"i&#039;m 23. i always had small mostly unnoticeable blemishes. just before my 21 birthday i got pregnant. so my hormones must have changed. i started getting larger pimples with redness, and the breakouts seemed to itch. i went to the dermatologist and she put on a regimen that includes aczone 2x a day, along with differin gel after at night, and ampicillin 2x a day, and i wash my face with cerva. though i&#039;m in the &quot;worse before better&quot; stage i have to say i like the aczone. i have extremely sensitive skin and i have tried many things that result in dryness, redness, peeling and burning. with aczone i don&#039;t get anything like that. there&#039;s a slight itch that lasts for about a minute. just remember only a pea size amount. cerva lotion is good at night."