I have acne vulgaris grade four and it's severe, i have acne all over my ?? face and pimples are mild usually all are blackheads as on nose and on cheeks and forehead. Sometimes they convert into pimples but not all of them. I am using amway attitude face wash as i have sensitive skin but it's not working that much. All face washes don't suit me. Please prescribe some description and suggestions and i am having acne since 2 years. I have consulted a dermatologist but the medicines are not effective that much. And i don't want chemical peels.

Skin care needs to be customized based on the presenting complaints. There are different ways to achieve a flawless skin after acne and it needs medical interventions and commitment on part of the patient. Acne treatment has multiple stages - to control new breakouts, to clear the sequelae (pigmentation and scars) and to prevent a relapse. An attempt to find out the root cause of acne should be made in every patient or else it keeps recurring. Each phase takes a couple of weeks before we move to the next phase of treatment. If you have active acne lesions, it should be controlled on priority basis.