Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Help with Dark Pigmentation and Acne Scars
Skin and Hair Disorders
Question #44188
207 days ago
1,053

Help with Dark Pigmentation and Acne Scars - #44188

Client_11d8a2
$3.51

Need help regarding skin. Dark pigmentation around mouth and deep acne scars and large pores. Pls help.

How long have you been experiencing dark pigmentation and acne scars?:

- More than 6 months

What triggers or worsens your skin condition?:

- Sun exposure

How would you describe your skin type?:

- Combination
Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

HELLO, These skin issues might be due to- 1. Pitta aggravation 2. Oily skin type 3. Intake of oily or junk food 4. Not taking proper care of your skin 5. Use of chemical loaded products 6. Chronic constipation Treatment - 1. Neem ghanvati 1-0-1 after meal 2. Mahamanjisthadi kwath 30ml with 30 ml water twice a day after meal 3. Apply Aloe vera gel after cleaning the face with rosewater 4. Apply Bleminor ointment on clean face twice daily.

Follow these - 1. Adequate amount of water 2. Eat antioxidant rich food like amla, beans, green tea, spinach etc 3. Clean your towel and pillowcase every week 4. Avoid using makeup or some chemical product especially before sleeping. 5. Stress management -Through meditation, walking, journaling etc.

Yoga - 1. Anulom vilom 2. Sheetali 3. Sheetkari Follow these and you will notice difference in your skin. REVIEW AFTER 15 DAYS.

REGARDS, DR.ANUPRIYA

832 answered questions
64% best answers
Doctor has prepared a treatment plan for you
Twaqure Ointment - Sri Sri Tattva
Neem Tablets - Himalaya
Aloevera Gel - Revinto
+1 more medications
Accepted response

0 replies

Hello, Your history of dark pigmentation around the mouth, deep acne scars, large open pores, and sun-triggered dullness suggests Vata–Pitta imbalance, post-inflammatory hyperpigmentation, and weak skin barrier (Rasa Dhatu Dushti). Combination skin often leads to excess oil in T-zone + dryness around the mouth, which worsens pigmentation and scars.

This treatment focuses on Pitta cooling, enhancing skin regeneration, collagen support, reducing pigmentation, and strengthening your skin barrier to shrink pores.

🔎 Recommended Investigations (If not done in the last 6 months) 1. Vitamin D3 & B12 – low levels cause dull skin & pigmentation. 2. Thyroid Profile (TSH, T3, T4) – hypothyroid can cause perioral darkness. 3. Fasting Blood Sugar & HbA1c – insulin fluctuations cause pigmentation around mouth. 4. Liver Function Test – poor detox can increase acne marks & dullness.

💊 Internal Medicines Phase 1 – 15 days (Pitta–Vata balance + detox + glow) 1. Avipattikar Churna – ½ tsp at bedtime with warm water (reduces internal heat that causes pigmentation) 2. Manjistha Capsule / Manjisthadi Kwath – 2 caps twice daily after meals (excellent blood purifier for pigmentation) 3. Sariva (Anantmool) Syrup – 2 tsp twice daily (cooling + reduces tan + hydrates skin from within) 4. Giloy Satva / Guduchi Ghana – 1 tablet twice daily (reduces inflammation & helps scars fade faster)

Phase 2 – 45 days (Collagen rebuilding + scar reduction + pore tightening) 1. Kaishore Guggulu – 2 tablets twice daily after meals (reduces old acne marks & prevents new breakouts) 2. Chyawanprash (sugar-free if needed) – 1 tsp every morning (improves skin immunity, prevents scarring) 3. Shatavari tablet – 1 tablet at bedtime (balances hormones and moisturises skin internally)

🌿 External & Supportive Therapies Daily Routine 1. Aloe vera gel (fresh or pure) – every morning 2. Kumkumadi Tailam – 3–4 drops at night, massage gently 3. Sunscreen (mandatory) SPF 50, reapply every 3 hours if outdoors 4. Rose water mist twice daily (tightens pores & balances oil)

