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Suggest treatment for acne on chin and jaw line

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Posted on Wed, 27 May 2015
Question: http://doctor.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=135697

Hello Doctor,

Good Morning,

I am female of 40 years of age . Right now I am suffering from adult acne since 7 -8 years. I had history of acne in my early twenties too. My acne prone areas are my chin and jaw line . Some acne are big filled with pus while some are small in size. I was prescribed by my doctor adaplance gel in night and Glintra gel in day time which I was using for the last 6-7 months . Which really worked wonder on my skin and I dint get any acne for the first 4-5 months after using this treatment . But unfortunately my acne breakout has come again from the M/o April 2015 and I am getting acne again around my chin and Jaw line . I am still using the same treatment as prescribed by my doctor earlier. I also took 5 day Azithrymicn 500 mg in the M/o April . But I am still getting acne and scars please advise me . Any modification in the treatment is required or not. This is quite embarrassing and frustrating for me . Please help.

Images of acne prone areas are attached for your doing the needful.

With Regards,
XXXXXXX XXXXXXX
doctor
Answered by Dr. Charu Bansal (40 minutes later)
Brief Answer
Please re upload the images.

Detailed Answer:
Hello. Welcome to Healthcaremagic.com.
I have read your query. I understand your concern. I could not find the attached images, so kindly re upload the images or send it to email : YYYY@YYYY with subject as Attention Dr Charu Bansal.
However , i am discussing the treatment with you. But a definitive answer i would be able to give after seeing the images.

Acne vulgaris has very high tendency of relapse in person with specially acne prone skin. Your doctor has correctly prescribed you adaplene and glintra. But if the same medications are used continuously for long , they stop showing effects.

I prefer to change the topicals time to time in my patients so as to avoid development of resistance to the used medication.
I usually advise my patients to apply Benzoyl peroxide alternatively with topical retinoids in night time and Clindamycin gel in the morning.

Various oral medications available for acne are Azithromycin/ Doxycycline/minocycline.
Avoid hair oil application and oily food in the diet.
Wash the face twice daily with soap and water.
Do not squeze or popp up the acne.

You can share my opinion with your treating doctor.
I hope it helps.
Stay healthy.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Charu Bansal (2 hours later)
Pls find attached the images as desired.Madam let me know your prescription.Should I switch to other topical medicine and discontinue the adaplance with benzol peroxide and glintra. Kindly give prescription in detail
doctor
Answered by Dr. Charu Bansal (3 hours later)
Brief Answer:
clindamycin and benzoyl peroxide / retinoic acid

Detailed Answer:
Hello. I have seen the attached photographs.
I would have advised topical clindamycin in the morning and Benzoyl peroxide 2.5 percent in night alternative with retinoic acid if you were my patient.
We doctors here are to help you. We cannot give you prescription here.
You should visit your doctor so that he can do clinical evaluation and give you prescription.
You can share my opinion with him.
I am sure he will agree with this.
I hope it helps.
Take care.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Charu Bansal (9 hours later)
Madam,

I informed you earlier that currently I am using Clindamycin ( Glintra) gel in the morning and Benzoyal Peroxide 2.5 % and Adaplance in night since September 2014 . As yourgoodself have informed me from your experience that if the same medications are used continuously for long , they stop showing effects. It implies that these topical treatment ( Which is also advised by you ) has stop showing effect on my skin due to development of resistance. Hence, you are requested to give alternative to my existing topical i.e clindaycin , benzoyal Peroxide 2.5% and adaplance.

Thanks

Regards,
XXXXXXX XXXXXXX
doctor
Answered by Dr. Charu Bansal (4 hours later)
Brief Answer:
change one medication initially

Detailed Answer:
Hello. Welcome back.
Yes, I told that if the same medications are used continuously for long, they stop showing effects due to development of resistance.
So in such cases, One of the medications is changed initially . And later if required, other medications are also changed.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Charu Bansal

Dermatologist

Practicing since :2010

Answered : 773 Questions

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Suggest treatment for acne on chin and jaw line

Brief Answer Please re upload the images. Detailed Answer: Hello. Welcome to Healthcaremagic.com. I have read your query. I understand your concern. I could not find the attached images, so kindly re upload the images or send it to email : YYYY@YYYY with subject as Attention Dr Charu Bansal. However , i am discussing the treatment with you. But a definitive answer i would be able to give after seeing the images. Acne vulgaris has very high tendency of relapse in person with specially acne prone skin. Your doctor has correctly prescribed you adaplene and glintra. But if the same medications are used continuously for long , they stop showing effects. I prefer to change the topicals time to time in my patients so as to avoid development of resistance to the used medication. I usually advise my patients to apply Benzoyl peroxide alternatively with topical retinoids in night time and Clindamycin gel in the morning. Various oral medications available for acne are Azithromycin/ Doxycycline/minocycline. Avoid hair oil application and oily food in the diet. Wash the face twice daily with soap and water. Do not squeze or popp up the acne. You can share my opinion with your treating doctor. I hope it helps. Stay healthy.