Brief Answer: Adult onset acne; send picutres of face & details Detailed Answer: Hello XXXXXXX Welcome and thanks for posting your query to the forum. I can understand your concern for oily skin with pigmentation on face and recurrence of acne. It appears from your query that you are suffering from "Adult onset acne" and related problems. Acne or pimples generally appears at the age of 13-14 years, peaks at 20 years and then almost vanishes by the age of 25 years. But in certain cases it may appear after the age of 30 years. This is basically due to hormones (chemicals which are influencing one or other body functions) in addition to the influence of certain other factors causing its aggravation such as stress and medications. The hormones plays the most important role in high oil secretion and increase the size of oil glands. As the pores or ducts of the glands are blocked so it leads to formation of pimples. There are certain other factors such as application of oily or creamy products, over exposure to sunlight, heat and humidity or due to pinching, popping and squeezing of the pimples also leads to formation of pimples. Once these are healing they leave the most problematic thing which are either marks or scars. So probably you got some idea regarding your acne and pigmentation and oily skin problem. There are certain suggestions which you can follow: 1. Do not pinch, pop or squeeze any area on face. 2. Do not apply any creamy or oily stuff or any other cosmetics over face. 3. Try to avoid any home remedies suggested by your friends or family members or otherwise self implicated therapies also. 4. Try avoiding situations of direct continuous exposure to sunlight or heat and humidity for long hours. Let me know certain important points so that I can guide you further.: - Any illness in last 1 year or any event of stress in last 1 year. - Any medications consumed in recent 6 months to 12 months. - Do you have any abnormality in your menstrual cycle. It would be best to send few good resolution pictures of the pigmentation area so that it can be analyzed best. You have a feature to upload images by yourself at the right side of the query page, please utilize that so that I can answer your queries better. Or else, you can send as an attachment to YYYY@YYYY with the subject as "Attn: Dr. Sanjay Kumar Kanodia). Wish you good health. Regards. Dr Sanjay Kumar Kanodia MD (Dermatology)

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Brief Answer: Reduce stress & apply Kojic/Azelaic acid cream Detailed Answer: Hi XXXXXXX Thanks for posting important details so that I can now guide you better regarding your condition. As I suspected stress is one of the major factors in changing the hormonal status of body and especially for females. I suggest you certain important points for getting better: - Diet is the first guide way to get best of your skin. Eat all types of fruits daily and these acts as natural sun protectors. - Include green leafy vegetables in your diet along with sprouts in your alternate day schedule. - Drink plenty of liquids to detoxify your body. I am happy to know that you do aerobics daily. It is a good thing to tone up our body. Do continue the same. - Use a gel based sunscreen daily half an hour before moving out. Stop use of Olay cream for some time till you get normal skin. Use a protective shield in front of your desktop or lap tops and keep the screen on dim side (it should not be too bright). Use a hat or keep your face covered during outdoor activities. -Do yoga or meditation to relieve yourself form the anxiety as it can cause a lot of other damages to the body and skin. Give yourself positive suggestions and talk to yourself to get over the part of anxiety state. - If I were your treating dermatologist then for your black marks I would have prescribed a cream (under dermatological supervision) containing Kojic acid with arbutin and mulberry extract in it or Azelaic acid cream. These are one of the best and safest creams to be applied. Apply any of these creams in a very thin layer at night time only so that these should not be visible to naked eye. Apply at night time before sleeping. Do let me know your present location so that I can help you out in the suggestion of the application. You can use the same for 1-2 month of period to see the results. I hope these informations will help you in getting rid of pigmentation marks. I will be glad to reply any further queries. With glowing skin wishes, regards, Dr Sanjay Kumar Kanodia MD- Dermatology

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Brief Answer: change in our skin tone is gradual process Detailed Answer: Hello young lady, Thanks for your further follow up. If I were your treating dermatologist then would have prescribed you a cream containing Kojic acid with arbutin and mulberry extract ( such as Clearz ULTRA) or Azelaic acid cream (Aziderm 10 %) in a very thin layer so that after application it should not be visible to the naked eye. If you can get that then you can use both the creams alternatively at night time. A rule of thumb is that a pea size amount is sufficient for a palm size area. For sunscreen- as you have oily skin so you can apply a non-oily or non cream based sunscreen ( such Ultraguard 40+ ) in day time. You should remember that change in our skin tone is gradual process so have patience. Do comply with other of suggestions which are more important than the creams and medicines!!! I will be glad if you have any further query or if not then can close the discussion and rate the answer. "All my best wishes for healthy and glowing skin" regards, Dr Sanjay Kumar Kanodia MD- Dermatology

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