Again, my success is continuing. In the last 3 months I have had maybe 2 or three minor blemishes and zero cysts! Scarring and hyper-pigmentation is fading slowly, but well. I've been continuing using Argain Oil, 150mg of Spironolactone, and 3 days a week of tretinoin gel.
It seems like I can do whatever I want to my skin as long as I stay on the spironolactone. To help fade scars and keep my pores small and clear I use CeraVe foaming wash and moisturizer. Occasionally I will use a cleanser with glycolic acid or salicylic acid, never scrubs, to help exfoliate. I try and treat my skin as gently as possible.
I am really happy with everything and I hope the best for all the women who are also going this route!