thanks for your patience.
I reviewed the pictures. You have active acne, pigmentation following acne and scarring. I am giving my recommendations as to how would it be possible to get things under control.
Treatment of acne would be creams and daily skin care routine which further helps in acne.
I would recommend the following:-
Creams would be :-
Application of benzoyl peroxide 2.5% gel once a day in the morning on the Pimples.
Application of Glycolic acid cream (L'oreal) cream on full face in the evening
Application of Adapalene gel at night for 2 hrs. start with it for 2 hours and then gradually increase the time interval to keep it overnight.
All the applications will have to be done for 6 - 8 weeks.
you need to follow a routine of cleansing, sunscreen , creams daily.
cleanse your face with cetaphil cleansing lotion for acne prone skin twice daily. also neutrogena deep clean facewash to be used once daily.
Facewash has to be thrice a day. Once in the morning. Once at night. Once in the evening.
Moisturizing with a light moisturizer will be better for u. Neutrogena oil free moisturizer is a good option.
sunscreen needs to be used daily , neutrogena would be a good choice.
A sun screen when once applied lasts for only 4 hrs. Hence it has to be repeated. You need to apply it atleast thrice a day.
In case the above measures do not help, then you would require Oral medication, which will be either oral antibiotics or Isotretinoin. But it will require a prescription from your doctor. Hence whenever that is possible, that would be the ideal treatment. But in the current situation, it may not be easy to get an appointment.
These measures will help to clear off the red marks that follow the acne, that is the natural history how acne progresses.
It would be the best to not break your acne, as that can leave marks which are difficult to treat.
Scarring means loss of supporting tissues of the skin. these tissues need to be regenerated , the method to do that would be ideally with a procedure, because creams will not be able to regenerate.
your skin is scarring because that is the natural history of how acne progresses and then resolves.
this is how it resolves.
this will ensure treatment of the scars permanently.
1. subcision is a method used to treat deep rolling scars left behind by acne.
the process involves separating the skin tissue in the affected area from the deeper scar tissue.
its done with the help of special needles inserted in the skin under topical or local anaesthesia.
2. DERMAROLLER is used for treating Acne Scars,
its an instrument with small sharp microneedles which act on acne scars.
if your dermatologist does these procedures, he can do them for you.
they cause transient redness for a day and then you can go back to work, you could get it done on the weekend. its an office procedure which takes around 30 minutes.
3. pixel laser which will clear the scars in 4-6 sittings. done with the help of a laser machine.
it will take a while but surely everything will clear up.
Also you can apply contractubex cream on them daily to help with the scars after about 6 weeks of treatment for acne. But it has limited efficacy in treatment of scars.
I thought of giving you information about all available procedures.
hope this answer was useful. please let me know if you have any queries.
Please let me know if you have any queries.