"ii am 44, i got the mirena and developed horrible hormonal acne along my cheeks and jawline. i picked at it.  this caused a lot of red and brown spots.  after 5 months of trying all different sorts of otc acne medication and skin care routines, i finally met with a dermatologist who gave me some aczone samples.  this product is amazing. seriously. within 1-2 days all the bumps had diminished, and have remained gone except a few here and there.  i use 2x&#039;s/day- apply the gel on a clean face, add oil-free moisturizer, followed by an oil- free foundation (for day wear).  this medication doesn&#039;t bleach clothes, and doesn&#039;t cause redness or excessive dryness. so happy."