Hello doctor,I am suffering from two major problems from the past three years.Acne and marks.Sticky oily dandruff.Scalp flakes do not get dislodged even after shampooing. I have to dig my comb into the scalp to remove the flakes which lead to bleeding in certain areas and forms crusts. I have opted for light glycolic acid peels but did not make any difference and had few sittings of Nd: YAG laser hair removal. I have been through several treatments which made only things worse. I keep my face and hair very clean. I shampoo hair on alternate days, change pillow covers, wash face twice a day, and apply sunscreen while going out. I workout every day and follow a clean diet barring oily foods. Yet my face is oily, dull, full of blemishes and I get painful pimples. I want to remove my acne blemishes and revive my dull face. Take care of my super oily hair. Please help me. This is taking a toll on my confidence.
Hello. You have been following all the right advice. Continue the same for the face. As for the scalp, I think since it does not get resolved with antidandruff medication and there is crusting involved, my diagnosis would go in favor of scalp psoriasis. However, I cannot guarantee it before a personal examination. I suggest using Ionax-T solution (Coaltar Topical and Salicylic acid Topical) on your scalp at night one hour before bedtime and sleep. On the next day shampoo with Keraglo-AD shampoo (Ketoconazole, Ichthyol Pale, and D-Panthenol). Repeat this process for 10 days. You will see a difference. Based on your progress we shall change some medicines after two weeks. For the face, I suggest Peroduo gel (Adapalene Topical and Benzoyl Peroxide Topical) twice and Spongy-sal facewash (2 % Salicylic acid). Continue capsule Sotret 20 mg (Isotretinoin) once at night for 10 days and followup positively after 10 days. For more information consult a cosmetologist online -->