Isotretinoin: This is a potent medicine that attacks all four causes of acne — bacteria, clogged pores, excess oil, and inflammation (redness and swelling). About 85% of patients see permanent clearing after one course of isotretinoin.
While SPF is a must, some sunscreens can trigger breakouts. You want to look for oil-free and non-comedogenic formulas that won’t clog pores,” Hammerman says. Options like from Elta MD and Peter Thomas Roth, which are recommended by the pros, are specifically tested on acneic skin so you can get your dose of SPF without having to worry about clogged pores.
If you have pimples that are already popped and your having a hard time healing them put polysporin on them whenever your not going out then leave it on till you go to shower next and don’t touch the areas that have polysporin on them or you will have to re apply. It heals them as if it was a cut, seriously works so good.
To make your own exfoliate mix two tablespoons of the dry ingredient of choice with 1–2 tablespoons of the base of choice. Rub into skin in a circular motion. Start at the forehead and work your way down, paying particular attention to problem areas. Remove with a damp cloth, and rinse well.
The recognition and characterization of acne progressed in 1776 when Josef Plenck (an Austrian physician) published a book that proposed the novel concept of classifying skin diseases by their elementary (initial) lesions. In 1808 the English dermatologist Robert Willan refined Plenck’s work by providing the first detailed descriptions of several skin disorders using a morphologic terminology that remains in use today. Thomas Bateman continued and expanded on Robert Willan’s work as his student and provided the first descriptions and illustrations of acne accepted as accurate by modern dermatologists. Erasmus Wilson, in 1842, was the first to make the distinction between acne vulgaris and rosacea. The first professional medical monograph dedicated entirely to acne was published in New York in 1885.
Treatment is normally no different than that for the milder acne forms. Over-the-counter products and even some home remedies can be effective, but since this type is relatively severe, it may be necessary to visit a dermatologist if the products or home remedies you are using are not effective. Many, though not all, over-the-counter products contain three important agents used in fighting acne:
Salicylic acid and azelaic acid. Azelaic acid is a naturally occurring acid found in whole-grain cereals and animal products. It has antibacterial properties. A 20 percent azelaic acid cream seems to be as effective as many conventional acne treatments when used twice a day for at least four weeks. It’s even more effective when used in combination with erythromycin. Prescription azelaic acid (Azelex, Finacea) is an option during pregnancy and while breast-feeding. Side effects include skin discoloration and minor skin irritation.
I agree that the ice works i use it every time I have a pimple, also afterwards for better results I would wash my face before with soap or whatever you wish to use, put the ice on then put my moisturizing lotion and my face feels soft
Greater efficacy may also be due to less C acnes (formerly P acnes) resistance to minocycline. However, C acnes (formerly P acnes) resistance is becoming more common with all classes of antibiotics currently used to treat acne vulgaris.  C acnes (formerly P acnes) resistance to erythromycin has greatly reduced its usefulness in the treatment of acne. 
Azelaic acid. Another topical is azelaic acid, which comes in a gel or cream and has antibacterial and anti-inflammatory properties. It is more commonly used for another type of condition called rosacea, but it may help mild acne.
Patients are also required to participate in the iPledge online program. The program aims to prevent pregnancy by having patients confirm they understand the risks of the medication, promise to keep monthly appointments with their doctor, and agree not to share the medicine or donate blood while taking the drug. Each month, women must also answer a series of comprehension questions about birth control, and their prescribers must confirm results of a negative pregnancy test.
Benzoyl peroxide and salicylic acid aren’t wonder drugs. Benzoyl peroxide will get rid of about 70% of your pimples. Salicylic acid will get rid of about 60% of your blackheads. Together, they don’t get rid of 130% of your blemishes.
Try out zinc. Not a common household cure for acne, but certainly effective in some cases, zinc is a known enemy of acne. Zinc is a metal that humans need in small doses to perform essential functions. In addition to treating acne, it is used to boost the human immune system. Zinc can be used to treat bacne in two different ways:
If acne isn’t responding to glycolic or salicylic treatments, Dr. Birchall recommends adding retinol to your nightly routine. Unlike gentler exfoliation methods, this topical form of vitamin A helps prevents pores from getting clogged. With strong scientific evidence behind it, retinol or retinoids are among the best treatments for persistent acne. Plus, retinoids pack the added benefit of anti-aging properties by slowing the breakdown of collagen. Here’s what derms do to wake up with younger-looking skin.
no. it depends. I refuse to touch any sort of takeaway/junk food and have removed all sugar and dairy elements from my diet. I eat mostly greens, nuts, tofu, brown rice, carrots and healthy whole grain carbohydrates and that cleared the breakouts on my forehead and nose ( the places where you can see signals from your digestive system). I only drink green tea and water and I exercise regularly. I still maintain this lifestyle because it feels good.But here I am 14 and still looking for solutions. The cause is hormones. My period cycle has been out of order for 5 months and this is why I have got the acne on my cheeks, temples, chin and between my brows. Currently using Vitex a natural medication which regulates hormones and it’s improving a bit.