Dear patient, I really understand your concern. At first I m giving you all recommendations that will help you to prevent and care for acne: - Wash area with mild soap (Purpose or Basis soap) no more than two times per day. - Avoid oil-based makeup and creams. Use matte-finished makeup or pore minimizer. - Use facial cleansers and moisturizers such as Cetaphil and Moisturel. These prevent the skin from drying out. Benzoyl peroxide 5% lotion or gel may be used at bedtime to help open pores and kill bacteria. - To prevent scarring, do not pick lesions. - Avoid excessive sun exposure. Use oil-free sunscreen with SPF 15 or greater. - Stress can influence outbreaks of lesions. Practice routine exercise programs, stress management tactics, and other measures that decrease stress levels in your daily routine. - Physical activity is encouraged. - Eat a well-balanced diet. Drink 8 to 10 glasses of water a day to help keep your skin well hydrated. Cocoa and chocolate do not have an effect on the development of acne vulgaris. Also I would prescribe: - Topical tretinoin 0.1% (Retin-A Micro); use at bedtime. Apply 20 to 30 minutes after washing skin. - Erythromycin 250 mg four times per day after meals. Hope my answer will help you! Wish you all the best!