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Cystic Chest Acne

I have suffered from pretty bad acne on my face my whole life. I went one accutane twice when i was 15 and 16. Cleared my face up for the most part. I am now 18 years old, i have never had a problem with chest acne until a few months ago when i developed pretty bad cystic acne. I've been trying a bunch of different remedies but nothing seems to get rid of it. Any advice or solutions?

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