Hello, Thank you for posting on HealthcareMagic. I appreciate your concern regarding Acne and i will try to answer your queries in best possible way. Acne, as you must be aware is a pretty common condition affecting majority of people during adolescence and early adulthood. It is caused chiefly due to hormonal influence and clogging of pores and followed by infection and inflammation. It has tendency for recurrence and complications like pigmentation and scarring, thus mandates proper treatment at the earliest. Treatment usually depends on severity of of acne and since you are already taking treatment and not satisfied with results I suggest you see another dermatologist for alternate opinion. Usually I manage my patients of acne on multi-modality treatment which comprises of home based treatment and clinic-based procedural treatment. For home-based treatment, I advise proper course of oral antibiotics (Azithromycin, Clarithromycin etc) with or without oral Isotretinoin for few months. Additionally, I advise use of a cream containing nadifloxacin/clindamycin twice day and a gel containing benzoyl peroxide and adapalene at bedtime for few months. This combination of benzoyl peroxide and adapalene is one of the recent advances in the treatment of acne and has wonderful results if used in a right way. Your local doctor will know about these drugs. Apart from home-based treatment, I also advise procedures at clinic like chemical peeling and laser and light therapy for patients having severe acne and associated complications like pigmentation and scarring. Use good quality face wash and a moisturizer on regular basis. Avoid junk food as far as possible and include plenty of fresh fruits and vegetables in your diet. Hope this will take care of your condition. I would suggest you to share your pictures in a direct question and if you wish to contact me in future for any question kindly use the following link: http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169 Thanking you Dr Hardik Pitroda M.D Dermatology