I started having comedones when I was 13. It was not something I took seriously since I wasn't really that conscious about my appearance. It may also be due to the fact that when other teenagers started having breakouts I was still relatively acne-free. My skin has become so oily, & that was the only thing that bothered me big time. The breakouts started when I was 15. My mom took me to a dermatologist then. I was prescribed with benzoyl peroxide 5%. It cleared my acne in no time. So I stopped using it since I feel that I no longer need it. It re-appeared after several months so I went back to the derm, & restarted the benzoyl peroxide regimen again. It became a cycle. I stopped the benzoyl peroxide whenever I'm clear, & restart it again when my acne comes back. I got used to it, I guess. I never took it that seriously coz it always responded to benzoyl peroxide anyway. When I started college, it wasn't as easy treat anymore. It still responded to benzoyl peroxide, but it took longer to see the results. I also started having cystic acne which I did not mind very much since it goes away with the cortisone shots. I also kept on changing derm, and each one seemed to have a somewhat different approach to treating acne. I was prescribed other topicals like tretinoin, isotretinoin gel, etc. But I have never really used anything on a regular basis. Bottom line is, I always stop whenever I'm clear already. It all started to change when I was 23. I've become too lazy to go to the derm and apply the topicals. I kept on procrastinating. When I finally went to the derm again, it was already too late. When my face cleared out, I noticed the presence of scars. Then people started to notice, and began commenting on it. I was painfully shy to begin with so imagine what it did to my self-esteem. From then on, I became very conscious of every cystic acne I get, & the scar it leaves behind when I don't get it treated fast enough. But, as I got older, I noticed that my skin wasn't as resilient as before. It scars more easily, and the pores are just so huge! After which, I felt embarrassed to go out. I stayed home all the time. I refused to see my friends because I don't want them to see what happened to me. I became practically a recluse. I was full of regrets. I kept thinking if only I've been more vigilant. If only I took more care of my skin. If only I didn't stop the meds. I felt dirty and ugly. I just wanted to disappear and never have to face anyone ever again! I wanted to wake up and have clear skin again. I wanted to meet people, date, have fun. But how can I when I couldn't even face myself in the mirror?