Hello and welcome to healthcaremagic
Acne, oily skin and post-iflammatory
hyperpigmentation are co-existent. Treatment is guided by the severity of acne. Inflammatory acne are notorious for leaving behind post-inflammatory hyperpigmentation.
-You could use a
salicylic acid based cleanser for face wash twice daily. Salicylic acid is
keratolytic and also decreases oiliness
-I usually start my patients of acne on topical
benzoyl peroxide gel 2.5% for day time use.
-At night I as my patients to apply a topical retinoid e.g either Adapalene OR Adapalene+
clindamycin combination. Retinoids are good both for acne as well as post acne marks/hyperpigmentation
-I also decide to start my patients on
oral antibiotics if they have inflammatory acne.
-Once acne activity is under control, I usually start my patients on a cream containing skin lightening agents for post-inflamatory hyperpigmentation e.g
hydroquinone, kojic acid preparations.
Since acne is a recurrent condition and once your acne is brought under good control with oral and topical antiacne medicines, you should still continue to use a cream/gel e.g topical retinoid for maintenance of improvement. Topical retinoids are ideal for maintenance of improvement because they are comedolytic as well as antiinflammatory, thereby preventing the formation of new acne.
It is important to not to pick your acne, since it might leave behind scars/hyperpigmentation.
regards