Question
From the photo, you appear to have large whiteheads (macrocomedones).
Macrocomedones are generally difficult to treat and clear. Treatment options include topical retinoids, chemical peeling, light electrocautery, low dose isotretinoin over 12-18 months. Avoid greasy make-up/sunscreens that may aggravate the condition.
Do see your preferred aesthetic doctor for a thorough close-up assessment of your condition and discussion on the best treatment options highlighted above.
Hope this helps!
Thanks for the very helpful picture. Your condition is typical of moderate to severe acne, due to the presence of active pimples, acne scars and comedones (or blackheads). The dark coloured, bigger lumps that you described is an infected cyst – the reason why it’s tender, swollen and dark coloured, is because your body mounts an inflammatory response to the clogged pores and trapped bacteria; similar to how your other pimples are formed.
Thank you for the question. The bumps on the chest may be keloids, and these may have arisen from previous acne or injury to the area. It is advisable for you to see see your doctor or dermatologist for a proper examination to confirm the diagnosis. For keloids on the chest, intralesional injections with steroids is a good treatment to reduce the size and thickness of the lesions. A few injections may be needed for the best results.
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