Cystic acne with hyperpigmentation – what can I do?

Hi! I have been dealing with really bad skin the past few months. I had severe cystic acne. Now I am left with the hyperpigmation and dark spots. I am using retin a micro. It has been one month on it and I am more super oily then before, but it has not anything just made my spots darker and my face red. Any suggestions for how to get rid of these underground zits or should i wait it out?

Please, please, please run, don’t walk to the nearest dermatologist.   If you truly have severe cystic acne, it can and will leave permanent scarring on your face.  Neither of us want that!  Retin A micro is not nearly enough to treat this problem.  Your dermatologist (even a good family doctor) can discuss Accutane with you and other options.  Creams are rarely very effective for true cystic acne.  More on options for acne.   Dr. I

Dr. Brandith Irwin, MD

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