Hi. Thanks for posting your concern at HCM Acne and Post Acne spots are common among young people. Almost all cases of Acne and marks can be ultimately cured with proper medication and follow up. General measures: Use a mild cleanser like cetaphil twice daily Avoid all the regular use creams, moisturizers, sunscreens that you may be using for the time being till you are on anti-acne treatment. Avoid taking facials. Avoid picking your acne. Use an Anti-dandruff shampoo since acne is worsened by dandruff. Specific treatment: Oral Antibiotics: For inflammatory acne(papules and pustules) i advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline. 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. Females could have an underlying hormonal imbalance that could be a cause of resistant acne, therefore if their is a suspicion of hormonal abnormality,testing for underlying hormonal abnormality should be done in females. Antiandrogen therapy like estrogen, cyproterone acetate, spironolactone are various options that your dermatologist might want to start if he/she suspects underlying hormonal abnormality Hope this information helps you. I would advice that you visit a dermatologist and get a prescription out of these medicines. Your dermatologist would tell you more about this. take care regards