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Home > Ask the Dermatologist > Questions & Answers > Answer Dermatologist Answers Online Search the database for your question: Adult Acne Question I'm 27 female. I have terrible cystic acne. I've tried Retin-A, Proactive, Antibiotics, Differin, Tazorac, spirinoloactone, birthcontrol, benzoyl peroxide, salycilic acid, benzaclin, and had photodynamic therapy, levulan blue light. nothing has helped...what do you think it could be? my skin has about 10 cysts at a time. and really bad scars. Answer It's difficult to say what could be the cause of such acneic issues. It sounds as if it may be a hormonal issue, as the treatments you have tried are not working. I recommend you speak with a physician about this. They may have to perform blood tests and such to see if that will help to determine the cause. Many of my acne patients see very good results from using the CosMedix product line. From this line I suggest cleansing morning and night with CosMedix Purity Clean. I recommend spot treating with CosMedix Clarity Serum followed with CosMedix Phytoclear as your daily moisturizer. I find incorporating daily supplements into your regimen are especially helpful in treating acne issues. I highly recommend using CosMedix Clarity Supplement. Please contact me with further questions. Meagan, Esthetician Add Comment » Purity Clean by CosMedix $34.00 Clarity Serum by CosMedix $34.00 Phytoclear by CosMedix $58.00 Clarity Supplement by CosMedix $30.00

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