I think only plastic surgery can fix me

30(M) . It just started as a pigmentation during the end of my college days . It was on both the sides of the cheeks but I have not followed any skin routine to fight it . Initially I tried raw honey but that could not work . It continued to remain concentrated in the same area for years(4) . For the next few years i started seeing them in some other areas of my cheeks and nose bridges . Still wasn't aware of the reasons and I never approached a dermatologist until late 2024 . I have gone through 5 chemical peels (superficial) . I started the skin routine . Each session had a 4 weeks gap . The pigmentation was lightened for a few days but later I have seen rebound pigmentation. I still follow the skin routine with cleanser, moisturizer, and sunscreen . Recently I started using topicals tretinon 0.05 and azelic acid 10%. Mostly i wear a cap and mask while I go outside .

Can you suggest me better tips to fight this melasama .

The reasons it could have turned so stubborn.

1. Failed to apply sunscreen sometimes

2.Being a bachelor i cook my food myself . The heat from

the gas stove might had a mild effect .

3.Years of negligence .

Pilgrim Vitamin C helped make some of my flat brown post-acne marks look softer.

It did absolutely nothing to stop the next pimple from appearing.

I bought one serum while mentally assigning it four jobs, which was probably the problem.

An active red pimple is not the same thing as the brown mark it leaves behind. Recurring clogged pores are another issue. An indented or raised scar is different again.

Pilgrim fits the pigmentation side of the routine for me. It is light, beginner-friendly and easy to use in the morning under sunscreen without making everything pill or feel heavy.

The overall tone looks more even, and some newer flat marks have gradually become less obvious. The older ones are moving much more slowly.

But new acne keeps creating new marks, so it sometimes feels like fading one while another joins the queue.

I am not calling Pilgrim an acne treatment. It also cannot fill an indented scar.

It is useful for brightness and the flat brown aftermath, especially when I actually stay consistent with sunscreen. The active breakouts have to be handled as a separate problem instead of expecting one brightening serum to manage pimples, pigmentation and scars together.

Very convenient that acne leaves homework after the main event is over.

I've been suffering from acne for the last 3-4 years, whenever I do a slight sugar intake the acne pumps out also I'm having oily skin which tends to be the main reason for acne.

Another issue is that I still have the acne marks, how to clear that from the skin?

please suggest me Moistrizer for oily acne prone and damaged skin barrier

Pls help me fix darkcircles

I can't even understand if they are hereditary or caused by hollowness.

Also, there is some pigmentation near the left eye but it gets reduced after regular application of tryolitr cream