Hi , Am Having Enlarged Pores In My Cheeks Which

Posted on Wed, 23 Sep 2020

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Wed, 23 Sep 2020 Answered on

1 day ago Last reviewed on

Question : Hi , am having enlarged pores in my cheeks which came from last 6 month and getting big day by day 2. I have soo many whiteheads in t zone areas which i have for last 2 years it comes and leave a dark patch ,3. i have small tiny whitebumbs all over my hands and in shoulders it comes regularly and that area became dark ,am not having a even tone skin my face have dark patch here and there ,around the nose and chin area is totally dark because of my whiteheads help me with enlarged pores,whiteheads and even skin tone , my back acne please let me know how to upload my photos which gives some more details on my concern

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Kindly upload Images

Detailed Answer:
Hello,

You seem to have acne and post inflammatory hyperpigmentation. (PIH). You may upload images in " reports section " so that I am able to have a look and guide you better. You may even send me the images at with the subject like of the mail as Attention: Dr. Kakkar.

Hope to assist you further once a get the images

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 hour later)

Hi,sir i have uploaded my face and my shoulder acne photos using report section hope u check all those ,i have same white tiny bumbs all over my hands like as on my shoulder .am not intrested with lasor tretment so,let me know topical ,oral treatment and am requesting you suggest me a antiaging skincare routine(oily combination) which prevent my skin from more damage along with ur prescription , help me out to get rid of whiteheads , balckhead and open pores on my face and shoulder acne to get my skin normal thank you

Answered by Dr. Dr. Kakkar (19 hours later)

Brief Answer:
regarding acne and acne scars

Detailed Answer:
Thank you. I have viewed the Image

Some of the open pores that you refer to on your cheeks are actually acne scars from previous acne. You also have a few active acne on face along with black spots from previously healed acne. Also there are acne(white heads on back/ shoulders). I would suggest you to use Adapalene % gel (Deriva CMS gel) on face at night after face wash (forehead, cheeks and nose). At daytime you may use clindamycin 1% solution (Clindac A solution) It is comedolytic and would help with whiteheads and blackheads. For back you may use a benzoyl peroxode 5% gel (Pernex 5% AC gel), twice daily. Use a gentle cleanser e.g Cetaphil gentle cleansing lotion, twice daily. These are all prescription medications.
Take care. Let me know if you need any more assistance

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (3 hours later)

Thank you sir,
Can i apply the deriva cms gel overall to my face for whole night 2. Can i use clindac A gel instead of clindac A solution 3.can i use this tretment alone or do i need any moisturizer and sunscreen if using moisturiser is ok can i put over the derva cms gel

Answered by Dr. Dr. Kakkar (10 hours later)

Brief Answer:
regarding acne and scars

Detailed Answer:
Hi.

Apply the Deriva cms gel overnight all over face, sparing the area around eyes, nose and mouth. The solution form of clindac A is better as it is quick drying but gel form is also Ok. You can use a non comedogenic moisturizer before applying the medicine. Avoid sunscreen, specially if you are using a mask while outdoors or if you are mostly indoors.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (28 hours later)

Hi sir, i applied deriva cms gel last night i feel little irritation is that normal ,2.how long i have to contuine this treatment 3. can i apply moisturiser with niacinamide during this treatment
Thank you

Answered by Dr. Dr. Kakkar (30 hours later)

Brief Answer:
regarding acne and acne scars

Detailed Answer:
Hi.
You can apply deriva for just 2hours initially if you feel irritation till you get used to it. You may use a Cetaphil moisturizing cream
Take care

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad