My wife is in pakistan, she has been suffering from acne and its leaving behind marks that she is very concernec about. what can she do to stop it from harming her face Ans. She cant get rid of oily skin or the marks left behind by acneshe is on the following medicine Adoxa doxycycline hyclate tabletdalacin T cindamycin phosphate lotionacnex creamcataphil face washcan u please advice on how to get rid of scars, prevent new ones from coming and how to stop and prevent oily skincan u answer a couple of other questions meantime, she is getting a lot of blackheads and white heads, more than acne affected by disrupted sleep patterns and also if u can tell us how to avoid getting more marks and removing oily skin Sure - well unless the disrupted sleep patterns are causing a lot of stress they don't cause acne breakouts. I’ll address your questions one by one:stop acne x for these retinoids? Heat is not a cause of acne per se but can exacerbate existing lesions. For controlling oily skin she really needs to be started on either Retin-A or Adapalene gel once at night - these are Retinoid gels and about the only things which control the excessive oiliness seen in acne patients. I'll get back with the rest of the answer once I see the photograph. She should take frequent breaks every 15 minutes or so to cool her face and possibly install a fan in the kitchen to stay as cool as possible. No dust does not harm her spots but can cause more acne to repair scars Ans. Most of the marks visible in the picture are because of redness and pigmentation after acne and these resolve spontaneously over 3-6 months once the acne is controlled. Also avoid vigorous rubbing off of sweat from the face - it should just be patted off gently. She can also ask her doctor for 2% Hydroquinone cream and apply this as a thin film once at night on the spots for 6-8 weeks - this will clear up the spots. If her doctor has facilities like microdermabrasion and chemical peeling (salicylic acid peels) then these will be even more helpful.blackheads and whiteheads & oily skin Ans. The Retinoid creams will take care of these She has been using noxzema recently, is this any good? This is okay but since it contains camphor and menthol I would not recommend it with the Retinoid creams since there can be irritation. Hope this helps, please feel free to ask if you have any queries. Hi Dr Nair, This is a follow up question, we have followed your instructionsshe finished her tablets, course of two months, she replaced the acne x with adalapine retinoid as you instructed and is still using the cetaphil cleanser and dalacin t lotion... Wanted to market your Retin A Cream products globally? Join Trade to list your products online for Free and reach thousands of global buyers and importers. 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