White heads and Mark near mouth. This!

The severity of acne dictates the choice of treatment. In the early grades of acne even the cream might suffice however in moderate to higher grades tablets also need to be taken. The treatment has to be continued for a few months otherwise the pimples would tend to return easily. Kindly do not self medicate without professional advice as that could further damage your skin. There are multiple causes for facial hyperpigmentation. Sun tan, overweight, pigmentation disorders like acanthosis nigricans or melasma, lichen planus pigmentosus, rhiel's melasnosis, nutritional deficiency etc are some conditions. The patches of pigmentation need to be examined and assessed to know the cause. Treating it without knowing the underlying cause will offer incomplete and temporary relief; also it will keep rebounding. Get an online consult privately with pictures or meet a dermatologist directly for a proper evaluation of the condition. Hope this was helpful.