If you consider yourself to have severe acne, then you should definitely visit a specialist. There are professional treatments that can be used on active acne, you can try red light/blue light, but you should get a professional opinion. Your money will best be used after your acne is under control. I also think you should consider accutane if you consider it to be severe and have tried so many other options. I never thought I'd use it either, but after a while you need to weigh your happiness against the risks (much like cancer treatment, elective surgery,etc). I wish you luck!

Take accutane, then invest some coin into scarring treatments.

Since you can afford it, try to find the most qualified doctors in your area that specialize on acne treatments. It doesn't matter what expensive skin treatments you do, if you can't prevent new acne from forming. So first you need to find what works for you in terms of preventing new breakouts.

As for treatments, getting regular facials helps me a lot. Again, you have to find a qualified esthetician for facials, and ask for extractions too. You can also do high frequency every week - it helps with inflammation and skin texture. You can try red/blue light treatments, peels (start with mild ones first), microdermabrasion. It really depends on what your skin responds to. Don't tell your doctors/ estheticians that you have a high budget because then they'll try to sell you products and treatments that you might not need.

Since you can afford it, try to find the most qualified doctors in your area that specialize on acne treatments. It doesn't matter what expensive skin treatments you do, if you can't prevent new acne from forming. So first you need to find what works for you in terms of preventing new breakouts.

As for treatments, getting regular facials helps me a lot. Again, you have to find a qualified esthetician for facials, and ask for extractions too. You can also do high frequency every week - it helps with inflammation and skin texture. You can try red/blue light treatments, peels (start with mild ones first), microdermabrasion. It really depends on what your skin responds to. Don't tell your doctors/ estheticians that you have a high budget because then they'll try to sell you products and treatments that you might not need.

Thats what Im willing to spend a lot of money on; stopping new acne from ever forming again. I really dislike it, and its that which cause a low self esteem in me. If I know I will never get new acne, I would be a happy man.

Scars and marks are another category for me.

Thanks for the advcie about not telling the doctor about my budget though.

I wouldn't spend it in Modern Medicine but Functional Medicine. Get tested, find the cause, treat it naturally, for example if Demodex parasites are causing your acne, accutane isn't going to solve anything, you'd need treatment with tea tree oil. Get tested, hormones, thyroid, food intolerances.

Have a great full body check performed by medicians who actually know what they're doing -- if everything internal is healthy, research demodex.

That's about it, good luck

If you have money to spend, get a full panel hormone test, thyroid test, insulin test, and vitamin level test. Google all the specifics, even if you tell your doctor "I want a full hormone test" there are many things they won't test for, such as free testosterone. You have to be very specific about what you want.

Everything except accutane is a band aid. If you are scared of it try a low dose and see how you feel. For severe acne there is no other option. You can also look into oxygen facials from an esthetician, acupuncture and juicing.