To those of you who are going from doctor to  doctor, salon to salon looking for the acne miracle cure, here are a few  pointers to explain why your acne treatment doesn't seem to work for  you:
 1. Too high or unrealistic  expectations
 - Key thing to remember about acne is that it is a  MANAGEABLE skin problem not CURABLE. ALL ACNE CASES CAN BE ADEQUATELY  CONTROLLED. You can remain acne-free as long as you remain under appropriate  treatment but once you slack on treatment, acne may flare again. 
 - Improvement takes time... It takes at least 3  months to see good control of acne - it doesn't happen overnight
 2. Using too low dose treatment resulting in  ineffective treatment
 It's important to follow instructions about how  many tablets to take, how much to apply, how frequently, etc
 3. Medications having too many side-effects  reducing compliance
    - antibiotics giving gastric pains & nausea  or vomiting
    - topical creams which are too irritating  & cause too much redness & peeling
4. Intervention is too mild
For example, if you have severe inflammatory or cystic acne, don't hope for any miraculous improvements on topical treatment alone
 4. Intervention is too mild
For example, if you have severe inflammatory or cystic acne, don't hope for any miraculous improvements on topical treatment alone
5. Too high secretion of sebum on face diluting  effect of antibiotic
You may need to take Roaccutane
 You may need to take Roaccutane
6. Stopping medications too early or taking  antibiotics for too long a duration
      If doctor tells you to take it for 3 months,  please take it for exactly that duration. Too short duration leads to  ineffective treatment. Too long duration leads to development of resistant  bacteria.
 
 7. Too many clogged pores & cysts
    Physical methods of extraction removal may be  required
 8. Underlying hormonal imbalance esp for  women
     Please see your doctor for further  testing
 10. It may not be acne at all
    It could be some other bacteria if conventional  acne treatment isn't working for you. Please see the doctor for  review
 JUST REMEMBER, ALL ACNE CASES CAN BE ADEQUATELY  CONTROLLED, JUST HAVE PATIENCE & COMPLIANCE!