Weekly Routine 1. Ubtan for pigmentation – 3× weekly 1 tsp masoor dal powder ½ tsp turmeric 1 tsp curd (or rose water if oily skin) Apply 15 mins → wash with lukewarm water. 2. Scar & Pore Pack – 2× weekly Multani mitti 1 tsp Sandalwood powder ½ tsp Rose water (closes pores, reduces dark patches) 3. Ice cube massage – 1 min daily on T-zone (shrinks pores)

🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Spicy, fried, oily foods (worsen pigmentation & pores) 2. Excess tea/coffee (increases Pitta + dullness) 3. Late nights (pigmentation becomes darker) 4. Using strong scrubs (increase scars) 5. Hair touching face (causes breakouts) ✅ Include 1. 1 cup warm water + ½ lemon every morning 2. Lots of coloured vegetables: beetroot, carrot, spinach (build collagen) 3. Soaked almonds (5) + walnuts (2) daily 4. 1 tsp ghee in lunch (builds healthy skin barrier) 5. Turmeric + black pepper + cumin regularly 6. Green Moong Dal 3× weekly (skin healing food)

🧘🏻‍♀️ Yoga & Pranayama For glow + Pitta balance 1. Sheetali / Sitkari pranayama – 5 minutes 2. Anulom Vilom – 10 minutes 3. Bhramari – 5 minutes Asanas 1. Bhujangasana 2. Sarvangasana (if no thyroid issues) 3. Vajrasana 4. Pawanmuktasana

Good sleep (10:30 pm) improves pigmentation more than any cream.

🕉️ Follow-up & Duration • Improvement in oil control & dullness within 10–12 days • Pigmentation lightens in 4–6 weeks • Deep acne scars need 2–3 months • Large pores begin to tighten in 3–4 weeks • Re-check blood tests after 8 weeks if needed

✨ With Pitta cooling, Vata balance, internal blood purification, and gentle external care, your skin tone, texture, and scars will gradually improve. Your condition is reversible with consistent care.

With kind regards, Dr. Sumi MS(Ayu)

251 answered questions
32% best answers
Accepted response

0 replies

Start with Sarivadi ghanvati 1-0-1 after food with water Manjistadi kadha 10ml twice daily after food with water. Mix manjista powder+ raktachandan powder+ turmeric powder mix with curds apply for 10mins and rub in circular movement and wash with clean water. Do this twice weekly.

13659 answered questions
30% best answers
Doctor has prepared a treatment plan for you
Sarivadi Bati - Baidyanath
Mahamanjistadi Kashaya - Revinto
Agatsya Aushadh Manjista Churna
Accepted response

0 replies

Use evenshade ointment Externally and nalmaparadi tail external application

16058 answered questions
33% best answers

0 replies

Start on Neem capsule 1-0-1 Kaishore guggulu 1-0-1 Mahamanjistadi aristha 10-0-10 ml Khadira aristha 10-0-10 ml Apply Kumkumadi tailam over pigmented area Drink plenty of fluids Apply Alovera gel daily at night Before going out apply sunscreen daily Avoid spicy sour fermented foods Drink plenty of fluids

4952 answered questions
37% best answers

0 replies

HELLO,

From an Ayurvedic perspective, acne(known as Yuvan pidika) is primarily caused by an imbalance in the pitta dosha, PITTA- Inflammation, redness, burning, pus KAPHA- oily skin, comedones, whiteheads, cysts VATA- scarring, pigmentation, dryness

CONTRIBUTING FACTORS -impaired digestion->(Mandagni->Ama) -Blood impurities(rakta dushti) -Hormonal imbalance(especially in women) -Improper skin hygiene -Stress, lack of sleep, poor lifestyle

TREATMENT GOALS 1)balance pitta and clears toxins 2)improve digestion- agni deepana 3)blood purification- rakta sodhana 4)regulate hormones 5)promote skin healing and scar reduction

TREATMENT PLANNED FOR YOU

INTERNAL 1)GANDHAK RASAYANA- 1 tab twice daily after meals= 8-12 weeks continue

2)AROGYAVARDHINI VATI- 1 tab twice daily after meals= 12 weeks

3)NIMBADI GUGGULU- 2 tabs twice daily after meals= 8-12 weeks

4)MAHAMANJISTHADI KWATH- 20 ml+40 ml water twice daily before meals= 3+ months

5)SARIVADYASAVA- 15ml+equal water after meals twice daily= 2 months

PANCHAKARMA ADVISED IF FEASIBLE -VIRECHANA(purgation) -RAKTAMOKSHAANA(leech therapy) -NASYA(nasal drops)

