I haven't been around much and thought i should write an update after 4 years. Skin is soo good now but i still get an occasional cyst maybe once a year and a few small pimples here and there. Other than this, i can honestly say my skin looks very good now. I no longer see the clogged pores and all the red marks i had are completely vanished. So happy!
I'm still using spironolactone and Yasmin but reduced spironolactone to 100mg/day. I was using 200mg/day back when i posted the previous pictures. I never had guts to stop spiro completely because they say if you are still getting a few pimples while you are on it, it means the acne is still there and will come back once you stop spiro. My family has a long history of bad adult acne so i wouldn't be surprised if the acne was still there. I also use MD Forte II cream at night. It contains a good amount of glycolic acid. Helps with acne as well as wrinkles. Other than this, i no longer use any acne medication, my skin cannot handle them anymore.
The best advice i can give you is stop obsessing over acne. It is not an easy thing to do but you know you are not alone in this.
I can't say enough good things about spironolactone. If you are a female and tried other meds without success, ask your dermatologist about spironolactone.