Your best bet in treating acne would be a combination of treatments. Using each one to combat the build up of oils, cleaning your pores and shrinking your pores. My wife gets hormonal acne and has since she was a teen. Use OTC meds that contain salicylic acid, benzoyl peroxide and skin tightening agents. I’ll pop back in and post up what my wife uses when I get home. I wouldnt use accutane if you paid me and antibiotics can work but you have to remember what antibiotics do to your immune system and immune response. Also a good practice is to use cold water after thoroughly washing the affected areas. That will help to shrink the pores after they have been cleaned. Then use your treatments. To further the process along. Shit, this is turning into a longer post than I intended but I figured I would also toss out that my wife just saw a Naturalist Doctor and figured out that a good bit of the reason why she is experiencing such outbreaks is because her progesterone levels are actually too low in her body. If that’s the case with you, then you may have to find something to aide in raising your progesterone. Apparently as your natural test levels decrease and your estrogen begins to rise, progesterone begins to drop as well. Now I’m basing this off of a womans hormone balances but it could be the same. I just wanted to cover all the basic knowledge I have on the matter to give you some better insight and maybe some different avenues of approach here.