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Luke B

How to treat TERRIBLE hyperpigmentation on the buttocks? NSFW pic

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I've been dealing with breakouts, more accurately, folliculitis (can anyone confirm this is folliculitis from the pic?) on my butt for a long time. The marks it leaves are horrible. I'm guessing they form because I can't avoid friction and pressure on the pimples (I can't always avoid sitting, wearing underwear/pants) and that makes it worse. 
I've been applying aloe vera for a couple of months but the results are not great. Is there anything else I could try? Is surgery the only thing that will finally get rid of the marks? It makes me very insecure. I'm really embarrassed to go to the dermatologist about this, especially since I'm a guy. What can I do?

I exfoliate every other day, use loose cotton underwear, use glycerin soap, try to air it as much as I can, and it's getting better but occasionally I still get breakouts and they leave the marks. I also use povidone iodine when I get breakouts in an attempt to prevent any infection from spreading. 

Thank you.
 

IMG_6342.JPG

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I am a guy ,26 ,and also hv very similar problem ur not alone butt acne are worst i dont know ur prefrences but if ur straight girls wont mind that i guess but i am gay and its tough being this flawed and being a gay guy . But i need to admit that seeing ur pic actually helped me gain confidence firstly because i use to think  i m alone in this but not now cuz i hv nevr seen a case that is this close to mine and secondly i really liked ur butt even with all those flaws it gave me different view on this situation if can lust  over ur "spposedly" flawed butt but cute butt and the problem looked insignificant to me then maybe i am just being too sensitive about this so thanx fr postimg ur cute butt and hopefully we ll find a way ;)   :) 

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