1. Separate active acne from scars and pigmentation
They look related but need different treatments at different times. Confusing the three is one of the most common reasons acne plans stall.
Service
Acne and acne scar treatment
Honest, layered acne care — for breakouts that haven’t responded to random products.
Most adult acne in Bengaluru isn’t simple. It is a mix of hormonal flares, sweat-and-pollution comedones, a barrier broken by over-exfoliation, and old scars that catch the light at every angle. We treat all of it — but not all at once.
Our acne plans are stepped. We start with a barrier-friendly home routine and the right prescription topicals; we escalate to oral therapy only when needed; we add in-clinic procedures (peels, laser, microneedling) once the active breakouts have calmed.
The pace is deliberate. Trying to clear everything in week one is the fastest way to leave behind new scars.
We treat:
- Hormonal acne along the jawline, chin and neck
- Comedonal acne (whiteheads, blackheads on forehead and nose)
- Inflammatory acne with painful nodules
- Acne in PCOD / PCOS
- Adolescent and teen acne
- Acne scars — ice-pick, rolling, boxcar — and post-acne pigmentation (PIH)
- Bacne (back and shoulder acne)
Where we refer:
- Severe nodulocystic acne where systemic therapy needs urgent endocrinology coordination — we refer with full notes.
How we approach acne
2. Repair the skin barrier first
Most “stuck” acne cases are over-treated, not under-treated. We start by removing aggressive ingredients before adding new ones.
3. Right prescription, right strength
Topical retinoids, benzoyl peroxide, azelaic acid; oral therapy (antibiotics, spironolactone, isotretinoin) where appropriate, with honest conversation about risks and monitoring.
4. In-clinic only when ready
Gentle chemical peels for post-acne marks once skin is calm; microneedling or microneedling-RF for scars; targeted lasers for stubborn pigmentation. Always conservative on Indian skin.
Realistic timelines
Weeks 4–8
Visible reduction in new breakouts. Old marks still present.
Around 3 months
Barrier and post-inflammatory pigmentation visibly settling.
6–12 months
Scar revision course (microneedling-RF, lasers) if relevant — usually 4–6 sessions spaced 4–6 weeks apart.
Indicative pricing
| Acne consultation (15 min) | ₹1,000 |
|---|---|
| Chemical peel (per session, for PIH / oily-skin acne) | ₹3,000 – ₹6,000 |
| Microneedling for scars (per session) | ₹6,000 – ₹10,000 |
| Microneedling-RF for scars (per session) | ₹10,000 – ₹18,000 |
| Course of 4 sessions | Quoted together at consult |
Final pricing depends on skin type, scar severity and the protocol chosen at consult.
Frequently asked questions
I’ve used home remedies and random products, and now my skin is worse. Can it recover?
Almost always, yes. We start by removing aggressive ingredients and rebuilding the barrier, often before adding anything new. Patience for the first 4–6 weeks is everything.
Will isotretinoin be necessary?
Sometimes. When we recommend it, we discuss benefits, side effects and monitoring transparently. It is never the default first step.
How long before scars look different?
Visible texture improvement at around 3 months of a proper microneedling or microneedling-RF course; meaningful change at 6–12 months. We share before-and-after photographs at each session.
Will procedures darken my skin?
When chosen wrongly, yes — pigment is the biggest risk on Indian skin. Our default is conservative settings, gentle peels and strict sun protection between sessions.
Can I do this while pregnant?
Some safe options exist (azelaic acid, lactic peels, careful skincare). Most prescription acne treatments — retinoids, isotretinoin, tetracyclines — are paused during pregnancy.
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Ready to start with a consult?
Most plans at SkinWise begin with a focused 15-minute consultation. We map the concern, talk through what you’ve tried, and only then suggest what comes next — no oversell.