Hi everyone, found the forum and have been lurking but need some advice. I have had moderate to almost severe acne from when I was about 13 to about 19. From 19 to 28 I have rarely ever had any breakouts above my cheekbones but have always had 1-8 spots around my mouth and jaw line and about the same on the back of my neck. I seem to be able to go for weeks clear then all of the sudden I will have a few weeks of breakout. It seems to get really back about the same 2 times every year in the spring and winter. I have never really had any issues with spots on my back or chest. I am wondering if it might be hormones as I lost most of my hair from 17-24 and my facial hair is very patchy... I only shave 2 times a week generally. My only real regimine has been St. Ives Apricot scrub in the morning and then clearasil for breakouts. I also switched to a non flouride toothpaste which seemed to help a little as well. I have never been to a dermatologist but am thinking about finally ponying up the money to go. It is a little frustrating still dealing with this at 28. Any suggestions? I have attached a picture of my current state which is about average but many times worse. Thanks