It is multifactorial: Oily skin, Clogged pores, Bacterial infection, Hormonal imbalance, Stress, Unhealthy food habits, Cosmetics used and Certain medications.

Healthy balanced diet is important and Avoid food with high glycemic index, dairy products as in some it can worsen the acne.

Normally twice in a day is enough as excessive cleaning can worsen the acne.

Can be hormonal if in females other signs of PCOD are there e.g. irregular periods weight gain coarse hair on upper lips, chin, chest area

Depends on your skin type. If oily skin or active acne, one can use face wash containing 1–2% Salicylic Acid. If skin is normal or dry – use gentle cleansers.

Ideally avoid them as they can cause irritation and can make skin more sensitive.

1) Cleaning the face: Normal to dry skin – gentle hydrating cleanser Oily skin – foaming or salicylic acid–based cleanser.
2) Moisturising the Face Dry skin – Cream-based cleanser & moisturizer Oily skin – Gel-based moisturizer Sensitive skin – Ceramide-based moisturizer.
3) Treatment-Based Routine ► Anti-ageing Retinol in dilute form with moisturizer Initially thrice a week, then gradually daily ► Pigmentation Creams containing: Azelaic acid Kojic acid Niacinamide.
4) For Under-Eye Lines & Puffiness Hyaluronic acid Retinol in dilution with moisturizer.
5) For Dry Lips Lip balm with: White petroleum jelly Ceramides Shea butter