"i have suffered with various forms of acne since i was a child of nine years of age and i am now 54 years old. i had taken accutane for cystic acne and finished a course in 2013 when i started to break out again in small pimples in late 2013. i started periostat in 2014 and have not gotten any better. the pimples have gotten worse. they are all over my face, raised and hard. it looks like i have a rash. i am african-american and have hyperpigmentation so when every pimple heals it turns brown. my face is a mess and my dermatologist doesn&#039;t really know what to do. i take the pills twice a day and use clindamycin topical lotion all to no avail."