I have been a heavy lurker for a few months and decided to make my contribution since your submissions have been quite helpful.
Acne has been the bane of my life for 3 years and I have tried every tropical treatment and multiple BCPs with little to no results. Benzyol peroxide, clindamycin, and tretinoin did little to thwart the persistent cystic acne on my cheeks and jawline. I eliminated these topicals and replaced them solely with Cetaphil daily cleanser and moisturizer in an attempt to minimize skin irritation. It helped a little, but my acne remained. I have an identical twin sister who also suffered from severe acne a few years prior, and assuming this condition is genetic, I decided to emulate her routine. She basically took BCP (Microgestin Fe 1.5/30), used Cetaphil, and waited it out for 3-4 years and today has flawless skin. I switched my BCP to my sister's prescription, but didn't see results (cysts and pimples decreased in half) until 6 months later.
Acne.org made me very hesitant to try oral antibiotics and hormone treatments and each day I would push it off until I finally said, "SCREW IT!" and made an appointment at my local clinic. My doctor first recommended Accutane in an attempt to nip my acne in the bud and avoid more scarring, but I asked to try lesser measures before taking the plunge. She prescribed me Spironolactone (50mg once daily for a week, then doubling the dosage [100mg] as tolerated) and Minocycline (100mg taken twice daily [200mg daily]). Acne.org prepared me for the IB and waiting months for results, but I think I am one of those lucky few who experienced results at the flip of a switch! I started taking Spironolactone and Minocycline on February 22, 2013 and today (March 10, 2013) all of my severe acne has subsided and I am left with red marks and the occasional small pimple that disappears after a day or two. I was initially light headed and dizzy, but that faded after a few days. Now, I am only experiencing an increase in appetite.
Acne is extremely variable and we are always looking for that miracle fix that worked for someone. I know this isn't the cure for everyone, but I hope my experience will help a few. Unfortunately, I do not have any pictures of my acne at it's worse, but I found a less severe picture with make up. The last three images were taken today.
Wash my face in the morning and at night with Cetaphil daily cleanser and moisturize with Cetaphil lotion.
Asprin mask (5 pills) mixed with RAW honey. Leave on face for 20 minutes and wash off.
A fresh towel on my pillow every night
Microgestin Fe 1.5/30
Spironolactane (100mg once daily)
Minocycline (100mg twice daily [200mg daily])