what is your skincare regimen now? do you use an AHA daily? i like glycolic acid toner but you can use a lotion with it in there as well. where is your acne? if you have mostly hormonal acne i would try spiro with a good antibiotic for the first 6 months then slowly wean off.

Have you tried the Regimen? It works well for a lot of people. You have to stick to it pretty closely but it might work for you. Just a thought.