Hi, I got myself treated for acne on face and back, I do not get acne now until unless I start eating oily and food containing sugar or junk. I have 4-5 spots left behind acne I used kojivit uktra for long time but it is not working I also use azelaic acid 20%cream for prevention of acne. What would you advice should I keep on using azelaic acid 20% or 10% just to ensure my acne don't come back and my dark spots fade.

Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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Acne is a skin condition that occurs when your hair follicles become plugged with oil and dead skin cells. It causes whiteheads, blackheads or pimples. These factors can trigger or aggravate acne: hormones, certain medications, diet, stress. To prevent pimples, eat fresh fruits, green vegetables, drinking plenty of water should be an essential part of your routine and intake of oily fried foods, an excess of sugar-salt should be avoided. Don't peal pimples, as they tend to leave scars. Stop using soap on face. Instead take a spoon of milk, add a pinch of turmeric (haldi). Mix n apply on face with the help of cotton. Leave for a few minutes then wash off. It?s a good cleanser. If skin is dry then apply moisturizer like coconut oil. For swollen pimples, gently apply ice for a minute or so. Just don't keep the ice on so long that it irritates your skin. Tea tree oil can kill bacteria. Some people use it to treat minor skin irritations, including acne. There isn't much research on how effective it is, but tea tree oil is safe to put directly on your skin in a diluted form. Try it on a small area first to make sure you don't have an allergic reaction. Simple honey mask--before applying this mask, rinse your face with warm water to open up pores. Then apply honey and leave it on the skin for 30 minutes. Rinse the honey off with warm water; then rinse again with cold water to close the pores. Yeast and yogurt mask for oily skin--oily skin is prone to acne, and this home remedy can reduce excess oil and help clear acne. To make the mask, combine 1 teaspoon of brewer's yeast with a little plain yogurt to create a thin mixture. Apply it thoroughly to all the oily areas and leave on for 15 to 20 minutes. Rinse with warm water; then use cold water to close the pores.Homeopathy is a very effective for this problem n has very encouraging results. For more details consult online.  

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Dr. Ruchi A. GuptaDermatologist15yrs exp

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Hi, you should stop applying azelaic acid cream as it can't be continued for too long. It can make your face sensitive. You also don't need it if you are not getting any new pimples. The response in pigmentation can plateau after use of certain creams for sometine. You need either a change of creams or procedures like peels or lasers to give reduction in your dark spots.  

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