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 teenagers. 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 for the accurate grading you need a proper examination by a dermatologist or atleast you can share your pics in a direct question, so i can advise you in a better way. First of all I would suggest you to avoid any further use of Betnovate cream as it contains steroid which damages skin in really bad way. Usually in my patients of acne, I advise proper course of oral antibiotics (Azithromycin 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 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 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