Here is a helpful blog on an integrative approach to acne treatment.
In my twenties, I had good success with proactive products. But these stopped working after ten years and my acne transformed from clogged pores to cystic acne.
The cystic acne became intractable. I would have between 1 and 4 cysts at a time, predominantly on my cheeks and my chin area. These erupted when I was stressed, around my period, or I had too much sun. They would become inflamed, and then not come to a head or resolve for weeks and sometimes months. At other times, they might resolve and then after a reprieve of about a week another form in the same place. So I would have relatively no time when I did not have either scarring or acne…
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