• Recurrent daily pustules on the forehead suggest active inflammatory acne with ongoing comedone formation
• Lesions “under the skin” indicate closed comedones progressing to inflamed pimples, leading to marks afterward
• The marks described are likely post-inflammatory hyperpigmentation (PIH), common after healing acne
Next Steps
• Dermatology evaluation to assess acne grade and identify triggers (hair products, dandruff, hormonal factors, occlusion)
• Focus should be on controlling new lesion formation first, which will automatically reduce future marks
• Once acne is controlled, targeted care for pigmentation can be considered
Helpful Tips / Word of Caution
• Avoid touching/picking—this is a major cause of persistent marks
• Keep hair and scalp clean; avoid oily hair products touching forehead
• Use non-comedogenic skincare and strict sunscreen to prevent marks from darkening
Kindly consult with me via practo for detailed evaluation and treatment
Answered2026-04-22 14:05:09
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