"i&#039;m 22 years old and have some hormonal acne thats often cystic and painful. i went to the dermatologist and she recommended finacea and doxycycline (for the first two months until finacea became more effective) i didn&#039;t have horrible acne to begin with but it was just annoying huge ones that would spur up from time to time maybe two or three at a time. once i started finacea i got little pimples along with cystic ones on my jaw line and chin area (where i had them before) but now i was also getting pimples on my cheeks and forehead. i am wondering if finacea makes acne worse before it gets better or if anyone else has found a solution for this/had this experience"