There seems to be multiple issues and all of them need to have a common reason. Finding a cause is mandatory to treat it effectively.
ââAcne treatment has multiple stages - to control new breakouts, to clear the sequalae (pigmentation and scars) and to prevent a relapse.
If you have active acne lesions, it should be controlled on priority basis. âIt also depends on the age of tââhe patient and if planning for marriage or not. Various issues need to be decided before initiating the treatment. The dosage and duration is decidedââ by your dermatologist. You need to be patient with the treatment protocol as it takes months to see initial improvement.