Believe it or not I used to be a member here about 25 years ago complaining about my cystic acne and how I did not want to live anymore. I can't say it gets easier, but you learn throughout the years how to live with it. I abandoned all medication for years and did not even use soap on my face just iso alcohol after a shower with a cotton swab. I since decided to try a derm again 6 weeks ago after a bad break out and started using cerave SA cleanser and PM moisturizer followed by retininoin. I feel like I went through a bad purge and then it started to calm down right before my next visit a few weeks ago but she said my skin still looked oily and tested me for demodex mites which she said I had and prescribed me ivermectin cream and ketokazole. The derm wants me doing all 6 things on my face now and i'm breaking out really bad now after day 4 with way more putsles then I usually got on a bad day. I just woke up and 6AM after applying all the steps yesterday evening and my skin is all greasy still from all the creams. I try not to apply so much but my skin gets so dry after I put the cleanser and cerave PM lotion on so then the other stuff is super hard to spread. Is this overkill? Any advice or tips would be much appreciated.