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[quote=Anonymous]You need a multi-prong early effort and if acne still prevails, get an appt with a derm:

Stage 1: 
1. Try to reduce sugar (as much as possible) and skim milk (an acne stimulant) from diet. 
2. Ensure your kid is washing with an acne skin regimen morning AND night. Morning regimen: should have a chemical exfoliant (like salicylic acid wash) or mechanical exfoliant (fine grain wash). Follow it with toner and acne-compatible moisturizer + sunscreen. Evening regime: should have wash that takes sweat/oil/sunscreen off, something active like acne pad wipes and/or spot treatment, wait 10 minutes and moisturize again with something acne-safe.
3. Change pillowcases and face towels regularly.
4. Use spot treatment (2% salicylic acid) at first sign of bump forming and/or pimple patches during the day/night to suck things out of spots or help them stay clean and heal.

If things don't get better ...

Stage 2:
1. Appointment with Derm. They'll likely start you on a topical antibiotic (clindamycin with benzol) which you apply in morning after washing with cleanser. After it dries moisturize and sunscreen. They'll likely introduce a retinol at night like Tazoratene creme or Tretinoin. Which you apply on dry skin and sandwich or follow with acne-safe moisturizer.

If things don't get better in 2 months ...

Stage 3:
1. Follow up appt with Derm and discuss either Spiro (hormonal pill only for girls). Spiro only works as long as you take it orally every day.
OR
Accutane: lots of threads on this - works for males and females.
2. Some derms prescribe an oral antibiotic called Doxycyline which works great in 1-2 months but can't be used long-term.
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