Welcome To HealthcareMagic forum,
Let me first focus on your pimples first.
Pimples are multifactorial ,and therefore one has to find the exact cause of it.
It can be because of wrong use of soaps to moisturizers or any fairness creams which one is using , to hormonal
disturbances if anybody has(esp in females).So,a complete work up is necessary in all patients.Also one should remember that its not a short course treatment,but a matter of say 6 months or so if pimples are sever .
Firstly I would advise you to stop all cosmetic creams if you are using on face.
Also look for other features of hormonal imbalance(in females) in body like weight gain,irregular periods
,facial hair & scalp
hair loss,pimples 2 days prior to periods ,pimples over jaw line etc .If you have any of these then get a hormonal profile done.In such cases conventional treatment for acne would not work,and one needs hormonal tablets to cure acne.
In case you don't have any hormonal imbalance & you don't respond to conventional treatment, then one can take retinoids
.Retinoids is a wonderful medicine for acne,provided one gets all the relevant investigations and takes care of all the precautions associated with it.There are certain precaution which your dermatologist
would tell you.As you mentioned you have dark skin spots,rough & sensitive skin ,then I would suggest you that retinoids would be the best option.
Both retinoids & hormonal medicines give excellent response .
Kindly meet a experienced dermatologist who can understand your case properly and treat you .
Please don't plan for laser
or any beauty parlor treatment .
You can even take chemical peels
along with the medicines.This would help improve pigmentation from your skin and even roughness.
Hope this answers your query, if you have any further questions kindly write back to us.