 [ Symptoms ] what causes my acne  i have acne for 3 years now and consulted a dermatologist about it i had undergone medications like doxyxycline for 6 months ipl and facial treatment but the acne is still there what should i do now [ Disease ] i would suggest adding internal rotation moving the upper arm toward the body i e putting your seatbelt on in the passenger seat of a car with the right arm and external rotation moving the upper are away from the body i e putting the seatbelt on with the right arm while in the driver is seat exercises 2 3 times a week completing 1 2 sets of 8 12 repetitions using a very light weight 1 3 pounds you are correct to avoid any lifts over the head using a pressing movement but you could replace that with front or side raises with dumbbells or bands to eye level lat pull downs can be replaced with either bent over dumbbell row or seated mid back rows machines bands or free weights would be acceptable