Why do I have comedones and dark spots despite treatment?

Hello,

Welcome to icliniq.com.

I understand your concern.

I know how frustrating forehead comedones and pimples can be, especially when they leave dark marks behind. Since Panthenol moisturizer and Azelaic acid are not giving enough improvement, you need to go to the next step, which is shifting to Adapalene (a retinoid) at night. Use Adapalene cream, a pea-sized amount only for the entire face and not just on pimples, and always use it after moisturizer to reduce irritation. In the morning, make sure you apply a broad-spectrum sunscreen with a sun protection factor of 50 every single day. This will prevent dark spots from becoming darker and will help your skin heal faster.

Avoid combining Adapalene and Azelaic acid, and you can use Azelaic acid later when your acne gets better. Use this for four to six weeks. If you can, please send a clear picture of your forehead and cheeks so I can check the severity and guide you on whether you need oral medication like antibiotics or not. I am here to help you step by step. Till then, continue this regimen, and your acne will be much better managed.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.