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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 body like weight gain,irregular periods
,facial hair & scalp
hair loss.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.According to the body weight one needs to take it for at-least 6 months .
Along with the above treatment you would also require topical cream to apply.
St.johns (the one in bangalore) is a good hospital with very efficient doctors in dermatology.I had worked in st.johns in dermatology dept in year 2000.
I would advice you to discuss above possibilities with your doctor and I am sure you would get good response .