You have what is known as PIH or post inflammatory hyperpigmentation. 1. Sunscreen and sunprotection- this forms the absolute cornerstone of management. You need to be on this for the duration of any treatment . 2. Apply a kojic acid cream for at least 8 weeks. 3. Chemical peels such as glycolic acid can help. You will need 4-7 treatments over the next few months. 4. Vitamin A such as tretinoin can help. The best treatment is a combination of the above.

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) Foe dullness face:-Increase intake of water & citrus fruits . Sun protection is important . Photostable Gel SPF40 / BIODERMA Photoderm AKN Mat SPF30 / La Roche Posay Anthelios XL SPF 50 Dry Touch as sunscreen to be applied half an hour before sun exposure. Apply Biluma Cream/ Melaglow Rich cream for application once at night for 2 months.