<human>: sir i had a fair skin few years ago but now there is increased pigmentation of skin in areas of hands,neck,face. i had been undergoing acne treatment for about 3 yrs but recurrence of acne occured after the treatment period and now my whole face pigmented
<bot>: Hi. Thanks for posting your concern at Chat Doctor. Acne and Acne induced pigmentation are common among young people. Specific treatment:Oral Antibiotics: For inflammatory acne(pa pules and pustules) i advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline. Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of Chat Doctor. 5% OR Nadifloxacin during the daytime.2)Topical Retinoids: Either Darlene 0.1%/ Retinoid 0.025% OR Aramaic acid (10%/20%) at bedtime. Topical treatment regimen especially the one which includes one of the retinoids that I mentioned above also helps to gradually fade away the black spots (post acne hyperpigmentation)(PAH)Since, you mentioned that you have both acne and black spots from previous acne. In such a case I prefer to give Aramaic acid cream/gel. It acts both on acne and black spots. I ask my patients to apply Aramaic acid on the whole affected area twice daily and rub in gently for 2-5 minutes to enhance penetration. Take care regards