Acne in my 30's???

I am going to be 30 in a few weeks and have been fighting my face since 12 years old. As a teen my acne settled in my T-Zone, only to move off of my nose and camp out on my cheeks after pregnancies. I tried all the OTC products, quit using make-up and generally made myself crazy for the last 10 years.
I would have bad breakouts around my periods, but due to...