Suggest Treatment For Acne And Black Spots On Face

Brief Answer:
Kindly send details & good resolution pictures.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the acne and the spots. It is quite unusual to get pimple at the age of 37 years.

In view to help you best I humbly request you to kindly elaborate certain points:

- Since how long you have these pimples.

- How many pimples erupt in a week and in a month.

- Are these big one with pus or small closed ones.

- Any abnormality in your menstrual cycles.

- Any treatment taken or home remedies.

For best of help I request you to kindly send me few good resolution pictures of the affected area especially focusing the pimples.

For that you have a feature on the right of the page to upload the pictures. Kindly send good resolution pictures which can be magnified better and close analysis. OR Otherwise you can send at:

YYYY@YYYY

with "attention:Dr Sanjay Kumar Kanodia"

Hope to hear soon form your side.

With regards,

Dr Sanjay Kumar Kanodia
MD (Dermatology)

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Brief Answer:
Acne: causes, suggestions and treatment.

Detailed Answer:
Hello XXXXXXX,

Welcome again and thanks for posting your details.

I can understand your concern for pimples. It is really bothersome to have something unwanted present on one's face.

Before I proceed to guide you for solution of your issue let me explain you elaborately regarding pimples-

Acne or pimples in most of teenage people starts appearing at the age of 13-14 years and then almost vanishes by the age of 25-30 years. SO it is quite unusual to get pimple a the age of 37 years.

The main cause of pimple formation is basically due to hormones (chemicals which are influencing one or other body functions) in addition to the influence of certain other factors causing its aggravation. The hormone plays the most important role in high oil secretion and increase the size of oil glands. As the pores or ducts of the glands are blocked so it leads to formation of pimples.

There are certain other factors such as application of oily or creamy products, over exposure to sunlight, heat and humidity or due to pinching, popping and squeezing of the pimples and sometimes over medications also leads to formation of pimples. Once these are healing they leave the most problematic thing which are either marks or scars. Therefore any of the above factors along with hormones can cause appearance of pimples at the age of 37 years.

There are certain best of suggestions

1. Do not pinch, pop or squeeze any area on face.

2. Do not apply any creamy or oily stuff or any other cosmetics over face.

3. Try to avoid any home remedies suggested by your friends or family members or otherwise self implicated therapies also. Most of the times any of the home remedies blocks more of the pores and results in more aggravation of pimples.

4. Do not take steam or steam bath or massage on your face as these also aggravates the pimples.

5. Try avoiding situations of direct continuous exposure to sunlight or heat and humidity for long hours.

6. Kindly do not use any antibiotic as self medication.

7. Do not apply any hair oil on scalp or apply in very less amount. Wash your scalp daily with some good shampoo and let there be no dandruff in your scalp ( because dandruff itself causes blockage of pores of oil glands and then pimples).

For the treatment proper and medications part of pimple I suggest you to meet a dermatologist and get the further suggestions. : In my patients I suggest them to apply a gel based topical application containing clindamycin and adapalene gel

It should be applied at night time only. A very thin application of gel is sufficient on the affect3ed area only so that it should not be visible to the naked eye. You may feel mild to moderate of burning sensation if you are applying on higher side. So a mere touching of the gel is sufficient.

I also suggest my patients to take oral antibiotic such as Azithromycin 500 mg 3 days per week for few weeks.

For marks I suggest my patients to apply a cream or gel containing Kojic acid with arbutin to applied at night time.

Hope these informations will help you.

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology

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Brief Answer:
Stop cream and oil application on scalp.

Detailed Answer:
Hello young lady,

Welcome again to the forum and thanks a lot for your swift follow up with relevant details.

So we are quite close to your most probable cause of acne on right side of face. My suggestions are as before in the previous mail.

Additionally I suggest you to stop cream and oil application on scalp. Applying creams and oil induces more of dandruff and therefore can cause more pimples and sticky scalp. Use a good mild shampoo daily to reduce your dandruff.

For the part of cleanser I suggest my patients to use a gentle cleanser (such as Cetaphil) if the skin type is normal to dry or to use an oil control one ( such as Cetaphil-OS) if the skin is oily one.

Be very gentle with your skin and do not use any harsh or strong products.

I am pretty confident that once you follow all the suggestions then itself the skin will regain its normal and best texture.

Hope these informations will help you. I will be glad to guide you any further.

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology

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Brief Answer:
I wish you good glowing skin.

Detailed Answer:
My pleasure young lady,

I wish you good glowing skin.

I will be glad to guide you any further or if not then can close the query and kindly rate the answer with your reviews.

"May God bless you"

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology

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