"i have nodule like hormonal acne only on my chin that started when i was around 21. i&#039;ve tried a lot of medications and it seemed a short course of antibiotics or birth control were the only things that seemed to help. in october 2014 it got very inflamed and painful so i saw a dermatologist.  she put me on solodyn (antibiotic) for 3 months only and then ziana gel. i will be honest, ziana definitely makes your skin worse before it starts to make it better. the drying i experienced was minimal but it truly made my skin &#039;purge&#039; like i had read it would. it got so bad and red that i wanted to cry and curse ziana, however, after about 2.5 months it started to get better with no more breakouts. just be patient!!"