Thanks for writing in.
Acne is caused by hormonal
Blockage of sebaceous glands causes papules and pustule and cystic acne
Hormonal work up is essential for proper treatment.
Acne is treatable now.With correct treatment all your pimples ,
scars and dark spots can be treated.
To start with you have to apply Brevoxyl cream twice daily .
Also you can use anti acne face wash like Brevoxyl face wash.
and chemical peeling can give you fast and long lasting results.They are available at dermatology clinics.
Discuss the option of Isotretinoin
with your dermatologist
.It will have rapid effect.
Hope this helps.