isotretinoin for 1month

do not plan pregnancy

Since u've already tried adapalene, azelaic acid, salicylic acid I would suggest using Glycolic acid face wash (Aha glow), adapalene+clindamycin ointment at night(avoid direct sunlight exposure).If you have very dry skin or combination skin use light weight,non pore clogging moisturizer (like Acnemoist cream). Some tips: Avoid greasy and oily food,do regular exercises. Avoid exposure to dust and pollution. Regular face wash. Don't experiment with skincare . Don't stress as it takes some time for skin to recover.

Do you have any other issues like irregular periods or excessive facial hair growth,hair loss or excessive weight gain?If so please do consult a gynecologist physically. Since u've had the problem over long years it could be hormonal acne.

Take a picture or come on a video call for proper evaluation and the right guidance.

Don't take just anything or get any procedure done without proper consultation and advice. So you need a consultation and a blood test too with testosterone levels added. Then show or consult me or any dermatologist.

Consult a dermatologist in person for proper skin examination • Control active acne first with medicines if required • Decide laser type only after clinical evaluation • Laser sessions are planned stepwise based on skin type and severity

Do not start laser when active acne is present • Avoid self-medication and random cosmetic procedures • Always get laser done from a qualified dermatologist • Results need multiple sessions and maintenance treatment

1. For Active Acne Blue Light + Red Light Therapy (Photodynamic / LED) • Reduces acne bacteria + inflammation • Safe with minimal downtime • Works best in mild-to-moderate acne Fractional Laser + Phototherapy Combination • Helps both breakouts and early marks • Often used in clinical acne protocol 2. For Post-Acne Marks & Scars Fractional CO₂ Laser (Ablative) • Strongest option for deep scars • Stimulates deep collagen remodeling • Best for atrophic scars Er:YAG Fractional Laser • Less aggressive than CO₂ • Good for surface textural improvement • Shorter downtime Picosecond Laser • Very effective for post-inflammatory pigmentation • Improves dark marks more than deep scars Q-Switched or Pico Laser • Excellent for brown/red marks (PIH) • Combined with other lasers for depth treatment ⸻ Does Laser Really Work? ✔ Yes, lasers can significantly improve acne scars and marks ✔ Fractional CO₂ is the most effective for deep scars ✔ Picosecond/Q-switched is best for pigmentation marks ✔ Combination approaches (laser + microneedling / PRP / chemical peels) often yield better results But it’s important you know: • No laser gives a “once and done” perfect result • Usually multiple sessions are needed (often 3–6) • Results vary by scar type and skin type • Some downtime (reddening, peeling) is expected after stronger lasers

Before Treatment • Avoid tanning/sun exposure • Avoid harsh scrubs and retinoids 3–5 days before • Consult a dermatologist experienced in lasers • Always ask for before & after photos of similar skin types During Treatment • Pain can be managed with topical anesthetic • Downtime depends on laser strength — plan accordingly After Treatment • Strict sun protection every day • Use gentle moisturizers • Expect mild flaking/peeling first week • Keep follow-ups as recommended Yes — laser can be very effective when topical creams alone are not enough. Fractional CO₂ + Pico laser combinations are the most reliable for acne and post-acne marks. But remember: ✔ Laser is not an instant permanent cure ✔ It’s part of a structured treatment plan ✔ Multiple sessions + sun protection + maintenance yield the best outcome If you want, tell me: • Skin type • Scar type (pitted vs flat discoloration) • Whether pimples are still active I can give you a personalized laser plan with expected results and how many sessions you might need.