I dealt with moderate cystic acne for about 5 years (about 16-21), and then had regular non-cystic outbreaks for another couple of years. Antibiotics (tetracycline) didn't help much in my case. Salicylic acid did help quite a bit, but it seemed to make the epidermis thinner and dulled the nerves in the area for months, even after I quit using it. I eventually just grew out of acne as my hormones calmed down. Whatever you do, don't take Acutain--I have heard way too many horror stories about negative side-effects to have ever tried. Just remember to not let it get to you too much. Your attitude and personality are at least as attractive to others as your appearance, so don't get too upset about skin problems. I was shocked when I learned from a few people how many women were attracted to me but afraid to date me because of my anti-social behavior. I would have had a much better adolescence if I hadn't let my skin get to me. Anyway, PM me if you have any questions or want to talk about it.