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INTERNAL acne...and back cysts?

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I have some facial acne, but its internal. My dermatologist (who I work for) says that this type can only be fixed with facial surgeries (they put you under steam for 30 minutes, then squeeze out the acne).

Its the type that you can't see unless you look real hard. Its normal face color, not red, not pussy.

Can anything besides squeezing help?

I tried Brevoxyl, Benzoclin, Duac, Tazorac.

All of those seem to fix topical acne, NOT internal. They do nearly nothing. I also have LITTLE of that acne - maybe 3-4 pimples on each cheek. As they get bigger (still stay internal) - I pop them, I get temporary redness, and thats it.

I workout and diet (eat healthy, take vitamins, fish oil, drink lots of water).

Also, my back has WEIRD acne. They are like papules, red, but with nothing inside. They come and go. Drying them or doing anything else just makes it worse.

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