Hi, You seem to have acne vulgaris. Acne vulgaris is a multifactorial disease. There may be genetic tendency. Stress,anxiety,wirries,sleeplessness,sun exposure, drugs like steroid and INH,hormonal imbalance,cosmetics..etc may stimulate or excerbate the disease. I usually advise in my patients having such problem as below.. - antibiotics like minocycline cap 50 mg daily in morning - retinoid like isotretinoin cap 5 mg daily at night - application of clindamycine gel on lesions in morning - application of adapalene gel onlesions at night - cleanse the face withantiseptic like cetaphil lotion Avoid all suspecting factors,which may exacerbate the lesions. I hope this would be helpful in treatment. Take treatment after consulting nearby dermatologist. Thanks. Dr. Ilyas Patel MD