Still no active pimples on my left cheek! None on my chin. Right side of face has six or so active pimples and one healing in my eyebrow area. Lots of hyperpigmentation everywhere. Saw the dermatologist this week and she thinks this is as good as my skin is going to get and that I should try Accutane or Spiro. I think since there was a long adjustment period before using atralin every night my progress is also going to take a little longer. Instead of Accutane/Spiro I'm going to continue using atralin every night and slowly switch out aczone with Finacea to help with hyperpigmentation. Next month I have an appointment with my naturopath and I plan to discuss using Estroblock and weaning off of birth control (tri linyah) as I am sure that my acne is caused by a hormonal imbalance.