"the only reason why i didn&#039;t give this birth control the lowest rating possible is because minus the terrible side effects, you won&#039;t get pregnant. while on this birth control i had terrible acne all over my back, face and neck. sometimes i would even get a pimple on my leg or arm. terrible! on top of the acne i looked really bloated and had gained close to 10 pounds. removing the implant was the best thing i could have done. i am now currently taking ocella and have been for the past 3 months. since i started ocella my back has cleared up completely along with my face and neck, and i am back to my normal weight. people even have told me i look thinner! the only good thing about the nexplanon is it&#039;s effectiveness and its good for 3 yrs."