Good day Annarien. Getting breakouts and acne type lesions in your 40’s are unfortunately mostly due to hormone imbalance. Our skins oil glands are driven by hormones and even the slightest imbalance can put the gland in over OR under-drive. Another trigger for your breakouts might be more systemic. If we see inflammatory conditions such as acne lesions (especially the ones that takes very long to heal), we have to start looking at the gut. Dysbiosis is a state of imbalance at which there are a lot more bad bacteria is the gut compared to good ones. We, in an ideal world, should have 80% good bacteria lining our GI tract. Unfortunately, in the society we live in today and the food that we eat, this is impossible and we end up with dysbiosis. This imbalance causes loads of systemic inflammation that normally manifests itself on the skin in the form of inflammatory skin conditions (such as acne lesions, rosacea etc. ). To successfully treat your concern we need to tackle this from the inside out starting with a good probiotic supplement daily as well as an systemic anti-inflammatory supplements such as MSM or curcumin extract. Acnevelle is an oral supplement from Lamelle that has 2 main ingredients namely Zinc and Niacinamide (Vit B3), the combination of these 2 ingredients prove to be very effective in the treatment of inflammatory skin lesions such as acne. All there supplements are available at any of the Skin Renewal branches. Topical products, of cause, play a big role as well. I would recommend Lamelle Clarity range, combined with a potent hyaluronic serum to combat the dryness on the rest of the face. Best would be for you to visit one of the Skin Renewal branches so that one of our Medical professionals can have a look at your skin, do a analysis and recommend the most suitable products.