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Dr. Andrew Rynne

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Suggest treatment for bad acne and dark spots on the face

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Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8163 Questions

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Posted on Tue, 4 Apr 2017 in Skin Hair and Nails
Question: Hello dr.I am 32 year old female with fair oily combination skin and freckles. I never had acne all my life but suddenly at the age of 32 i am getting several acne on my cheeks some on my forehead and 2-3 on my chin. They are also leaving behind marks. Acne have started a month ago. My face also itches. There has been no change in my diet or any new cosmetic. I never have sweets/sugar/white rice. Height is 5.5' weight 54kg. My menses are also regular and my USG is normal. I visited a dermatologist who suggested clindamycin gel and salicylic acid face wash. I used it for a month but there is no change. I am planning to conceive so not using retinol. Please help me cure this sudden outbreak of acne and also understand it's cause so that i can avoid a recurrence in future.
doctor
Answered by Dr. Kakkar S. 18 minutes later
Brief Answer:
Remedy for acne

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar (dermatologist).
I have gone through your query and I have noted your concern.
You seem to have inflammatory acne. Inflammatory acne is prone to leave behind dark spots. Sudden flare up of acne could be because of stress or transient hormonal imbalance. Females may especially experience an outburst of acne around the time of menses.
Instead of using just clindamycin gel you may use a combination of benzoyl peroxide and clindamycin (Clindoxyl gel) as it would be more effective and is also safe during pregnancy. Instead of using salicylic acid face wash you may find a gentle cleansing lotion a much better option e.g Cetaphil gentle cleansing lotion.
Since you are planning to conceive i wont suggest any oral treatment for your acne.

Regards
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Kakkar S. 44 minutes later
Thank you so much dr. Please also can you suggest something to lighten up my freckles and also the spots that are being left by my acne, something to make my skin more even toned since my skin has always been uneven and prone to sun burn and tanning easily. It would be nice if you could suggest me a skin care routine for day and night. I am 32 and I also want to take anti aging precautions. Please guide me with the day and night skin care routine and products.
doctor
Answered by Dr. Kakkar S. 16 hours later
Brief Answer:
Regarding your complaints of freckles, acne spots and ageing

Detailed Answer:
Hello.

You may use a gel based sunscreen e.g Suncote gel. Apply sunscreen every 3 hours throughout the day. You may use Kojic cream for freckles at night and also for acne spots. However use clindoxyl gel for acne, once daily at night.
Once your acne is fine and after you have discontinued clindoxyl you may then begin with Glyco -A cream (contains 12% glycolic acid) for night application and sunscreen during the day. Glycolic acid would improve complexion, even out tone and also lighten freckles as well as is antiageing.
Your face wash should be mild e.g eithrr cetaphil gentle cleansing lotion or cetaphil OS cleanser (in case of oily skin).
After cleansing you may also use a toner in case you have an oily T zone. This should be followed ny sunscreen application during the day.
At night after cleansing you may use clindoxyl for acne and kojic cream for freckles and spots. Clindoxyl and kojic cream may be replaced with glyco A cream (night application) after your acne is fine and you have stopped clindoxyl. Dont use glyco A as long as you are using clindoxyl as together they may cause irritation.

Regards
Above answer was peer-reviewed by : Dr. Remy Koshy
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