EXTERNAL APPLICATIONS

1)CLEANSER(daily use) -Triphala decoction(cooled)- use as a gentle wash -Neem water- antibacterial -Herbal face wash with turmeric, aloe, neem

2)FACEPACKS(2-3 TIMES/WEEK)

-multani mitti+ neem powder+ turmeric+ rose water= anti-acne, reduces oil, clears pores

-Sandalwood powder+milk+manjistha powder= for pigmentation, cooling effect

-Massor dal paste + milk or rose water= lightens acne scars

apply for 15-20 minutes, wash off with cool water.

3)OILS FOR ACNE MARKS AND GLOW -KUMKUMADI TAILA- scar reduction, pigmentation lightening, glow -JATYADI TAILA(if active acne present)- anti-inflammatory, heals eruptions -NEEM OIL(DILUTED)- potent antibacterial

apply thin layer before bed

DIET:-

EAT -BITTER AND ASTRINGENT TASTES- neem, bitter gourd, amla, bottle gourd -COOLING FOODS- coconut water, cucumber, coriander -FRUITS- amla, pomegranate, guava, apple -WHOLE GRAINS- red rice, barley, wheat(avoid polished rice) -WATER- warm water, triphala-soaked water(overnight infusion) -DETOX TEAS- cumin-fennel-coriander seed decoction

AVOID -milk+salt, curd+fruits, banana+mmilk-> virrudha ahara(incompatible) -excess oily, fried, spicy, sour foods-pickles, chips -chocolates, ice creams, caffeinated and carbonated drinks -late night meals, irregular eating -smoking, alcohol, junk food

LIFESTYLE GUIDELINES -wake up before 6 AM- aligns with brahma muhurta, boosts healing

-Oil massage- 2 times/week with neem oil or coconut oil

-Yoga- Suryanamaskar, sarvangasana, matsyasana, trikonasana etc

-PRANAYAM- anulom vilom, sheetali, bhramari- cools pitta

-Adequate sleep- 7-8 hours of undisturbed sleep crucial for skin regeneration

-Face hygiene- don’t touch face often, clean pillow covers weekly, avoid harsh scrubbing.

MENTAL - EMOTIONAL -chronic skin disorders often correlate with repressed emotions, stress, or frustration -Daily 10 minute meditation, journaling, or mantra chanting helps reduce cortisol, which worsen acne.

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

13336 answered questions
27% best answers

0 replies

1.Mahamanjistha kwath 15 ml with 15 ml water after meals 2.Sarivadyasva 15 ml with 15 ml water twice daily after meals 3.Kaishore guggulu 2 tab twice daily with water after meals 4.Kumkumadi taila-apply 2-3 drops and massage gently on pigmented area at bedtime and leave it overnight

- Face pack (thrice weekly): - Mix Multani Mitti + Neem powder + Rose water + Mulethi powder. - Apply for 15 minutes, wash with lukewarm water. - Benefit: Tightens pores, reduces oiliness, clears pigmentation.

🥗 Diet & Lifestyle - Avoid: Spicy, oily, fried foods, excess tea/coffee, late nights. - Prefer: Cooling foods – cucumber, lauki, karela, leafy greens, pomegranate. - Hydration: Drink coriander seed water (soak overnight, strain, drink in morning). - Sun care: Always apply natural sunscreen (aloe vera + sandalwood paste) before going out.

12159 answered questions
27% best answers

0 replies

Start with 1. Neem Tablets: 1-0-1 twice daily after meals with water. 2. Manjisthaadi kashayam: 20ml-0-20ml with 20ml water before food 3. Haridra tablet: 1-0-1 with warm milk.

