Brief Answer:
Kindly send details with good resolution pictures

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the problem of pimples on face and back. It is really very distressing sometimes to find anything which hampers our day to day life.

In view to help you better I request you to kindly tell me certain important points:

- Since how long you have these pimples problem.

- Do you see these regularly since long time or are seen just lately.

- How many pimple erupt everyday or every week.

- Are there small one or are big ones too.

- Do you see redness or swelling in these pimples or are just whitehead and blackhead type.

- Your marital status and if married then pregnancy or feeding baby.

- Any other systemic complaints or medications. Any history of irregular menses.

- your occupation and daily routine.

I humbly request you to kindly upload few good resolution pictures of the affected areas so that I can analyze it better.

Kindly send good resolution pictures focusing the area of concern which can be seen on higher magnification. For uploading the pictures you have a facility on the right side of the page or can send on:

YYYY@YYYY

with "attention:Dr Sanjay Kumar Kanodia"

Hope to hear soon from your side.

With regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases

---

Brief Answer:
Don't use any home therapies and parlor procedures

Detailed Answer:
Hello,

Welcome again and thanks for posting the pictures along with other important details. I can understand your concern for pimples break out. For a female it is really distressing if there is presence of pimples on face.

Before I proceed to your issue let me explain you elaborately regarding pimples- Acne or pimples generally appears at the age of 13-14 years and then almost vanishes by the age of 25 years.

These erupts basically due to hormones (chemicals which are influencing one or other body functions including growth, puberty and development of body in adults) in addition to the influence of certain other factors causing its aggravation.

The hormone testosterone and its bye-products plays the most important role in high oil secretion and increase the size of oil glands especially in males. As the pores or ducts of the glands are blocked so it leads to formation of pimples. In females there is not a direct presence of testosterone is there but the female hormones turns into the testosterone and other of related chemicals.

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 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 33 years also.

So probably you got some idea regarding your acne. In your case waxing induced the formation and eruption of pimples on your back. I can see the back is quite affected.

There are certain suggestions which you can follow:

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.

4. Try avoiding situations of direct continuous exposure to sunlight or heat and humidity for long hours. Make your room properly ventilated it will improve the status of pimples.

5. Kindly do not use any antibiotic as self medication. 6. 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 part of treatment:

You have been provided with very good medications both for application as well to take orally. It requires almost minimum of 3-4 weeks to show the results.

Additionally to tell you that in your kind of cases the best medication for the same is isotretinoin- it is drug of choice which acts on all aspect of pimple formation BUT UNDER STRICT DERMATOLOGICAL SUPERVISION ONLY.

Isotretinoin for 3 -6 months by mouth is the best available treatment for preventing further progression of pimples. If a married female who wants to conceive in next few months then it should not be started. If you are not planning for pregnancy in next 6 months then it can be one of the best drugs for your problem of acne.

For the same it would be better to consult your treating dermatologist and discuss addition of Isotretinoin in your treatment. The rest of the treatment is very good and will be very helpful in reducing the aggravation. Be in good follow up of the treating dermatologist.

You should not use any type of scrubs or other cosmetics or home therapies or parlor procedures. Do not at all try self implicated therapies as can harm you rather than helping.

Reduce your stress level too as high stress leads to hormonal up surge and thereby more eruption of pimples.

I hope that the information will help you. If you have any further query I will be happy to help.

"With healthy skin wishes"

Regards,

Dr Sanjay Kumar Kanodia
MD (Dermatology)

---