Can I use the 'Clear' from Obagi nuderm, long term? If I stop the treatment would my pigmentation come back?

If your acne is resistant to the Obagi Nuderm system you more than likely have a form of cystic acne which will require multimodal therapy.  Seek the advice of a board certified dermatologist who has treated many acne patients. I hope this was helpful. Dr. B

This is difficult to answer without an in-person evaluation. I suggest seeing a cosmetic dermatologist to get you on a long term plan with microneedling/prp, Viva, Cosmelan, J Plasma, peels, sculptra,facials and skin care. Best, Dr. Emer.

Yes, this can be typical, but it's difficult to determine if this is the right skin care for your skin type. I suggest seeing a cosmetic dermatologist to get you on a long term plan with lasers, microneedling/prp, peels and skin care recommendations.  Best, Dr. Emer.