Question: Acne For 10 Years

Hi Dr Allem I really hope you are able to help. I've had acne for 10 years. I've tried most products, cheap to expensive such as Johnston & Johnston, Garnier, Neutrogena, Ponds, Vichy, Clinique,, the list goes on. I tried those products over a space of ten years for periods of not more than six months each as I know it takes about 3 to 6 months to see any significant difference. I have been using one dermatologist for that period as well but not consistently. Every time I have a serious blackout I would go back. The oral contraceptives I've been using are puromycin and its generics. It works for a while but over my monthly cycle I would get break outs and it would it would take another 2 weeks to clear and so the cycle began again for me. The pills were use in conjunction with Benzac and Differen gel. I was recently put on Bactrrim. When I did the research, it seemed like it was stronger than puromycin but I had the worst break out after only one week. I went back to my dermatologist and she put me back n puromycin again so stopped going. I then heard of a beauty spa were they steam your face and pop your pimples with the roots (very painful) along with that I was put on anon acidic diet. I have to go to the fracas every 2weeks were they pop my pimples every time. They ave me a face wash and cream as well as ascorbic acid and vitamins. I haven't seen any significant results with that. I am also worked bout the scarring relating to that. I haven't been on Accutane as I don't have severe acne but I need to get rid of these pimples. It's very frustrating. I take zinc supplements, a multi vitamin and drink green tea everyday. Have stopped as much sugar as possible and red meat. Please help.