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I have chin acne that makes my skin rough. How to treat it?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a regular rash on my chin. These rashes and acne on my chin occur regularly, due to which the skin in that area becomes rough.

This has been happening for three to four years. My dermatologists recommended me a Salicylic acid foam face wash, but it does not prevent them.

Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern.

I have a few questions:

  1. Have you had any contact with an irritant?
  2. Did you use any new cosmetic products?
  3. Are oily, greasy cosmetic products used?
  4. Do you have any Pustules?
  5. Any history of inflammatory papules?
  6. Do you have excess scratching, popping, or pricking lesions?
  7. Is there any irritation, itching, pain, or burning?
  8. Do you have an oily skin type?
  9. Do you have any dust allergy, stress, or drug history?

Please revert with answers.

Also, attach a picture of the lesion if possible.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I have not used any new product. Yes, I have had inflammatory papules. I do not have itching or irritation. Yes, I have oily skin, and I am stressed.

Please help.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I suggest the following management options:

  1. Acnesol (Clindamycin) gel is used during the day for 15 days.
  2. Benzac AC (Benzoyl peroxide) 2.5 percent gel at night for 15 days.
  3. Tablet Azithromycin 500 mg once a day before food for three days a week (for two weeks).
  4. Ahaglow (which contains Acrylate Copolymer, Sodium Laureth Sulphate) face wash twice daily for 20 days.
  5. Avoid stress.
  6. Do not pop or prick lesions because they can cause secondary bacterial infection.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

Why am I getting this on a specific part for two to three years?

Please help.

Hello,

Welcome back to icliniq.com.

It is adult-onset acne (due to hormonal changes) with excess androgens.

  1. Do you have a history of hirsutism?
  2. Do you have female pattern baldness or hair loss?
  3. Do you experience irregular menstrual cycles, PCOD, or thyroid-related issues?
  4. Are you currently taking or have you taken any medications?
  5. Have you undergone any procedures or used an epilator?
  6. Do you prick or pluck chin hair?
  7. Have you had any trauma or injury in the affected area?
  8. Do you have premenstrual flare-ups?
  9. Is the condition stress-induced?
  10. Do you have any scratching lesions?

I hope this helps.

Kindly revert with answers or in case of further queries.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

There is no history of hirsutism. I do have mild female pattern baldness. My ESR is elevated at 32. I also have dark circles and a lack of appetite, for which I often take Cyproheptadine syrup. I am frequently taking antidepressant medications such as Alprazolam.

My menstrual cycles are currently regular; however, they were irregular in the past, for which my doctor prescribed birth control pills that I am still consuming. There are no thyroid-related issues. I do not use an epilator. Yes, I have been experiencing stress.

Please help.

Thank you.

Hi,

Welcome back to icliniq.com.

In this case, the cause of acne may be hormonal, stress-related, or due to disturbed sleep patterns. Antidepressant medications can have side effects such as pimples.

Other contributing factors include bacterial infection (Propionibacterium acnes), obstruction of the pilosebaceous duct (follicular plugging), and excess sebum secretion.

A few remedies that can help you are:

  1. Avoid stress and late-night sleep.
  2. Exercise regularly.
  3. Manage your anxiety, stress, and unnecessary medication use.
  4. Practice meditation and yoga.
  5. Wash your face twice daily.
  6. Apply Kojic cream at night for 20 days for dark circles.
  7. Drink plenty of water and ensure adequate sleep.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Do I need any other medicines for hormone imbalance or bacterial infections?

Kindly suggest.

Thank you.

Hello,

Welcome back to icliniq.com.

I suggest you use Nadibact (Nadifloxacin) cream at night for 15 days (when lesions are itchy). Exercise regularly and do yoga or meditation to regulate hormones. Regularize your sleep patterns.

Follow up for any doubts.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Medically reviewed byDr. Vinodhini J.

Published At July 25, 2020
Reviewed AtFebruary 11, 2026

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