You do have a range of acne issues namely active acne papules, clogged pores/ closed comedones and Post-Inflammation Hyperpigmentation (PIH) ie those dark spots.
Treatment for your acne will include:
- Topical antibiotic creams
- Oral medications (antibiotics, isotretinoin)
- Lasers that target acne
- Extraction can also be done on areas that are clogged
For the PIH areas, topical lightening creams and lasers are effective in lightening those dark spots.
It is imperative to get your acne under control so as to prevent more PIH from occuring.
Hope this helps. All the best!