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Why my face like this what should I do it

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acne vulgaris AND treatment

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American Academy of Dermatology acne self care benzoyl peroxide adapalene sunscreen

From this photo, I can see uneven texture with small acne-type bumps/scars and dark marks, plus some dryness. The dark marks may be post-inflammatory hyperpigmentation, which often remains after acne or skin irritation. A photo cannot confirm the exact diagnosis, and lighting can make texture and under-eye darkness look stronger.
Try a simple routine for 8-12 weeks:
Morning
  1. Gentle, fragrance-free face wash.
  2. Light non-comedogenic moisturizer.
  3. Broad-spectrum SPF 30+ sunscreen every day. This helps prevent dark marks from becoming darker.
Night
  1. Gentle wash.
  2. Use adapalene 0.1% gel: a pea-sized amount for the whole acne-prone face, starting 2-3 nights a week. Increase slowly if your skin tolerates it.
  3. Moisturizer.
For active pimples, you can add benzoyl peroxide 2.5% in the morning or as a wash, but start slowly because it can irritate and bleach fabrics. Adapalene helps unclog pores, and benzoyl peroxide reduces acne-causing bacteria, as described in the AAD acne guidance. If dark spots are your main concern, azelaic acid can help both acne and marks, per the AAD treatment advice.
Avoid:
  • Scrubbing, exfoliating hard, picking pimples
  • Lemon, toothpaste, harsh “fairness” creams, or steroid creams on the face
  • Heavy oily hair/beard products touching your forehead and cheeks
See a dermatologist if you have painful deep bumps, scars that are increasing, significant itch/flaking, or no improvement after about 3 months. They can confirm whether this is acne, irritation, eczema, or another skin condition and prescribe stronger treatment if needed.
Seek urgent medical care if you mean sudden facial weakness, one side of the face drooping, trouble speaking, severe headache, or a sudden new eye problem.

What type of acne or skin condition might this be?

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acne vulgaris AND diagnosis

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American Academy of Dermatology acne signs comedones papules acne scars dark spots

The most likely possibilities from the photo are:
  1. Mild comedonal acne: many small, skin-colored bumps or clogged pores, especially on the forehead and cheeks. Closed comedones often look like tiny rough bumps rather than red pimples.
  2. Post-inflammatory hyperpigmentation: darker spots or uneven tone left after pimples or irritation. This is common in darker skin tones and can last longer than the active acne. The AAD describes these lingering acne dark spots.
  3. Early shallow acne scarring / texture changes: a few areas look slightly indented or uneven. These are not necessarily active acne, but changes left after prior inflammation.
  4. Possible dryness or mild seborrheic dermatitis: there seems to be fine scaling around the forehead, eyebrows, and face. Seborrheic dermatitis commonly affects the scalp, eyebrows, between the brows, and folds around the nose. It is more likely if you also have dandruff, itch, or flakes.
I do not see obvious severe cystic acne in this photo. I also cannot confirm a diagnosis from one image, particularly because lighting and skin texture affect how it looks.
A dermatologist can tell the difference between acne plus acne marks, folliculitis, seborrheic dermatitis, and irritation by examining your skin closely. Book an appointment if the bumps are itchy, suddenly appeared, are painful, leave scars, or do not improve after 8-12 weeks of gentle acne treatment.
Do not use steroid or “skin-lightening” creams on your face unless a clinician tells you exactly what is in them. They can worsen acne, thinning, discoloration, and fungal rashes.
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