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well for starters i wouldn't wash your face more than twice a day. over washing can lead to dry skin. sometimes it will actually go the other way around, making your skin oilier because it feels it needs to replenish itself with the oils washing takes away.you could also try going on yaz (birth control) which helps with outbreaks caused by hormones. remember that you don't truly know how a product will work on your skin until about a month after you start using it. so don't give up on them so fast! they just might help your skin.  

hiyai no how you feel i've had acne since i was 10 and now im 15, and it finally starting to go ( fingers crossed ) if you go to your doctors and they agree that its bad enough, then you should be sent to a dermatologist for free.  this what happened to me, im now taking roacctune, but you have to take the pill, because it will deforme and kill the baby if your pregnant. there are quite a few side-effects, but its the best acne pill to take. If the side effects worry you then try swimming it dry's up my skin and tanningg beds help loads too for me personaly. and as your 18, and if your at you wits-end  you could consider  having laser treatment?Good luck with your acnei no its SO SO SO horrible to life withx

Here's the dealeo on acne. Trust me, I've had it REALLY BAD a few years back. Just listen to me.First of all, the first mistake a lot of people make is STRESS. While yes, I understand, I was there. Acne may cause you to freak out sometimes. It's normal, but you HAVE TO GET OUT THERE. You'll get used to it, and so will other people, they'll know that that's how you are. And you'll get comfortable with your skin, which will reduce it. If you really cannot face people, buy some sort of foundation that can help blend your skin tone and make it look a little more even. But remember, NO STRESS. It's scientifically proven that stress causes acne.Second, as what concerns products/topicals. I've tried them all! In this order: Oxy, Neutrogena, Proactiv, Clean and Clear and finally Neutrogena again. I haven't had much success with topicals at all, but you have to remember, the GOLDEN RULE.No matter what product you're using, you MUST USE IT RELIGIOUSLY. As in like, 2 times a day EVERY DAY. or maybe even 3 times a day if needed.(Also, if you're willing to spend a lot of money, you can get chemical peels or other procedures, but I would only recommend this as last resort)Finally, last but definately not least. The thing that HELPED ME THE MOST...Water. LOTS, AND TONS OF WATER!All I drank is water, and very rarely some sort of healthy juice. Water is what really saved me, even when you're not thirsty, shove a glass of water down your throat.Remember, you're not alone. Good luck.