Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, I have undertaken many medicines for acne but someday its cured and again it appears and leave scar . doctor has adviced me isoin as i am having 3-4 acnes in this acute winter even in 3-4 degree temperature. I dont go out in pollution so much only i walk down to office and i take all necessary measures like drinking water, applying face wash, cleaning face but still no positive result. i have undertaken 8 sessions of dermaroller . please guide me what should i do . I am a 27 year working women. regards, Ankita YYYY@YYYY
[|AI|]  Hi...see acne is a hormonal concern and always happens because of that...it's not because of pollution...it's a phase of life...acne usually starts at the age of 13 to 14 and may continue till the age of 25 to 26...according to your age you should not be having a single pimple on your face but still you are getting few pimples monthly that means there might be something wrong with your hormones.acne being a hormonal concern it may recur as well but still we need to treat acne because we need to prevent complications of acne...is your MC regular,,,you can continue your isotretinoin medicine but I feel you require a proper hormonal work up...you can also try oral contraceptive pills...don't do steamroller and isotropic same time...there should be a gap of at least 4 to 6 months...continue your daily skin care like cams...cleanser toner moisturizer and sunscreen.don't worry