I am currently on top of the old enemy.
I can't say for sure exactly what has worked for me because I have tried to attack from many angles, so it is probably down to the combination.
The motivation to try anything was the heart wrench of seeing my Daughter suffer from terrible acne and seeing Her stay in and quietly suffer alone.
After reading on this site I can see so many people that are looking for help and suffering.
I hope these may work for you:
Ok, I use only DK's Cleanser to wash with. This means actually lathering the stuff up and scrubbing with a clean flanel for a couple of minutes.
I than use the DK moisturiser.
When I get home I use a clear [Nutrogena] cleanser and take off the days funk with some cotton wool pads. DO NOT WASH until you have cleansed or you will just move the dirt into your pores or scars.
In the evening I run a fairly hot bath with Dead Sea Salts and a Vitamin E Radox Bath.
To help relax I put a few drops of Lavender oil in the bath and burn some using a candle.
That is my Hygene Regimen
I have been using about 700MG's a day off Niacin. Taken at meal times. I have switched to 1x500MG in the morning of slow release and 2x 100MG of straight Niacin.
This may cause flushing and I have felt tired and I may cut down on the Niacin.
I am also taking 2x Vitamin B Complex tablets a day.
I have just started taking Zinc and Magnesium as well.
I have cut out Full Fat Milk and cut down to a smaller intake of Semi Skimmed Organic Milk.
I have also cut out processed meats. No Pork or Ham or Bacon or sausage.
No white bread.
Increase in fruit intake, grapes, apples, berries, melon and lemon juice.
I hope this helps and good luck.