You have a good shot at getting rid of milder, non-hormonal breakouts without a prescription. Apply a treatment with 2 percent salicylic acid, which gently exfoliates, such as Benzac Acne Solutions Intensive Spot Treatment, twice daily all over your face, or one with benzoyl peroxide, which fights the bacteria that cause zits. (We like Neutrogena Rapid Clear Stubborn Acne Spot Gel, which has the highest concentration available without a prescription.) You can also switch to a daily cleanser with at least 0.5 percent salicylic acid, such as Philosophy’s Clear Days Ahead Oil-Free Salicylic Acid Acne Treatment Cleanser. Then, every time you feel the first tingles of a new zit forming, hit the spot with a dab of antibacterial spot treatment (like that Benzac one we mentioned). And be patient: It can take six to eight weeks before you notice a real change in your skin.
The emergence of antibiotic-resistant bacteria, other than C acnes (formerly P acnes), is a contentious debate. An early study by Miller et al found increased skin carriage of coagulase-negative staphylococci in not only acne patients with prolonged use of antibiotics, but also in their close contacts.  On the contrary, a study by Fanelli et al found that Staphylococcus aureus remained sensitive to tetracycline even after prolonged use of that antibiotic for acne.  This has significant ramifications when considering efforts to control the spread of methicillin-resistant S aureus (MRSA), because tetracycline group antibiotics are currently one of the primary options for outpatient treatment of MRSA infection.
Retin-A may cause your skin to become very red and dry, and may cause peeling. Newer medications have milder side effects. You should ask your doctor to switch your medication if you suffer some of these side effects.
Cambazard F, et. al. “A Multicentre, Single-Blind, Randomized Comparison of a Fixed Clindamycin Phosphate/ Tretinoin Gel Formulation (Velac) Applied Once Daily and a Clindamycin Lotion Formulation (Dalacin T) Applied Twice Daily in the Topical Treatment of Acne Vulgaris.” The British Journal of Dermatology. 2000; 143(3): 498-505.
Isotretinoin therapy should be initiated at a dose of 0.5 mg/kg/d for 4 weeks and increased as tolerated until a cumulative dose of 120-150 mg/kg is achieved.  Coadministration with steroids at the onset of therapy may be useful in severe cases to prevent initial worsening.  Some patients may respond to doses lower than the standard recommendation dosages. A lower dose (0.25-0.4 mg/kg/d) may be as effective in clearing acne as the higher dose given for the same period and with greater patient satisfaction. However, the benefit of prolonged remission is not as great with such therapy as with standard doses.  Lower intermittent dosing schedules (1 wk/mo) are not as effective. 
Adult acne is acne in the post adolescent phase and it’s not always the same as acne that affects teenagers. The skin is different – younger skin is oily and less sensitive, whereas adult skin is drier and more fragile. Acne in female adults tends to be found around the jawline, chin and neck. The pimples tend to be deeper, more painful and last longer.
The medical term for pimples or acne is “acne vulgaris”. For years it has been postulated that hormones and medication can cause acne. According to Ref.1 there are several steps that work together in causing acne. The hair follicle and sebaceous gland work as one unit. Male hormones, called androgens play an important role in the development of acne, both in males and females. Testosterone in males is not only produced in testicles, but also in the skin itself. It gets converted by an enzyme, 5-alpha-reductase, into the much more active metabolite dihydrotestosterone. In individuals with hypersensitive receptors in the sebaceous gland this will cause blockage in the sebaceous gland duct and at the same time stimulate the sebaceous gland oil production leading to the formation of a keratotic plug. White heads and black heads are formed this way. Contributing factors are inflammatory substances are caused by insulin release stimulated by sugar, wheat and starch intake. This stimulates IGF-1 receptors in the skin, which causes growth of the subcutaneous skin layers, which is pushing up from the layer below the skin, kinking the sebaceous gland duct and causing acne pustules (pimples) to form. A skin bacterium, called Propionibacterium acnes (P. acnes), is getting trapped in the pimple causing a local skin infection, which in turn can cause acne cysts and furuncles, particularly in males where there is a family history of acne. High cortisol levels from stress can also be a contributing factor in causing acne. Today’s teenagers are exposed to a lot of stresses from exams, competitive sports and peer pressures.
Chemical peels may be performed at home, with an esthetician, or with a dermatologist, and are one of the most common treatments used for getting rid of acne scars. The peel is in fact an application of gentle acid on the surface of the skin. The higher the acidity level, the further the peel goes into the skin. Chemical peels allow the underlying layer of skin cells to rise, effectively ridding the skin of acne scars.
If you’ve ever suffered from acne in the past, then you’re probably wondering how to get rid of acne scars that can remain for months or even years.Treating acne scars takes patience and perseverance. The sooner you start treating a scar, the better possible results. The vast majority of individuals that get acne will experience some degree of scarring. The most important thing you can do to prevent scarring? During a breakout, never pick or pop pimples, whiteheads or blackheads!
Most of the herbs used in the herbal treatment of acne fall under Ayurvedic treatment. Apart from the ones mentioned above, Ayurvedic medicine also relies on using the right combinations of dried and fresh herbs that treat acne. Triphala guggulu, chandanasava, and sarivadyasava are some of the Ayurveda medicines used.
It’ll depend on the kind of treatment you’re going to get. Peels, for example, have a more tingly sensation on the skin while being applied, but the peeling process shouldn’t cause you any pain. Some of the procedures will also require for your doctor to apply numbing cream or local anesthesia to minimize the discomfort.
Sorry to burst your bubble, but popping a zit is never a good idea. Your hands aren’t always clean, and dirt under your fingernails and improper squeezing can cause acne to spread or lead to further infection, Dr. Hammerman says. Plus, popping can lead to pitted scars, which stick around much longer than that pimple would.
Avoid touching your face with your hands regularly. Also, while talking over the phone, keep it away from your face. While doing so, you will transfer all the dirt and bacteria from your hands or phone to your face, thus increasing the risk of pimple formation.
As a result, erbium type lasers are usually better for younger patients with mild to moderate acne scarring while the C02 lasers are more suited for older patients with much older and deeper acne scarring.
Antibiotic resistance in C acnes (formerly P acnes) is common and is a significant threat to acne treatment.  Antimicrobials should be combined with a topical retinoids for greater clearing of lesions and to increase the potential for shortened antibiotic treatment. They should be used with benzoyl peroxide to reduce the likelihood of resistance.  Concurrent use of oral and topical antibiotics should be avoided and should not be used as monotherapy. If acne relapses, use the same antibiotic if it was previously effective. It may also be helpful to use benzoyl peroxide for 5-7 days between antibiotic courses to reduce resistance in organisms on the skin. 
The toothpaste and steam works great on my skin. And I suffer from really bad acne and non of the medication off the doctors works, I wear alot of make-up between 5-6 layers because of my spots and my self-confidence. I steam my face for 15mins and then leave toothpaste on my acne overnight and by the morning they are all dried up and invisible under my make-up. Before I put on my make-up I use Tea-tree oil on a cotton bud and smooth over my spots. 90% it works all the time.