As a medical cosmetologist:
• Pause actives (Aclind, Deriva CMS) till barrier recovers.
• Use a gentle cleanser, ceramide-based moisturiser, and broad-spectrum sunscreen.
• After 2–3 weeks, gradually reintroduce adapalene (every 3rd night, increase slowly).
• Cystic acne often needs oral medication → consult dermatologist.
• In-clinic: chemical peels, intralesional steroid injections, or laser/light therapies may help.
• Lifestyle: avoid picking, reduce dairy/high GI foods, manage stress.
Next Steps
Kindly book an online consultation for further evaluation and management