
What Causes Acne Below Nose And On Chin And Jawline?

i have dry to normal combination skin. Facial Skin gets extremely dry during winters. Since Oct 2015, i get pimples below nose, chin area, jawline. I also have small bumps(flesh coloured) on the jawline until the corner of my mouth. How do i get rid of them? this lowers my confidence. I am unable to wear makeup. I have stop applying anythg on my skin since two months now. but my skin is just the same. Do i have stop having certain food item. Do i need my PCOS to be chked now.
Need more information from you and would like to do a few lab test
Detailed Answer:
Hello. Thank you for writing to us
I am Dr.kakkar (Dermatologist). I have gone through your query and I have noted you concern.
Acne particularly in lower face distribution in females, is commonly due to hormonal disturbance, therefore I would like to know..
Do you have any irregularity in menstural cycles?
Do you have any problem with coarse facial hair?
Do you have a history of increased hair shedding and thinning of scalp hair?
I would suggest a few investigations like S. FSH levels, S. Testosterone levels, S. DHEAS levels. You can go for these blood tests in first 2-5 days of mensrural cycle. I would also suggest a pelvic ultrasound to look for cystic ovaries.
Regards


topical and oral treatment
Detailed Answer:
Hi.
I suggest you to take a capsule of doxycycline (Microdox -LBX 100 mg), twice daily. In addition you may apply topical clindamycin+benzoyl peroxide gel (Clindoxyl gel) on active acne.
If I was the treating doctor I would reconsider starting you on monthly hormonal pills e.g diane 35 or dianette 35 and connitue it for a longer duration i.e 1 year
Regards

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