How to reduce or solve acne problem & White heads for normal to oily skin?

APART FROM PRESCRIBING ISOTRETINOIN AND BENZOYL PEROXIDE GELS AT NIGHT AND CLINDAMYCIN GEL COMBINED WITH SCAR TREATING NICOTINAMIDE DURING THE DAY,I WOULD ALSO ADVISE ORAL ANTIBIOTIC THERAPY SUCH AS PULSE THERAPY WITH AZITHROMYCIN IF NCESSARY.I WOULD LIKE TO AVOID ORAL TRETINOIDS BECAUSE OF THE SIDE EFFECTS ESPECIALLY ON YOUNG WOMEN.ALONG WITH THIS I WOULD LIKE TO TREAT ACTIVE ACNE AND POST ACNE SCARS USING ALPHA HYDROXY ACIDS SUCH AS GLYCOLIC ACID AND LACTIC ACID PEELS .APART FROM UNDERGOING MICRODERMABRASION FOR THOSE WITH WHITE HEADS ,I WOULD ALSO ADVISE THEM TO USE FACE WASH CONTAINING SALICYLIC ACID

Explain white meaning closed comedomes difficult to treat

ensure non pregnant if planning topical Retinoid

1st line

regular wash with benzyl peroxide 2.5% face wash / cleanser followed by Epiduo gel nocte

review in 6-8 wks

if very persistant 

come done extraction/light hyperfication of the comedone followed by Tretinion 0.025 % nocte explain dryness of skin and sun screen 30+ SPF 2-3 hrs during day time

Doxy 50 mg daily and Adeplane at night, explain S/E of doxy short term nausea and Gi upset  long term pigemntation problem

2 line:

child bearing age pregnacy test and OCP,  consult about low dose isotretinion risk of teratogenicity and dryness of muscosa 10 mg daily slowly increae to 25 mg in 6-8 wks if no good response

 

Containing benzoyl peroxide and/or various acids in a cream, lotion or gel will do the trick. The key, however, may be to purchase several different products and rotate them. Every type of acne are different. Tretment by using of antibioticum - peroral using of azithromycin, doxycyclin. For ance papulopustulozis treatment by isotretinoin - not using for pregnant woman. Cream or lotion with adapalen, clindamycin lotion. Isotretinoin gel....   

It depends on acne grade gender of patient and his adge .

We can use retinoids and panoxyl

regular face waching by potent cleanser containing benzoyl peroxide topical agents as azalaic acid and tretinoin also comedone extraction

If you want to get rid of your acne. First you have to know the specific skincare that u need to use. If your skin is more oily or more on normal. Usually the skincare that is most available for acne skin combinations skin care. Some they have specific label for acne. But, mostly for white heads and acne oily skin the Gel type cream is more recommended since it will not make your skin oily. It’s more on water base. To help your skin repair the break out or skincare with salicylic to dry the pimples quickly.

Ithink the best treatment of non inflammatory acne both black head and white head retinoid treatment but take caution with female bearing age preventing pregnancy at the time of management

Gentle exfoliants

Retinoid creams, Retinods contain stronger versions of vitamin A

First i would like to suggest you to maintain your deit, get done deep cleening  with Galvanic atleast once a month so that it helps to close the porses and reduce the excess sebum. Go for Acne treatment atleast 4 sittings, Also use the products according to your skin type.

The first step is find the cause and regulary wash, use toner, vitamin c and also in these days we use mask, so it can be one of the resoan.