Acne (Pimples)) is a disease of the hair follicles of the face, chest, and back that affects almost all teenagers during puberty. Acne occurs when sebaceous (oil) glands attached to the hair follicles are stimulated at the time of puberty by circulating male hormones( Androgens in both males & females. Treatment of acne is must as soon as possible because if it remains untreated it can lead to black spots and scars which are difficult to treat. Black heads & white heads are pre stage of pimples. Acne is divided into 4 grades depending on their severity. Treatment also varies as per grade of acne.

• Androgens are hormones that increase in boys and girls during puberty and cause the sebaceous glands to enlarge and make more sebum. Hormonal changes related to pregnancy and the use of oral contraceptives can also affect sebum production.
• Overproduction of oil (sebum)
• Irregular shedding of dead skin cells resulting in irritation of the hair follicles of your skin
• Buildup of bacteria.
• Certain medications containing corticosteroids, androgens or lithium are known to cause acne.
• Stress is the main cause of acne in elder age group.
• Application of moisturising creams and soap on face.

• Multiple black and white heads on face, back and chest.
• Red colored boils on face which may be painful.
• Pus discharge sometimes.
• Black marks & scars on face back & chest.
• Depression due to bad look on face.Diagnostics-No any special diagnostic techniques are required. We can diagnose it by seeing skin lesions only.

• Medical – Work best with combination of peeling treatment.
• Peels – Best treatment for acne and black marks.
• Dermaroller/ Microneedling – Best treatment for acne scars.
• Dermapen – Best treatment for acne scars.
• Fractional co2 laser – Best treatment for acne scars.

• Avoid stress & self medication. Avoid steroid & other unknown strong creams on face.
• Don’t damage your pimples with nails. It can lead to black marks & scars.
• Avoid using any moisturizing creams and soaps on face.
• Sun protection is very important. Use good quality medicated sunscreens as prescribed by doctor.
• There is no diet restriction. Because there is no evidence which claim that any particular diet can create or increase pigmentation.Normally good vegetables& fruits can be considered.
• There are different grades of pimples which need different treatments. So always take expert opinion for correct diagnosis & treatment.