"i am 46 and have had moderate adult acne for several years. in the past year, it changed to cystic acne and was getting worse and worse. my dermatologist prescribed aczone and i have been on it for a little over 2 months. i have noticed no improvement at all, in fact the problem has worsened. just when it looks like things are clearing up, i will get another cyst in the same place as before, making the scarring worse. i have given up on aczone and will be starting accutane/isotetinoin in about a week."