Hello and Welcome to healthcaremagic. Acne commonly involves face, trunk, chest and shoulders. Treatment of acne required diligence and patience both on the part of the patient and the doctor. Treatment of acne can be broadly divided into specific and general. Specific treatment for acne consists of: --Oral Antibiotics: For inflammatory acne(papules and pustules) I usually advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline. --Oral Retinoids: For severe acne OR for acne unresponsive to traditional anti-acne medications, Isotretinoin can be started. It the only drug which offers any chance of long term cure and after a full course of isotretinoin significant number of people never have a recurrence of there acne. It should be taken under the supervision of a dermatologist because of certain lab tests which are to be done before and during treatment with isotretinoin. --Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of drugs are used topically 1)Topical Antibacterials: Either clindamycin 1%/ benzoyl peroxide 2.5% OR Nadifloxacin during the day time. 2)Topical Retinoids: Either Adapalene 0.1%/ Tretinoin 0.025% OR Azaleic acid (10%/20%) at bed time. I advice the following general measures to my patients of acne: --A mild cleanser like cetaphil twice daily. Harsh cleansing causes the skin to become excessively dry which in turn causes rebound oiliness. --Avoid all the regular use creams, moisturisers, sunscreens that you may be using for the time being till you are on anti-acne treatment. --Avoid taking facials. --Avoid picking your acne. Since Acne and seborrheic dermatitis/dandruff are usually associated it is advisable to use an Anti-dandruff shampoo since acne is worsened by dandruff. hope this information help you. regards