For what it’s worth, my acne was a combination of hormones/genetics and inappropriate products for my skin. Treating the hormonal issue helped, but I also needed to totally revamp my routine/products to get beyond the plateau I got to on prescription medications. Harsh/stripping products (especially high pH cleansers) and insufficient hydration (skin needs both oil and water to be healthy, who knew?) made my skin a prime breeding ground for acne-causing bacteria, no matter how diligent I was about washing my face or what I ate. Making those changes helped as much as the 6 months of Accutane, and the ongoing prescriptions of Adapalene, Spirnolactone, Clindamycin, and Azelaic Acid have.
Daniel Handler (. Lemony Snicket)
David Henry Hwang
Kwame Anthony Appiah