Hello. Thanks for writing to us at healthcaremagic. She seems to have inflammatory acne. Active acne particularly if severe can lead on to scaring and pigmentation. In my patients of inflammatory acne I normally put them on one of the Oral antibiotics if they have moderately to severe grade of acne. Various options that I choose from are either Doxycycline or Minocycline Or Azithromycin. Topically I ask my patients to use benzoyl peroxide gel twice daily. Oral retinoids are an option too if acne is severe and not responding as desired to the traditional antiacne medications. These are all prescription products and therefore you must follow up with your dermatologist. Your dermatologist would be able to assess the severity of your acne from time to time, and advice accordingly. Chemical peeling can be combined with topical treatment. Peeling sessions are usually done in the doctors office every 2-3 weeks. Regards