Treatment for Acne:-Aclind Gel / Faceclin Gel / D’ACNE Plus gel for application twice daily over affected area. For Marks (spots) - DUCRAY Photoscreen Depigment Cream / Demelan cream for application once in a week at night (very little over marks only) For face wash Rejuglow Facewash/ Episoft OC Cleanser/ Saslic DS Wash. Tab. Limcee 500mg once daily for one month. Tab. Ascazin twice daily for one month. Combination peels can be performed by a dermatologist in order to improve pimples , marks and scars . Blood test for serum Insulin Fasting (F) & Postprandial (PP)

Acne vulgaris is physiological, after puberty your sebeous glands which is richly distrubted on  face,front & back of the chest is under the influence of androgens, how we responds to that depends on the hereditary. Lack of sleep,frequent travel, stress , menstrual cycle (in female) ..etc may aggravate or flare up the acne. There are different grades of acne - grade 3 /4 severe form of acne which will end up in the complications like scars & pigmentations.Acne is not one-time treatment it needs to be maintained. Clinical approach of resistant acne depends on the grade as explained above. Topical antibiotics & keratolytics..etc. Systemic antibiotics & Isotretinion(best works in all stages of acne). Chemical peels like salicylic acid &mandelic acids peels decreases the inflammed acne. Light therapy & lasers. Oily skin cleansers.