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What Can I Apply To Remove Pimples/ Acne ?

Posted on Wed, 8 Jan 2025

Question: Hello Doctor, i often get pimples/acne like mostly they form like nodules which doesn't pop out full from skin but sometimes they do, pus forms ,breaks and it subsides in few days. My major issue is the blackish marks and even a XXXXXXX black skin bulge of that pimple which doesnt go away from my face. What can i apply to remove those? I always had oily skin right from teenage, but if i try to keep oil away it results in dry skin which in turn results in flakiness. So basically, i am out of choices either way.

Answered by Dr. Dr. Rahul Kumar (8 hours later)

Brief Answer:
Photograph required

Detailed Answer:
Hello.
Thanks for the query.
I can understand your concern.
Can you please upload a photograph of the involved area.
This will help me in assessing the involved area and will be helpful in deciding the modality of treatment.
Waiting for your response.
Thank you

Above answer was peer-reviewed by : Dr. Dr. Yogesh D

Follow up: Dr. Dr. Rahul Kumar (3 days later)

Thanks very much for your response doctor, and very sorry for such late response. I have been dealing with multiple things so got pre-occupied.

I have attached two pictures of the face area involved, 1st is of that actual pimple/acne that doesnt popout most of the times and second pic is of the marks that usually left after it gets subsided, usually it forms as blackish mark on skin. Its just same everywhere whether its on back or even arms. leaves blackish skin on that surrounding skin part.

Answered by Dr. Dr. Rahul Kumar (20 minutes later)

Brief Answer:
Clindamycin and Benzoyl peroxide

Detailed Answer:
Hello
Thanks for the follow up and photographs.
You have developed nodulocystic acne.
Acne is more of a lifestyle disease.
Your face must be oily and hence it is leading to blockade of sebaceous glands leading to acne.
Use the following
1. Clindamycin 1 % gel in morning
2. Benzoyl peroxide 2.5 % gel in night
3. Use a salicylic acid or glycolic acid based face wash you can use zitclean, ahaglow or shaloxy facewash.
4. Use a water based sunscreen such as suncot gel.
All the above medication to be used for at least three months.
These are safe and effective and usually available over the counter.
You must reduce oil intake in diet to control acne. Wash your face at least three times in a day.
Reduce intake of food with high glycemic index such as chips and bakery products.
Drink lot of water and increase intake of fiber rich diet.
These might appear to be a general advice but actually these are going to help you.
The pigmentation will slowly decrease with the use of sunscreen.
Let me know if you have any other doubts.
Thank you

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. Dr. Rahul Kumar (4 hours later)

I do suffer from oily skin doctor, but at times i also have dry skin that results in itchiness and flakiness. Not sure from where i get so much oil, i eat foods made in olive oil generally. I do drink less water because i just feel less thirsty, its been like that since i was small. I"ll definitely use what you have suggested, hopefully it works. I still regularly get acne in back and my whole back have these blackish marks left since teenage.

Please recommend something that is helpful in controlling hair-fall and dandruff concurrently?

Answered by Dr. Dr. Rahul Kumar (21 hours later)

Brief Answer:
Sebowash

Detailed Answer:
Hi
Thanks for the follow up.
Try to drink at least 2.5 ltr of water daily.
Use sebowash shampoo and take Biotin tablet daily in night for a month.
This should help in controlling hair fall and dandruff.
Let me know if you have any other doubts.
Thank you.

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Above answer was peer-reviewed by : Dr. Kampana