instruction: hi doctor I an 28 years old and I have a skin problem on my face such as acne blackheads big pores etc it is usually not that bad but once my spot is gone I have a red mark that could stay on my skin very long as a result all my skin looks a bit reddish due to spots marks I would say my skin type is combination since it is dry after I wash my face and then it gets oily especially on my zone I am currently using la noche effaclar duo to get rid of my acne and especially my spot marks but it does not seem to help a lot that is why I was just wondering if you could recommend any skin routine that would help me to get rid of my acne and make my skin look better and healthier thank you very much
output: hi skin in adolescent and young adult are covered with serum secreting glands mostly over face and trunk they increase during the summer and varies according to menstrual cycle besides oily cosmetics can hamper the acne formation process and aggravate the problems you can regularly cleanse the skin using facewash containing salicylic acid and or glycolic acid or mandelic acid to improve the acne and facial skin we frequently use gel containing retinoic acids specially at night but if you have bigger acne lesions sometimes we need to have some laboratory investigation to start oral retinoic acid could you please send me your picture so that I can discuss with you in detail