External Applications 1. Kumkumadi Tailam: Apply 3-5 drops to face/body nightly; massage gently, wash morning. (For scars, tanning, pigmentation.) 2.Turmeric-Sandalwood Paste: Mix ½ tsp each powder with rose water; apply to face 3x/week, rinse after 20 mins. (For acne, scars.) 3. Neem-Aloe Vera Gel: Mix fresh aloe gel with neem powder; apply to acne spots 2x/day, rinse after 30 mins.

Diet Guidelines Include: Cooling foods—cucumber, bitter gourd, pomegranate, tulsi tea; low-oil veg diet. Avoid: Spicy/oily/fried foods, dairy excess, sugar—to control sebum. Hydration: 8 glasses warm water; drink coriander/licorice tea daily.

Lifestyle Tips Cleanse face 2x/day with neem-based wash. Sun protection: Use sandalwood paste as natural sunscreen. Gentle exercise: Yoga 20 mins daily; avoid heat. Stress reduction: Meditation 10 mins/day.

Regards Dr Gursimran Jeet Singh MD Panchakarma

1945 answered questions
25% best answers

0 replies

HELLO THANK YOU FOR CONTACTING US IN ASK AYURVEDA

YOU ARE HAVING HYPERPIGMENTATION OF SKIN AROUND YOUR MOUTH

YOU WILL GET BENIFIT BY USING AYURVEDIC MEDICATION

FIRST OF ALL YOU MUST AVOID SUN EXPOSURE

YOU CAN USE ANY SKIN CREAM WHICH PROTECT FROM SUN EXPOSURE

AVOID EATING SPICY , SOUR ,COLD ITEMS

DRINK PLENTY OF WATER , BUTTER MILK , JUICES

EAT FRUTS , GREEN LEAFY VEGETABLE

HIGH PROTEIN DIET

MEDICATION

1]NEEM GHAN VATI TWO TIMES A DAY AFTER FOO D

2]MAHAMANJISTADI KASAYAM 10ML WITH EQUAL AMOUNT OF WARM WATER TWO TIMES A DAY BEFORE FOOD

3]KUMKUMADI TAILAM FOR EXTERNAL APPLICTIONS OVER ACNE SCAR

4]BATH USING ANY NEEM BASED SOAP

I HOPE YOU WILL GET RELIEF

THANY YOU

WARM REGARDS

DR.P.PRASAD

13602 answered questions
29% best answers

0 replies

To address dark pigmentation around the mouth, acne scars, and large pores, we must focus on balancing your doshas and implementing remedies that nurture the skin. Dark pigmentation often relates to an imbalance, usually increased pitta. Acne scars and large pores point to vata and kapha issues. Here are some detailed steps.

Firstly, focus on a pitta-pacifying diet to reduce excess heat within the body. Incorporate cooling foods like cucumber, cilantro, and fennel, avoiding spicy, oily, and fried foods. Drink plenty of water and herbal teas like chamomile or mint to keep the body cool and hydrated.

Topically, for pigmentation, you can use a paste of sandalwood and turmeric by mixing equal amounts of both powders with a little rose water. Apply to the affected area, leave it for 15-20 minutes, then wash off with lukewarm water. Do this 2-3 times a week. Turmeric has anti-inflammatory properties, while sandalwood helps cooling the skin.

For acne scars and large pores, application of aloe vera gel mixed with a few drops of lemon juice can help in evening out the skin tone and tightening the pores. Use it every other day; leave it on for about 20 minutes before rinsing. Aloe vera is known for its healing properties, while lemon juice can help reduce pigmentation, though if your skin is sensitive, test on a small area first.

Avoid excessive use of chemical products as they can exacerbate vata and pita imbalances. Opt for natural, non-comedogenic products that harness ingredients such as neem or tea tree.

Daily practice of yoga and pranayama can improve circulation, reducing stress, which often worsens skin issues. Try incorporating such exercises into your morning routine to maintain balance in all doshas. Consider consulting an Ayurvedic practitioner if in-depth, personalized advice is needed. Avoid self-treating if open wounds or irritation occur.

