One of the main reasons for rough skin is acne. Treating acne can help improve the skin's texture, and this can be achieved by using proper skincare methods and specialized treatments like benzoyl peroxide and alpha hydroxy acids. However, if after a few weeks the skin doesn't improve, you should visit a dermatologist. A dermatologist can provide medical treatments for acne and acne scars to help you achieve the smooth skin you desire.
Steps
Follow a daily skincare routine

Wash your face twice a day. Cleansing your face is the most effective way to prevent acne and blemishes. Wash your face twice, in the morning and evening, as well as whenever your face sweats.
- For example, you should wash your face after exercise or physical labor.
- Start by moistening your face with warm water. Simply lean down and splash warm water onto your face.

Gently apply face cleanser with your fingertips. It's best to use a mild cleanser. Pour a small amount of cleanser into your hands, then gently massage it onto your face with your fingers.
- Close your eyes to avoid the cleanser getting into your eyes.
- If you prefer using a washcloth, opt for a soft cotton one to massage the cleanser onto your skin. Avoid rubbing harshly as it may irritate your skin.

Rinse with warm water. After using the cleanser, splash warm water on your face to thoroughly remove the soap. Repeat this process several times to ensure all the cleanser is washed off.
- You can also use a clean washcloth to gently wipe off the cleanser. Avoid scrubbing; instead, use a damp cloth to softly wipe the cleanser from your skin.

Pat your face dry. After rinsing off the cleanser, use a clean dry towel to gently pat your face dry. Avoid rubbing the towel on your skin as it can cause irritation.

Apply moisturizer. Moisturizing helps keep your skin soft and smooth. Use a suitable moisturizer after cleansing your face.
- Choose a moisturizer based on your skin type. For oily skin, select an oil-free moisturizer. For dry skin, opt for one designed for dry skin.
Use a special treatment method

Use a facial scrub once a week. Exfoliating benefits some skin types but may cause irritation for others. To avoid irritation, exfoliate no more than once a week. Choose products containing no more than 2% salicylic acid or 10% glycolic acid. Higher concentrations can cause irritation. Avoid exfoliating if you have herpes simplex, warts, or molluscum contagiosum, as it can lead to infection. People with darker skin tones should also avoid exfoliating if prone to hyperpigmentation or scarring.

Try acne-fighting facial cleansers. If your skin is prone to acne, look for products with over-the-counter acne treatments. Choose facial cleansers with ingredients like salicylic acid, benzoyl peroxide, sulfur, or resorcinol, which don't require a prescription. Keep in mind, results from over-the-counter acne treatments take at least a month. You may experience redness and peeling as your skin adjusts to the treatment.

Look for products with alpha hydroxy acid (AHA). AHA helps exfoliate and unclog pores, leaving your skin smoother and preventing acne. Seek facial cleansers or moisturizers containing AHA for these benefits.

Use tea tree oil gel. A 5% tea tree oil gel has been shown to be as effective as over-the-counter acne medications. If you prefer a natural alternative to benzoyl peroxide or other acne treatments, consider using tea tree oil. However, avoid applying the oil directly to the skin and instead use a cream or gel containing 5% tea tree oil concentrate. Be aware of potential side effects like irritation or redness.
Seek medical advice.

Consult a dermatologist. If you're still experiencing swelling or bumps on your skin due to acne or other dermatological issues for an extended period, it is advisable to see a dermatologist. A dermatologist can assess your skin condition and prescribe medication or recommend over-the-counter products.
- If you're unsure how to find a dermatologist, you can ask a general practitioner for a referral.

Consider prescription medications for acne treatment. There are several prescription methods for treating acne. If you need a prescription, a dermatologist may recommend:
- Retinoids. This is the most commonly recommended acne treatment. Retinoid creams, lotions, and gels help prevent clogged pores. A dermatologist may also prescribe Dapsone in conjunction with retinoids to enhance effectiveness.
- Antibiotic creams or medications. Acne can sometimes worsen and cause inflammation. If this happens, you may need antibiotic creams or medications to heal the acne.
- Birth control pills. If you're female, a doctor might prescribe birth control pills to help manage acne. However, using birth control pills may have serious potential side effects, so it’s important to discuss the risks with your doctor before deciding if this treatment is suitable for you.
- Spironolactone. If birth control pills are ineffective, your doctor may prescribe spironolactone (Aldactone).
- Isotretinoin. This is a last-resort treatment due to serious side effects but is effective when other methods fail. However, due to the risk of birth defects, women who are pregnant must undergo pregnancy tests before using this medication.

Learn about medical treatments for acne scars. Rough skin may be caused by acne scars, but there are effective methods to treat it. Here are some treatment options you can discuss with a dermatologist:
- Dermabrasion. Dermabrasion is an effective method for smoothing rough skin, especially due to acne scars. This technique uses a rotating brush to smooth the skin's surface. Consult a dermatologist if your skin is rough from acne scars.
- Soft tissue fillers. A dermatologist can inject fat into scarred areas to smooth the skin's surface. However, this method provides only temporary results, so you will need to have regular treatments to maintain the outcome.
- Chemical peels. Masks can remove the outer layer of skin and help reduce acne scarring.
- Laser skin resurfacing and light therapy. This method uses lasers to smooth the skin's surface and improve its appearance.
- Skin grafting surgery. For severe scars, this procedure uses a skin graft on the face through surgery. The results of this method are permanent, but the procedure is more complex compared to other treatments.
