I never had really bad acne as a teenager, but started getting more zits on my face in my 20's. I thought you were supposed to get
less as you got older...
I decided to go to the dermatologist. I think we tried just about everything, with varying success. Antibiotics, Metrolotion, benzamycin, retin-A. They all worked for a little while, then were less effective.
Finally, we did Accutane. That was about 8 or 10 years ago, and I can count on one hand the number of zits I've had since then - it worked for me, permanently.
In case you don't know, Accutane (as it was explained to me) permanently alters the way your oil glands secrete oil. Most people do a treatment of 20 weeks, and that's it. Some people with extreme cases need to do another treatment. But for most people, after the 20 weeks, you are done for good.
However, those 20 weeks can be tough. Your skin and hair gets very dry, especially your lips. My lips were constantly chapped. You have to avoid hot showers, use unscented shampoo (which is tough to find), and keep your face moisturized. The lip problem is helped using a product called Aquaphor - good stuff.
You also need to get a blood test before starting treatment to measure triglycerides (fat) in the blood, then get another test about 4 weeks into the treatment to compare. Accutane causes some people to build up fat int he bloodstream and if the test shows that, the doctor needs to know to either adjust or stop the treatment.
But Accutane worked wonders for me.