13389 answered questions
39% best answers

0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


What is the best tonic or medicine for recurring skin infections and rashes?
What causes painful bumps on my skin that itch only in the sun?
What is the best treatment for dry skin and itching in the lower abdomen and thighs lasting for 1 year?
How to treat alopecia areata and dandruff after 8 months of using minoxidil?
How to treat white patches on skin with Bakuchi Churna or oil?
Can I use red onion shampoo with jojoba oil for hair loss and dry scalp at 64 years old?
How to treat hair loss and restore thickness and color at home?
How to grow back hair and treat fungal infection with psoriasis and eczema on the scalp?
How to treat premature white hair in a 23-year-old?
What to do if my hair turns white after using indigo dye following mehndi?
How to use Ayurvedic remedies like surakta and neem guard for Acne inversa and folliculitis?
How to treat keratosis pilaris on my skin with Ayurveda?
How to treat seborrheic dermatitis with dry flaky dandruff and redness on scalp and face?
What is the best facewash for hormonal acne and should I apply anything on it?
How to treat genetic hair loss that has progressed over 10 years?
How to treat eczema-related hyperpigmentation and achieve an even skin tone without heavy metals?
How long can I take Trich up tablet for hair growth and what are the side effects?
How to treat a chronic itchy skin condition that leaves scars and resembles ringworm?
What to do for skin itching, acidity, weight gain, face pigmentation, and breathing issues?
How to treat post-inflammatory pigmentation and dull oily skin with occasional pimples in men?
How to reduce chin hair growth and get rid of dark patches after shaving?
What is the best facewash for hormonal acne and what can I apply on it?
How to treat excessive hair fall and weight gain with digestive issues and increased appetite?
Can I apply multani mitti on my pimples overnight for better results?
What is causing the itching on my legs between the knee and ankles that is spreading?
How to treat a receding hairline after 8 years of trying products with no results?
What is the best Ayurvedic shampoo for severe hair loss and baldness after PRP treatment?
What are some natural home remedies for hyperpigmentation on my forehead and cheekbone?
How to get rid of redness in my skin and improve circulation to stop spider veins around my eyes?
How to treat extreme oily face and dark spots from acne?
What is the treatment for frequent pimples on my chin and forehead?
How to treat acne scars and dark lips with Ayurveda for oily skin at 35 years old?
What is causing discoloration and itching on my palms and feet?
What are the benefits of using egg and ghee with essential oils for a hair mask on wavy curly hair?
Is it safe to use Multani Mitti overnight on my pimples?
How to treat eczema and skin issues with Ayurveda for a 35-year-old male with sweating and dryness problems?
What else can I do to improve hair loss treatment after using black sesame seeds and Nilibhringadi oil?
How to treat melasma and hyperpigmentation after 15 years of using creams?
How to use Sesa oil for hair growth and how long does it take to see results?
How to treat hair fall and skin issues with mild PCOD in an 18-year-old?
How to treat hair loss and dull skin with acne on my face?
How to treat acne scars and dark skin on my face at 35 with Ayurvedic remedies?
What Ayurvedic cream can help get rid of Xanthelasma?
How to treat keloids on my chest that are itchy and have pus?
How to reduce hair fall and treat itchy scalp with split ends and rough hair?
What diet and herbs can help my 86-year-old father with recurrent parapsoriasis?
How to stop hair fall in a 19-year-old despite using Bhringraj oil and baby shampoo?
What to do for itching and dryness on my body and face with bumps?
Can Ayurveda treat my Labrador's atopic dermatitis after 3 years of no improvement with medication?
How to treat melasma on my nose and cheeks that I've had for 4 months?
What to do for hair thinning and lack of growth at age 35 after using Vedix oil for 3 months?
How to treat female pattern hair loss with bald spots after vitamin deficiency?
How to treat acne on my forehead and cheeks as a 17-year-old girl?
How to treat acne on my forehead and cheeks as a 17-year-old girl?
What to do for my son's itchy skin pox and chickenpox in his mouth?
What causes painful bumps on my skin that only itch in the sun?
How to treat open pores on my face that have been there for years?
What is Sesa oil and does it help in hair growth without any side effects?
