Hello, Thank you for posting on HCM. Acne, as you must be aware is pretty common condition caused chiefly due to hormonal influence and clogging of pores and followed by infection and inflammation. As your acne is not improving substantially with home based treatment, i would recommend you to go for complete hormonal profile and imaging studies as advised by your dermatologist and accordingly would suggest you other medications like estrogen/progestrone, spironolactone, cyproterone acetate etc if required. Also enquire about office-based procedures along with routine treatment. Enquire about procedures like Chemical peeling, Laser therapy and Blue/red light therapy from your dermatologist. Use good quality face wash like Fash foaming facewash and a moisturizer like Cetaphil DAM on regular basis. Avoid junk food and cosmetics on face as far as possible and include plenty of fresh fruits and vegetables in your diet. Hope this will take care of your condition. Thank you Dr Hardik Pitroda