this sounds like a complex problem. your current treatment regimen sounds appropriate. one issue that may be getting overlooked is your overall hormonal status. changes in your hormones may contribute to adult acne. your physician should evaluate your hormone levels and functioning.
i am 56 years old. i have whiteheads blackheads and adult acne. nothing seems to help. do you have any suggestions? . i have used proactiv for many years. i now use prescription tretinoin + 0. 025 cre. i walk 6+ miles every day so i sweat a great deal. i wash my face at least twice daily.