A Year of Healing: How Regular Sessions Cleared Shivani’s Acne & Pigmentation
PATIENT DETAILS
| Patient | Shivani |
| Concern | Acne & Pigmentation |
| Duration | ~1 Year (Ongoing) |
| Treating Doctor | Dr. Anju Methil |
| Clinic | Skin & Shape Clinic, Andheri, Mumbai |
| Gender | Female |
| Outcome | Significant acne reduction; pigmentation fading; ongoing improvement |
CASE PRESENTATION
Shivani, a young woman based in Mumbai, had been battling persistent acne and visible pigmentation on her face for a considerable period before deciding to seek professional dermatological help. By the time she walked into the Skin & Shape Clinic in Andheri for her first consultation with Dr. Anju Methil, the condition had taken a toll not just on her skin, but on her confidence and daily life.
Dr. Anju Methil, a practising dermatologist in Mumbai with over 17 years of clinical experience and active memberships in IADVL, IMA, and CDSI, carried out a thorough evaluation of Shivani’s skin assessing her acne grade and distribution, the depth and pattern of her pigmentation, and her overall skin type before designing a personalised, phased treatment protocol.
Shivani committed to the process fully: attending regular sessions, following her prescribed home-care routine, and returning for every scheduled follow-up. The clinic’s staff warm, attentive, and consistently encouraging made that commitment easier to sustain across an entire year. One year in, the results are clearly visible: her acne has reduced significantly, and her skin is meaningfully better than when she first walked through the door.
Acne & Pigmentation Treatment Journey — Consistent Care, Visible Results
| STEP 1 | STEP 2 | STEP 3 | STEP 4 | STEP 5 | STEP 6 |
| First Consultation | Skin Assessment | Treatment Begins | Regular Sessions | Visible Results | Ongoing Recovery |
| Shivani visits Skin & Shape Clinic with severe acne and prominent pigmentation — a long-standing problem she could no longer ignore. | Dr. Anju Methil evaluates acne grade, pigmentation depth, and skin type to build a personalised treatment plan. | Phased in-clinic sessions start — targeting active acne and pigmentation concurrently with advanced dermatological procedures. | Shivani attends consistent scheduled sessions; home-care regimen prescribed; clinic team provides ongoing guidance and support. | Significant reduction in active acne within one year; pigmentation visibly fading; skin texture and tone improving steadily. | Shivani continues follow-up sessions at Skin & Shape — committed to long-term skin health and confident in the process. |
DIAGNOSIS
Shivani presented with two concurrent skin concerns: active acne affecting multiple zones of her face, and post-inflammatory hyperpigmentation (PIH) the dark marks and uneven patches that form as acne lesions heal. Both are extremely common presentations in adult Indian patients, particularly in urban, humid environments such as Mumbai.
Acne is a chronic inflammatory skin condition involving the hair follicles and sebaceous (oil-producing) glands. Without structured dermatological intervention, it tends to recur new lesions forming before existing ones have fully resolved. The resulting cycle of inflammation, scarring, and pigmentation compounds over time, making it progressively harder to manage without professional guidance.
Post-inflammatory hyperpigmentation arises when the skin produces excess melanin at the site of healed or healing acne. For medium to deeper Indian skin tones, PIH tends to be more pronounced, slower to fade naturally, and more visible making targeted clinical intervention essential. At Skin & Shape Clinic, Dr. Anju Methil assessed both conditions comprehensively and designed a protocol to address them in parallel.
TREATMENT
- Initial Skin Assessment — Acne grading, pigmentation mapping, and skin type evaluation.
- Personalised Treatment Protocol — Phased clinical plan targeting active acne and pigmentation concurrently.
- Regular In-Clinic Sessions — Consistent procedural appointments over approximately one year.
- Structured Home-Care Regimen — Prescribed routine to complement in-clinic procedures and prevent rebound.
- Scheduled Follow-Up Reviews — Progress assessments with Dr. Anju Methil to adapt the protocol as the skin responded.
- Ongoing Maintenance Program — Continued sessions supporting long-term skin health and sustained pigmentation reduction.
DETAILED DESCRIPTION OF TREATMENT
Treating active acne alongside existing pigmentation requires a carefully staged approach: suppressing the inflammatory cycle that produces new lesions while simultaneously encouraging the skin to shed, renew, and restore tone. Dr. Anju Methil’s protocol for Shivani addressed both dimensions through a series of scheduled in-clinic sessions tailored to her skin type and response.
Clinical procedures at Skin & Shape Clinic for combined acne and pigmentation presentations typically draw on a combination of modalities chemical peels to exfoliate the upper skin layers and accelerate cell renewal; medifacials to deeply cleanse, soothe, and replenish inflamed skin; and advanced treatments such as Q-switched laser or carbon laser facials to target stubborn pigmentation marks with precision. Alongside these in-clinic procedures, Shivani was placed on a structured home-care regimen including non-comedogenic moisturisers, targeted serums, and broad-spectrum sun protection all essential to sustaining gains and preventing pigmentation from worsening between sessions.
The defining characteristic of Shivani’s case was her consistency. She returned for every scheduled session, followed her home-care guidance diligently, and maintained an open dialogue with the clinic team throughout the year. Dr. Anju Methil and the Skin & Shape staff ensured that each visit was more than just a procedure; it was an informed, supportive experience that reinforced Shivani’s confidence in the process.
This is the clinical philosophy Dr. Anju Methil brings to every patient: skin restoration is not a single event. It is a sustained collaboration between doctor, patient, and the right protocol and results compound meaningfully when that collaboration is maintained.
POST-TREATMENT ASSESSMENT
After approximately one year of consistent treatment at Skin & Shape Clinic, Shivani’s skin shows clear and measurable improvement. Active acne, the primary driver of her original distress, has reduced significantly. The persistent breakout cycle that defined her skin before treatment has been meaningfully disrupted, with new lesions appearing far less frequently and resolving more quickly.
Pigmentation continues on a positive improvement trajectory. Shivani is realistic and patient; she acknowledges that full resolution of deeper post-inflammatory marks takes time, and she remains committed to continuing her sessions. Her honesty about there being ‘still a long way to go’ reflects the thorough patient education that is a hallmark of Dr. Anju Methil’s practice: realistic expectations, not quick-fix promises.
Beyond the physical changes, Shivani reports a meaningful shift in how she experiences her skin day-to-day. The visible progress, combined with the warmth and attentiveness of the clinical team across an entire year, has contributed to a recovery that is as much about restored confidence as it is about clearer skin.
“As you can see, my acne has reduced a lot. Still a long way to go. But regular sessions are helping me out and it’s working on me.”
— Shivani, Patient — Skin & Shape Clinic
This case demonstrates a core tenet of Dr. Anju Methil’s clinical approach: lasting skin improvement is a partnership. When a patient’s commitment to consistent sessions meets a dermatologist’s precise, personalised protocol and is sustained by a clinic environment that genuinely cares the results are both visible and durable.

