Hello. Thank you for writing to us at healthcaremagic Your concern is active acne along with acne scars; acne scars are a common complication of inflammatory acne. It is important to address active acne with appropriate oral as well as topical treatment. I usually start my patients of oily skin and moderately severe to severe grade acne on Oral Retinoids. Retinoids have a multifacted role in acne. They are sebostatic, therefore reduce oil production; antiinflammatory as well as comedolytic. Oral antibiotics are also useful for inflammatory acne. The commonly prescribed ones being Azithromycin, Doxycycline, Minocycline etc. Oral Retinoids can be combined with Oral antibiotics, particularly Azithromycin for faster improvement. Topical treatment is an important part in the overall treatment of acne and includes topical antibacterials like clindamycin, nadifloxacin; topical benzoyl peroxide and topical retinoids. Cleansing is important in oily skin to remove excess oil. Salicylic acid based cleansers for face wash are suitable for oily skin. Salicylic acid inhibits oil production and deep cleanses the pores of excess oil. Treatment for acne scars is guided by the severity of acne scars. Superficial acne scars can be improved with chemical peeling sessions. Mild to moderate acne scaring can be made to improve with dermabrasion. Moderate to severe acne scaring usually requires Fractional Co 2 Laser, Microneedling, Subcision etc. These procedures may be combined together to achieve the best results. The decision as to the best procedure for acne scars rests with the treating doctor who after thorough assessment would be able to ascertain the degree of improvement that can be expected and the best possible treatment that is available. Regards