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I have tried prescription pills and topicals. Tried many over the counter topicals as well.

What is working for me so far....which it hasnt been too long since I have been doing this....

I am on Nuva Ring (for a different reason than acne) which seems to finally be helping my hormonal acne a bit now too. Been on it since November 07. I also started using new face washes. Every morning I use the St. Ives Microdermabrasion Scrub (is new). Then I use a Salicylic Acid bar soap from brand Oxy. It is an Alpine scent. I lather it on my face and massage it for about a minute or two and wash it off. Then I take an Oxy Cleanser. It used to be called chill factor. It is in a black bottle and 10% bp. I massage this on my face and leave on for about 10 minutes or so. No longer than 15. Then I wash that off as well. Normally I am allergic to bp, however, I think washing it off helps. It doesnt just sit on your skin irritating it. BP is supposed to be completely absorbed into your skin and working in the first 10-15 minutes anyway. Any longer causes irritation. After all the cleansing, I put on Dr. Brandt poreless gel. It has salicylic acid in it as well. Then I move on to my regular makeup routine. It seems to be helping a ton. I usually get those nasty cystic acne around my chin and lower cheek areas. This has really reduced the size and inflammation. I have really noticed my previous scarring improving as well. I do the same routine at night.

Not saying would work for everyone and yes I still get breakouts. But not as severe or as long it seems. Here's to hoping this is a winner.