Heello and welcome to healthcaremagic Acne, can be present over the face, back, chest and shoulders because these area have an abundance of sebaceous glands. Treatment of acne comprises both oral as well as topical medicines. -I usually start my patients of acne on topical benzoyl peroxide gel OR Clindamycin gel for day time use. -At night I as my patients to apply a topical retinoid e.g either Adapalene OR Adapalene+clindamycin combination. While the combination is mainly used for acne, the retinoid component i.e adapalene increases the skin turnover and consequently decreases the contact time of keratinocytes with melanocytes, therefore it does has a lightening effect on post-inflammatory hyperpigmentation. -I also decide to start my patients on oral antibiotics if they have inflammatory acne e.g doxycycline 100mg once or twice daily. -Finally, oral treatment can also be in the form of oral retinoids (Isotretinoin): These are one of the best drugs for resistant acne and severe acne. -I would suggest you to use a gentle cleanser for face wash e.g cetaphil cleansing lotion rather than using a soap or face wash. Once your acne is under control you need not stop all the treatment. You would still need to use a maintenance gel, commonly a topical retinoid i.e adapalene gel, to prevent the new lesions/comedones from developing. regards