"alesse is not an appropriate birth control choice to help with hormonal acne. one of the main causes of hormonal acne is a rise is androgens (male hormones) which you do not need more of if you are experiencing hormonal acne (jawline, chin, cystic). i did not realize that alesse had added androgens and went on it for just short of a month. needless to say my face, back and chest area have broken out worse than being off birth control altogether. i am sure this is a great birth control option for some but keep in mind that it is probably not your best bet if your main focus is to decrease your acne. hope this helps!"