I was on a generic for Aviane for 4 months and as it did give me a little initial breakout, I noticed a difference right away in my skin. Before that I had been off of birth control for a year and that caused some acne. None of the healthy stuff like eating organic did enough to get clear skin so back to birth control I went. I'm in college so I didn't want to have acne and be depressed and be too self-conscious to meet people (I'm already shy!). So anyways Aviane was helping in the beginning when I started it in the summer, but then all of a sudden I got a pimple on the right corner of my mouth and it would heal and then come up again in the same spot and became a cyst underneath the skin...then that erupted and fast forward 5 months later I still have this underground pimple thing or whatever it is that's red and I've been on yaz for going on 6 months now because the longer I took Aviane it seemed to be giving me more skin problems and I didn't want to deal with scaring! My acne is only around my mouth - only right side too which is weird. Wouldn't Yaz have done more by now? I thought maybe it wasn't even a pimple so I saw a dermatologist and was given antibiotics as she said "your acne won't clear up with birth control alone." I have always been against antibiotics. I took them for 3-4 months and it did clear up redness around the mouth, but that's it and I just stopped on my own because it made me feel bloated and huge. I still don't feel completely better, but it's only been 2 weeks or so. What I want to know is should I stay on Yaz longer or switch? I'm not completely satisfied with it. I should add that with birth control I don't seem to have the issue with moodiness or craziness. All I care about is protection, good for acne and won't make me bloated. I'm thinking of maybe trying Ortho-Cyclen. I've only tried monophasic pills - Aviane and Yaz. When I was in high school though I was on Aviane and it worked great with the exception of some depression. I had great skin, never had acne until I stopped that birth control...I thought going back on it later on would still give me the same effect. Maybe it was because they gave me a different generic I don't know. I'm also freaked out from all the terrible stuff I've heard about Yaz. It may be a good idea to get off...do you think it would make a difference when I only have one problem area (around mouth) if I stay on it longer than 6 months?? I do wear cover-up on spots - Jane Iredale that is recommended by dermatologists, I remove makeup every night, wash it with cetaphil and noxema and have been doing microdermabrasion as well. I don't have severe acne as you can tell, but I am very particular...hopefully other people understand what I mean. Did anyone taking yaz feel a burning sensation when there's a breakout coming on? It doesn't come to a head but gets red and it's very strange...I'm thinking Ortho Cyclen would be the next best thing?? If it was the right birth control wouldn't I have no acne? If the spots around my mouth haven't gone away does that mean the hormones aren't right? I don't know what to do...