Hi Dear, Welcome to HCM. Understanding your concern. As per your query you have sever acne on face and along with this dark spots and blemishes which seems to be due to hormonal changes, stress and clogged pores of sebaceous gland filled with sebum ,dead skin and bacteria get infected. I would suggest you to make use of kojivit plus cream as it will lighten your skin and use product containing benzoyl peroxide. Drink plenty of water daily and add fresh fruits and vegetables to your diet. Apply Adapelene gel once at night. Also wash your face with mild soap and cold water twice a day , exfoliate your face once a week. You should apply aloe vera gel and apply azelaic acid containing cream twice a day. If condition doesn t start getting better in a month then consult dermatologist. Doctor may prescribe antibiotics course and can also go for chemical peel containing Glycolic acid. Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari