What is the real cause behind white heads and pimples?

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Almost 90 % of the people experience acne during their age from 15 to 30 years. It is because of the hormonal fluctuations of adolescence. However, the grade and severity differ according to skin type and tendency. Acne is mainly driven by the effect of various body hormones on the oil-producing glands of the face. Additional infection by a bacterium called Propionibacterium acnes (P. acnes) makes things even worse. The treatment depends upon the grade of acne that you have. It would be advisable to upload an image of your current skin condition as it would help to decide the necessary cream to be started.

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You seem to have predominantly post acne scars and a very little of active lesions (attachment removed to protect patient identity). For the active lesions, use the sunscreen as prescribed above, daily in the morning after bath for the whole face. You can wash it off in the evening. Use the Peroduo gel only in a peanut volume for all over your face for only three to four hours in the evening. Use it weekly for five days. The Peroduo gel is known to cause dryness of the face and lips, hence advised to use a moisturizing lip balm. In the case of any irritation, you can give it a break for two to three days and consider restarting. This treatment will be effective only to control the activity of the acne. For scar correction, it would be advisable to consult a dermatologist. Scar correction needs surgical procedures such as subcision, to be followed by laser rejuvenation. It cannot be done with creams.