I understand your frustration and I’m so sorry to hear you’ve had to go through all of this with your skin. I would highly recommend that you consider going on to a supplement for your skin to help you control these breakouts and at the same time, go onto a topical prescription Vitamin A preparation for the affected areas. I suggest that you start using the Acnevelle capsules made by Lamelle and you should use a night cream or serum that contains a high Vit A concentration at night (there are really some great options for this purpose such as Skin Medica’s Retinol serum, or Skin Ceuticals Retinol 0.3 or Lamelle’s Evening Glow), and also I would add the Active Control Gel from Lamelle to use on the specific spots as they occur.