Treatment Resistant Acne - What To Do?

OK-I am 52 years old and still break out. I have tried everything-laser, dermabrasion,peels,antibiotics, 2 rounds of accutane, topical lotions and potions and every other product known to mankind.
I still have oily acne prone skin. I am at my wits end. Every doc has a different "treatment" and nothing seems to work. I travel quite a bit and break out just from sitting in airplanes. No matter how much I work out, eat right and use good skincare practices, I get zits.
I have drawers filled with retina A prescriptions, topical antibiotics, benz peroxide, etc.
My derm recommended hormones!! Says its all related to testosterone. I am a female and still menstruate.
Any thoughts? What really works? I have spent thousands and just want clear skin.


treatment resistant acne sucks.
i have a good number of people just like you in my practice.
its a matter of trial and error, but i think its really important to hit the acne from several directions.
hormonal treatment is a good idea. birth control pills and spironolactone will help. the other thing to consider is photodynamic therapy - a blue light treatment with a light sensitizing topical treatment. getting the acne under control with extraction facials is also a good idea.