"i have had severe grade 4 cystic acne for well over 10 years now. i only really get cystic acne on my chin and jaw line (the rest of my skin is immaculate) and i don&#039;t have these nodules constantly, just every month or so. my nodules were so bad and large that i would need 3 to 4 injections to bring the swelling down. my initial road with aczone was rough and truthfully did not work very well until i started to use it with other products. i still continued to break out and was losing hope, however aczone in combination with these 2 other products has worked miracles for me.  i use equate bp cleanser and alpha hydrox intensive serum 14%  (the best product ever) over the aczone 2 times a day and my results have been amazing."