As your pimples have persisted for four years, you should see your doctor or dermatologist for proper evaluation. They may prescribe topical retinoids, antibiotics, or other medications suited to your condition. Do not pick at your pimples, and use a gentle cleanser to keep your skin clean.

Chemical peeling may help treat persistent acne and acne scars, but it should only be considered after evaluation by your doctor, especially since you are already on prescription treatment. Chemical peels are usually avoided during or soon after retinoid therapy, such as Isotretinoin (Lacne 20 mg Capsule), as using them together may cause increased skin irritation and delayed healing. Please consult your doctor before deciding on a chemical peel to ensure it is safe for you.

Since you have been using these treatments for only one month, it may be too early to see full improvement, as acne therapies often require 3 to 6 months to show clear results. Continue the routine as prescribed, avoid picking your skin, and use a gentle cleanser to reduce irritation. If there is still no improvement after that time, please consult your doctor or a dermatologist to consider stronger treatment options.

Some acne treatments, such as Acnesol gel (Clindamycin) and Brevoxyl cream (Benzoyl Peroxide), can cause skin dryness and dehydration, which may make fine lines and wrinkles appear more noticeable. Use a gentle moisturiser and apply sunscreen daily to keep your skin hydrated and protected, and avoid overusing strong products. If the problem persists, please consult your doctor or a dermatologist to review and adjust your treatment.