I get red pimples around my mouth, chin, forehead, and nose. How to get rid of them?

Question

Hello doctor,

Around a year ago, some red pimples started appearing around my mouth, chin, forehead, and my nose. These small red pimples create a red area when seen from far away because they are very small and inflamed. It never disappears. My skin always feels stuck and not flexible and with a mildly itchy or burning sensation. No matter how much moisturizer I apply, it does not help. I am using Eucerin atopic control moisturizer and a gel cleanser with Hyaluronan. I even tried using Metronidazole and tea oil, but again it did not help. I have also tried to stop using anything on my face for some days, but it stayed the same. I am 24 years old now, and I never had acne tendencies when I was a teenager, and my skin always looked very smooth. My birth control pill is still the same as it was when I first started taking it, which wad around ten years ago. I do not use steroid creams nor fluoride toothpaste. How can I get rid of this? It was not there before a year. I am attaching a picture of my face.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen the attached image (attachment removed to protect patient identity).

Do not apply Metronidazole (antibiotic) gel, as there is also erythema over your face. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent.

Try applying Clindamycin 1 % gel, twice daily on the acne.
After a month, you can try using Clindamycin and Adapalene combination at bedtime over the acne for half an hour and then wash.
Use Cetaphil cleansing lotion to wash your face for a few days until the erythema subsides.
Later, you can use Sebamed clear foam face wash.
Use sunscreen daily, it should be a non-comedogenic.
Have a good intake of vitamin C supplements daily.
Once the erythema subsides, then you can consider procedures like peels, which are performed by a dermatologist to reduce acne and pigmentation.
Or oral Isotretinoin can be considered after blood investigations and evaluation.

I hope this helps.

Thank you.