For Dermatologists


I Want my skin clean and clear..what should I do?i m posting my picture plz guide me


Asma Qaiser Qureshi

There are at the moment 4 problems that you need to address, visible on picture.
1. Acne
2. Pigmentation
3. Scars
4. Dark circles

I would suggest you see a dermatologist and get specific medicines and treatment advised for your concerns after a detailed history. Because a lot of factors need to taken in consideration and that cannot be done virtually/online.
However, ill share a general guide line with you so you can understand the dynamics of your problems.

Firstly, u have to understand why does acne arise.

Main reasons for acne:

1. STRESS Stress stress!
2. Decreased water intake
3. Increased oily /fried food consumption
4. Hormones.
5. Clogged pores ( too much makeup)
6. Heredity (yes sadly)
7. Dandruff can also cause acne ( especially on forehead).
8. Some times acne arises due to excessive dryness also.
So basically, we all have oil glands on our face, for some there are hyperactive glands for others dry. Now we ALL also have a normal flora of P.Acnes bacteria on our face too. Heres the thing, in those with hyperactive oil glands the bacteria becomes "activated" and so causes inflammation (redness), pus (infection) and yes forms Acne.
So the deal is to keep skin clean, dry (not oily) and healthy.
So i ask everyone do u have like minimum 15 glasses of water daily? And normally the answer is NO.
Now imagine for so many years we have built up a debt of water intake then obviously acne will occur. Its like people are telling oh i go to the loo everyday to poo but i dont flush later. Good water intake works like a flush. Its cleanses ur system if all the refined sugars / cold drinks (i call that gutter ka pani)/ oils/ spices and what not. Just giving an eg.

Similarly, if u have PCOS (polycystic ovarian syndrome) .. mostly u end up having ACNE.
Also, some women end up having acne sometimes during pregnancy and/or sometimes after delivery all because of a sudden change in hormones. It takes time to get better. Until and unless u treat the underlying condition no superficial treatment is going to help or will only help temporarily.

The key is to keep the skin DRY/oil free. Hydrated. And clean.

U can use a facewash with salicylic acid in it. That dries the pimples up.
U can use Bioderma Sebium gel Moussant as ur regular facewash. Or Acne wipe Milky Cleanser.
Always apply SUNBLOCK, whether inside the house or outside. Glow Sun 60 sunblock is a fantastic sunblock. Does not make skin oily.
Please, never self medicate. Better to be safe than sorry. And also if something that has worked on ur sister's or friend's skin, it might not work the same on yours. So one man's medicine can be another man's poison. So never self medicate. And i seriously stress on that. So see a dermatologist or aesthetic dermatologist.

Lastly, skin problem is a forever thing. Its not like measles that u have it once and then never again.. skin requires long term maintenance. It tells the inside stories. Anything that goes wrong with the organs inside the body you skin will speak for it.

Eg. So u got hepatitis/jaundice... (liver infected) ur skin starts appearing yellow.

Iron deficiency - u look pale.

Cholesterol deposits first appear on the skin near the eye.

So my point is... "Manage" your skin. It tells a lot of stories.

If u manage it well, acne would never bother u. have a set face wash, use a sunblock - sun or no sun, and in case of no active acne do a microderm every month.

So i hope this has cleared things up and helps u assess where uve gone wrong or what u need to amend. :)

How you can get good skin:

Healthy daily lifestyle habits can be just as important as a good skin care routine:

- Avoid processed food and eat a diet packed with nutritious food, particularly a host of fresh fruit and vegetables, as well as whole grains and lean proteins. Fruits rich in vitamin C eg strawberries, oranges help improve immunity and contribute to a glowing complexion.
- Protect your skin from the sun by using a broad-spectrum sunscreen daily, (whether inside the house or outside, apply even when you're working in the kitchen,) staying out of the sun during the middle of the day, and wearing protective clothing and a hat.
- Build regular exercise like walking, running and yoga into your schedule. Exercise increases circulation and the absorption of nutrients into the skin. Exercise also helps to manage stress, which can trigger skin problems.
- Try to drink 10 - 12 glasses of water each day to keep the skin hydrated and maintain a healthy complexion
- Regular sleep maximises the natural secretion of human growth hormone, which promotes cell turnover and collagen production.
- Maintain a daily skin care routine, including cleansing and moisturising with quality products suited to your individual skin type, and remember to always remove your makeup and cleanse your skin before going to bed.
- Be gentle with your skin by limiting bathing time and avoiding high water temperatures.
- Remember to adjust your skin care routine for the changing seasons. The humidity in the air can drop significantly during the Winter months. Moisturisers that work fine in Spring and Summer may not be effective in Winter as cold air from outdoors and heated air from indoors affects your skin.
- If you have oily skin use a facewash with salicylic acid, that keeps your skin dry and less oily.

I've shared general a guideline, now you have to see a dermatologist for further advice and to treat the specific problems.

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