Hello, Thank you for posting on HealthcareMagic. I appreciate your concern regarding Acne and i will try to answer your queries in best possible way. Acne, as you must be aware is caused chiefly due to hormonal influence and clogging of pores and followed by infection and inflammation. It has tendency for recurrence and complications like pigmentation and scarring, thus mandates proper treatment at the earliest. Since you have got multiple treatment done for acne with no satisfaction I would suggest you to take an alternate opinion with a good dermatologist. In my patients of acne, I generally advise proper course of oral antibiotics (Azithromycin etc) with or without oral isotretinoin for few months. Additionally, I advise use of a cream containing nadifloxacin/clindamycin twice day and a gel containing benzoyl peroxide and adapalene for few months. Apart from home-based treatment, I also advise procedures like chemical peeling and laser and light therapy for patients having severe acne and associated complications like pigmentation and scarring. Use good quality face wash and a moisturizer on regular basis. Avoid junk food as far as possible and include plenty of fresh fruits and vegetables in your diet. Hope this will take care of your condition. I would suggest you to share your pictures in a direct question and if you wish to contact me in future for any question kindly use the following link: http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169 Thanking you Dr Hardik Pitroda M.D Dermatology