Thanks for writing to us.
You seem to be suffering from nodulocystic cystic acne
In such cases isotretinoin
acts as a wonder drug. It will not only take care of your acne lesions but would also reduce seborrhoea. It has to be given in doses of 0.5 to 1 mg/ kg body weight daily and should be given till dose of 120 mg/ kg body weight is achieved as at this level recurrence of acne is considerably reduced. Large cysts that are painful can also be treated by intralesional injection of steroid with or without antibiotic like lincomycin.
Dairy products are implicated in acne and hence should be avoided.
I would advise you to consult a dermatologist
nearby as isotretinoin is a prescription drug. Apart from that as general measure
Use anti acne soap to bathe and wash face
Get your comedones extracted regularly.
Use benzoyl peroxide
gel and adapalene gel locally over the lesions.
usually presents as severely itchy lesions in distribution of sebaceous glands like chest upper back etc.
Hope that helps. Take care.