Where
Plot No D13B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
- Serves Trimulgherry, West Marredpally, Bowenpally, Alwal
- Formerly BNR Skin & Vitiligo Hospital
Acne is treated in a specific order for a specific reason: every month of active inflammation is a month of new scarring, and scarring is far harder to treat than the acne that caused it.
Patients frequently arrive asking about scar treatment while acne is still active. Doing scar work on inflamed skin is both less effective and counterproductive — new lesions keep arriving, and some procedures aggravate them. So the sequence is fixed: control the acne, wait for it to settle, then address what it left behind.
The second thing worth separating is marks from scars. Flat brown or red patches left after a spot are post-inflammatory pigmentation — they fade on their own over months and respond well to topicals and peels. Indentations and raised areas are true scars, they do not fade, and they need procedural treatment.
Being told which of the two you have saves a great deal of money. A large proportion of people who believe they have acne scars have pigmentation that will resolve with sun protection and time.
Comedonal, inflammatory or nodular. In women with irregular cycles or sudden adult acne, hormonal causes are considered.
Topical retinoids, benzoyl peroxide, antibiotics where indicated, or oral therapy in severe or scarring disease.
Acne treatment takes that long to judge. Skin often looks worse in week three, which is expected and not a reason to stop.
Peels for pigmentation and texture; procedural treatment for true scarring once the acne is quiet.
| What you see | What it is | What it needs |
|---|---|---|
| Flat brown patches | Post-inflammatory hyperpigmentation | Sun protection, topicals, peels — fades with time |
| Flat red or purple marks | Post-inflammatory erythema | Usually settles on its own over months |
| Small deep pits | Ice-pick scarring | Procedural; often needs combination |
| Broad shallow depressions | Rolling or boxcar scarring | Resurfacing and subcision approaches |
| Raised firm lumps | Hypertrophic or keloid scarring | Injection-based treatment; do not excise casually |
The top two rows fade without procedures. Being told that, rather than being sold a course of laser for pigmentation, is the difference this page is trying to make.
Skin that produces more pigment reacts to inflammation by producing more pigment. That is why acne in Indian skin so often leaves brown marks that outlast the spot by months, and why sun exposure makes those marks darker and slower to fade.
Daily broad-spectrum sunscreen is therefore not a cosmetic recommendation in acne treatment — it is part of the treatment, and it is the step most often skipped.
Chemical peels explainedIt prevents the marks from darkening while the acne is being brought under control.
A squeezed lesion leaves a deeper mark for longer, and is the commonest cause of scarring in otherwise mild acne.
Consulting rooms, phototherapy and the surgical list at one address in Secunderabad — the practice formerly known as BNR Skin & Vitiligo Hospital.
Plot No D13B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
On WhatsApp — one number, answered by the clinic team, who confirm a time and say what to bring.
Eight to twelve weeks for a fair judgement. Skin often looks slightly worse in the first few weeks of a retinoid, which is expected and not a reason to stop.
Flat brown or red marks are post-inflammatory pigmentation and fade over months. Only indentations and raised areas are true scars. A great many people who believe they have scarring actually have pigmentation.
Generally no. Scar and resurfacing work is done once the acne is controlled — otherwise new lesions keep arriving and some procedures aggravate them.
Evidence is modest. High-glycaemic diets and, in some people, skimmed milk are associated with worse acne. Diet is not the main driver and dietary change alone is not a treatment.
Because antibiotics reduce inflammation but do not address the underlying follicular blockage. Maintenance treatment, usually a topical retinoid, is what prevents relapse — and it is the step most often dropped.
It can be. Adult-onset acne in women, especially along the jawline and with irregular cycles, warrants considering a hormonal cause. That changes the treatment.
Not a treatment plan sold on the spot. Message the clinic and bring your history.