid stress. Make sure to get enough sleep. You may apply ice wrapped in a towel onto your under-eye area in a dabbing motion for two to three minutes on each eye which helps in relieving the stress and darkness to an extent. Apply Lusana (chia seed oil, coffee oil, vitamin B3 and E, and organic chamomile oil) eye cream under the eyes. Apply four to five dots under each eye, not too close to the eyes, and gently dab the product into the undereye skin. Undergo procedures like chemical peels, glycolic acid peels, and under-eye peels for dark circles once a month. You need to consult a dermatologist in person to undergo the procedure. Medications can be used along with it. Avoid oily, fried food, milk, dairy products, sweets, and chocolates as they trigger acne. Consume more fruits, vegetables, and fiber-rich food, and ensure adequate hydration with at least ten glasses of water daily. In case of menstrual irregularities or excessive unwanted facial hair growth, kindly consult a gynecologist to rule out PCOD. Kindly consult a specialist, talk to them, and take medications with their consent. As mentioned above, acne may be managed with medications and protecting yourself from external triggers. On the other hand, internal triggers depend on hormonal fluctuations, which cannot be controlled. For most individuals, acne fades as they grow older with the regularisation of hormone levels. I hope this has helped you. Thank you.

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