You seem to have oily, acne-prone and sensitive skin from the snapshot. I agree with Dr Jiwei's excellent recommendations.
I would suggest trying out topical retinoid- specifically tretinoin gel at a concentration of 0.025% first, to be applied as a thin layer, entire face, every other night. If there is no major skin peeling/ redness, you can step up the application to every night.
Higher concentrations/ newer generations of retinoid such as differin can be considered if your acne control is refractory. As all retinoids require a doctor's prescription, it will be most appropriate to seek consultation with a doctor first for appropriate assessment and recommendation.
I would advise to stop Oxy 5 (Benzyl Peroxide) to be used together with retinoid as studies have shown reduction in effectiveness of retinoid, when used in combination. You should continue using topical antibiotics such as clindamycin gel twice a day on acne spots when using topical tretinoin at night.
Chemical peels and carbon lasers are good adjuncts that can help to speed up reduction of blemishes, active acne and prevention of acne via oil-control.
If the above fail, oral antibiotics, isotretinoin and spironolactone can be started.
Hope this helps!
Cheers,
Dr David Deng
