### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 26 year old boy. I have had bad acne vulgaris problem for the last 12-13 years. I have tried all kinds of medical treatments (allopathy, naturapathy, homeopathy etc.) but it keeps coming back. Now I believe that I have been somewhat not-so-careful about my condition and let it go the way it went. But now I am dead serious to let it not affect me as for me, its affecting my self-confidence majorly. I have got huge scars all over my face and dark spots after the acne leaves. What can I do to get good skin again? I am open for all surgical and non-surgical procedures....thanks a ton! - Puneet

### output:

Hello. Thanks for writing to us at Chat Doctor. Active acne particularly if severe can lead on to scaring and pigmentation. Before you can do anything about the scaring you must first take treatment to control acne activity. In my patients of acne I normally put them on one of the Oral antibiotics if they have moderately to severe grade of acne. Various options that I choose from are either Doxycycline or Minocycline Or Azithromycin. Topically I ask my patients to use benzoyl peroxide gel twice daily. Oral retinoids are an option too if acne is severe and not responding as desired to the traditional antiacne medications. These are all prescription products, and therefore you must visit a dermatologist for a prescription of these. Your dermatologist would be able to assess the severity of your acne and advice accordingly. Once acne is under control, you can then go for treatment of acne scars. Various methods that can improve the appearance of acne scars are Dermabrasion, Fractional CO 2 Laser, Microneedling, Chemical peeling etc. I would suggest that you seek an appointment with a dermatologist in your region for proper treatment of acne and later for acne scars. Regards