Hi, I can understand about your worry for acne on on your face. Your age and hormonal imbalance might be the responsible factors, and remember, stress, tension,sleeplessness,oily food,dandruff and drugs like steroids can also cause or exacerbate the acne lesions. You consult dermatologist for firm diagnosis and perfect treatment. I would like to suggest... - oral antibiotics like azithromycine or minocycline in proper doses - low dose of isotretinoin - application of clindamycine or adapalene gel on the acne lesions at night - cleanse the face with antiseptic face wash - ketoconazole shampoo to eradicate dandruff I hope this would be helpful to you. Thanks. Dr. Ilyas Patel MD