Brief Answer:
Acne treatment

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query and I have understood it.

Regarding Acne, there is no one time solution as well. You need to be constantly taking care of your skin till at a certain when the tendency for new acne formation dies down, gradually.

Pore size is genetically determined and cannot be altered,

Once your acne activity is under control, you need to use a maintenance gel, commonly a topical retinoid, to prevent the new lesions/comedones from developing.

-I usually start my patients of acne on topical benzoyl peroxide gel (e.g Microbenz 3.5 % gel, marketed by Sunpharma in India) OR Clindamycin gel (e.g clin 3 gel or clindac -A gel) for day time use.

-At night I as my patients to apply a topical retinoid e.g either Adapalene OR Adapalene+clindamycin combination. e.g Deriva-cms gel contains topical clindamycin along with adapalene in a gel formulation. While it is mainly used for acne, the retinoid component i.e adapalene increases the skin turnover and consequently decreases the contact time of keratinocytes with melanocytes, therefore it does has a lightening effect on post-inflammatory hyperpigmentation.

-I also decide to start my patients on oral antibiotics if they have inflammatory acne e.g doxycycline 100mg once or twice daily.

-A gentle cleanser is recommended for face wash e.g cetaphil cleansing lotion rather than using a soap or face wash.

You could also opt for a few chemical peeling sessions (Salicylic acid peels) from a dermatologist for acne.

Oral retinoids can be considered in your case. They are the most effective drugs for acne and are usually first choice in severe or moderately severe acne OR acne not responding adequately to traditional antiacne medications OR acne significantly affecting the quality of life of patients regardless of severity.

Hope this helps

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