What is the best oil and shampoo for dry, curly hair to prevent hair loss from salt water?
What can I do for hair loss while using Nilibhringadi oil and dealing with hard water and stress?
How to stop hair fall and restore black color to my hair naturally?
What to do for chronic skin disorder with dry patches, itching on thighs, and swollen face?
How to treat dark raised dermatofibroma spots on my leg?
How to treat scarring alopecia from LPP on my scalp with blue patches and no hair?
How to treat hair loss when follicles seem dormant for 2 years?
Does taking concentrated fenugreek supplements like FUROSAP cause hair fall?
How to overcome itching and oil release on scalp after using ayurvedic mehndi for gray hair?
What causes sudden painful acne eruptions on my head and face?
Can I use Manjishtadi Thailam for my acne-prone skin with inflammation and heat?
What is my hair porosity if it absorbs water quickly but floats during the porosity test, and how to treat it with Ayurvedic oils for growth?
What to do for darkening skin and visible veins after stopping Melacare cream?
How to treat psoriasis that I've had for 15 years while using Neemol and other remedies?
Can my 14-year-old daughter with eczema take vidanga, and what remedies do you suggest?
What causes my skin to tear easily as I age and how to treat it?
How to treat dark skin after using steroid cream for a year?
What causes internal burning and itching after skin healing in my mother?
How to treat persistent eczema behind the ear that keeps weeping and crusting?
What Ayurvedic techniques can help prevent hair loss and greying for a 29-year-old male?
How to treat hair fall on the right side for a 17-year-old with pitta body type using Amla and other herbs?
How to treat acne and lose weight for a 25-year-old female with sensitive skin?
Can a 10-year-old take Manjishtadiwati and Khadirarishta for eczema and itching?
Can I give my 2-year-old son goat milk instead of cow milk for his vitiligo?
How to treat darkening skin after stopping mela care use?
How to treat hair fall and promote hair growth due to stress at age 36?
What are safe alternatives to Kayyunyadi Keram for hair regrowth and reducing hair fall in a 36F with Pitta constitution?
How to treat male pattern baldness and hair thinning at 27 with oily scalp?
How to treat male pattern baldness with natural remedies like egg, oil, and aloe vera?
How to treat eczema and achieve an even skin tone after recurring symptoms since 2023?
How to treat warts on the face with Ayurveda or other methods?
How to prevent premature greying of hair at 30 years old?
How to treat acne on my forehead and cheeks as a 17-year-old girl?
Is Lomasathana Thailam safe for skin and does it contain cancer-causing agents?
How to treat eczema and skin issues with Ayurveda for a 35-year-old male with sweating and dryness problems?
How to treat weepy skin behind ears and a scaly patch on my thumb that cracks open?
What to do for my 22-year-old daughter with excessive hair fall and oily skin?
How to treat keloids at home without steroids and control itching?
What oil or shampoo should I use for my thin hair to grow long quickly, and how often should I oil it?
How to treat post-inflammatory pigmentation and dull oily skin with occasional pimples in men?
How to treat eczema and skin issues with Ayurveda for a 35-year-old male with a history of skin infections?
How to treat hair loss in a 17-year-old with a receding hairline?

Doctors online

Latest reviews

Robert
1 day ago
Thanks for simplifying things! Your advice was spot on and super helpful for my UC. Feeling more at ease now, appreciate it!
Thanks for simplifying things! Your advice was spot on and super helpful for my UC. Feeling more at ease now, appreciate it!
Zara
1 day ago
Thanks for the detailed advice! Your suggestions on diet and stress really made a difference for me. Appreciate the clear guidance!
Thanks for the detailed advice! Your suggestions on diet and stress really made a difference for me. Appreciate the clear guidance!
bankey
1 day ago
Thanks Dr Shashank Aggarwal. I used ayurvedic medicine and Diet prescribed by you and many many relief in my Ulcerative Colitis problem.
Thanks Dr Shashank Aggarwal. I used ayurvedic medicine and Diet prescribed by you and many many relief in my Ulcerative Colitis problem.
Natalie
1 day ago
Your answer was exactly what I needed, thanks! It was clear and really helped me decide on a path forward with ayurvedic treatment.
Your answer was exactly what I needed, thanks! It was clear and really helped me decide on a path forward with ayurvedic treatment.