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Dark spots and acne
It's actually for I was having acne from last 5-7 years. I was having some active acne still and post acne marks too. I tried many creams adapalene, azelic, salicylic acid like almost all which is a Pharma creams only but still no use. It was still the same. Now I wanted to try the laser treatment suggest me the best laser that works for this case. And also is the laser really work. I want to have some permanent solution. I have attached pictures please suggest some.
Thanks in advance
Answers (17)
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Consult dermatologist
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If you tried all these medication for it...Still it persists...then you have to try one final medication from retinol class...which will cure it...
Consult for better and further treatment
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If you want to discuss your problems, pls text me on whatsapp on seven two seven eight nine two seven six three eight, i will guide you step by step.
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The pictures suggest persistent active acne with post-acne marks. Lasers alone are not a permanent solution and work best only after proper medical control of acne.
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You’ve had acne for 5–7 years, with:
• Active lesions
• Residual marks / scarring
• Tried topical creams (adapalene, azelaic, salicylic acid)
That means this is not a simple surface problem anymore — it involves:
• Inflammation deep in hair follicles
• Possible sebaceous overactivity
• Post-inflammatory hyperpigmentation (PIH)
• Acne scars (if pits/texture changes exist)
Topical creams alone often cannot clear long-standing acne or deep marks/scars.
Laser can help, but:
• Different lasers treat different problems
• There’s no single “magic laser” that cures everything
So the answer isn’t “laser or nothing” — it’s right type of laser + proper acne control + maintenance plan.
Next Steps
A. Fix active acne first
If active pimples still appear, laser alone won’t help unless acne is controlled.
Most effective medically proven treatments:
1. Oral antibiotics (short-term)
2. Oral isotretinoin (Accutane) — for long-term control
• Best for persistent moderate–severe acne
• Requires monitoring (blood tests, liver, lipids)
Topicals that REALLY help (doctor-prescribed):
• Retinoid + benzoyl peroxide combo
• Azelaic acid
• Clindamycin + adapalene
• Moisturizer with ceramides (skin barrier)
⸻
B. Once active acne is controlled — choose lasers for marks/scars
Do lasers really work?
✔️ Yes — when applied by a trained dermatologist
✔️ Especially for scarring and persistent marks
❌ But results are gradual and require multiple sessions
❌ Results vary — deep scars need more aggressive treatments
Health Tips
Before laser
✔ Control active acne (topical + systemic if needed)
✔ Normalize sebum production (doctor-guided)
✔ Avoid sun exposure → PIH worsens with UV
✔ Start sunscreen daily (SPF 30+)
With laser treatment
✔ You’ll likely need 3–5 sessions spaced 3–6 weeks apart
✔ Combine with chemical peels and topical agents
✔ Expect recovery redness/swelling — this is normal
✔ Follow post-laser care strictly
You are not alone, and this is very treatable — even long-standing acne and marks improve significantly with a structured plan. Laser is a powerful tool, but it works best when acne is first controlled medically. If you’d like, we can go step-by-step:
➡ first stabilize the acne,
➡ then match the correct laser type to your scars and marks,
so you get lasting, noticeable improvement without guesswork.
If you want, you can share:
• Your exact acne type (pimples, pustules, scars, pits)
• How long marks have been present
• Whether acne worsens with stress or diet
…and I’ll help you build a personalized treatment roadmap.
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Based on the photographs , diagnosis is nodulocystic acne with pigmentation .Stop picking , wear sunscreen lotion 3 hourly daily ,stop using home remedies , and detailed history required for proper oral medication .
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Seemingly acne vulgaris or otherwise
Next Steps
Consultation for detailed discussion is advisable
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I advice you firstly go for medical management
Right treatment is very important before going for any procedure
Tab lymecycline 408 mg once daily
Nadifloxacin ointment daily in the morning
Drink lot of water daily
Start B-complex capsule daily
Continue azelaic acid every alternate day
Liver health is very important so you can take liv. 52 tablet
Next Steps
Use gentle face wash like and moisturizer daily
Keep the skin hydrated
Green veg juice in the morning
Keep patience
Health Tips
Do not touch your face and stop popping out acne .. don’t rush with many products at the same time and Avoid oily and spicy food and sugar
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Consult dermatologist or homeopathy
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
The most effective treatments for your condition are:
• Fractional CO₂ Laser — considered the gold standard for acne scars and deep marks. It helps in collagen remodeling and improves skin texture significantly. Multiple sessions (3–6) are usually required.
• Microneedling Radiofrequency (MNRF) — very effective for acne scars in Indian skin with less risk of pigmentation and shorter downtime.
• Laser toning / Nd:YAG — useful mainly for pigmentation and post-acne marks but not deep scars.
• Combination treatments (subcision + laser / MNRF + PRP) often provide the best results.
It is important to understand that laser treatments provide significant improvement (50–80%) but not 100% permanent removal, and new acne can still occur if underlying causes such as hormonal imbalance, oily skin, or lifestyle factors are present. Active acne should be controlled before starting scar procedures.
A proper skin examination is necessary to decide the most suitable procedure based on your scar type and skin sensitivity.
For further guidance and personalized treatment plan, you can text me directly there.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Dermatologist
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult dermatologist
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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