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Acne vulgaris grade IV

I have acne vulgaris grade four and it's severe, i have acne all over my 😔 face and pimples are mild usually all are blackheads as on nose and on cheeks and forehead. Sometimes they convert into pimples but not all of them. I am using amway attitude face wash as i have sensitive skin but it's not working that much. All face washes don't suit me. Please prescribe some description and suggestions and i am having acne since 2 years. I have consulted a dermatologist but the medicines are not effective that much. And i don't want chemical peels.
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Doctor Answers (3) on Acne vulgaris grade IV

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Dr. Shruti Gupta Delhi | Dermatologist
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Dear Ma'am! The amount of information you have provided is suggestive of acne vulgaris grade 2 and not grade 4. I understand the amount of stress you are going through and I would like to help you to the best of my knowledge! If you have predominantly black heads, the foremost treatment is comedone extraction. Besides you will also be required to take a course of oral antibiotics with topical anti acne gels. Sunscreen atleast once in the morning is must. Regarding face wash, you may use cetaphil cleansing lotion. It works excellent for extra sensitive skin. You are always welcome to consult me in person for further detailed discussion and best and affordable treatment crafted for you.
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Dr. Nirupama Parwanda Delhi | Dermatologist
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Thanks for the query. From your description of the condition the grade acne does not seem to be Grade 4 but if your dermatologist has diagnosed it to be so then it would be better to take oral medicines to stop occurrence of new pimples along with using topical creams and gels. Grade 4 acne if not treated adequately can leave behind spots and scars. The best option would be to get yourself reassessed by a dermatologist, in the meanwhile you could use a clindamycin n adapalene based topical preparation like faceclin AT gel or lacne gel at night just on the pimple and salicylic acid based face wash. Thanks.
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Skin care needs to be customized based on the presenting complaints. There are different ways to achieve a flawless skin after acne and it needs medical interventions and commitment on part of the patient. Acne treatment has multiple stages - to control new breakouts, to clear the sequelae (pigmentation and scars) and to prevent a relapse. An attempt to find out the root cause of acne should be made in every patient or else it keeps recurring. Each phase takes a couple of weeks before we move to the next phase of treatment. If you have active acne lesions, it should be controlled on priority basis.
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Your dermatologist will decide a treatment plan for you after a consultation.
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You can contact me on Practo direct for personal recommendations.
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