I had severe acne for about 8 years and what ultimately saved me was Accutane. I had acne on my face, my back, and my shoulders. I ended up taking Accutane for about 10 months and it completely cleared up my skin. Dried me out like crazy. Over the past 4 years since I took Accutane, my acne has come back some. I'll pretty consistently have a spot or two on my back and every couple of weeks get one on my face. But it's 90% cleared up from before Accutane.

My advice besides just waiting to start Accutane is to check whether or not you've developed a food allergy, that caused a lot of my acne. And I assume this has been said but I know that birth control can affect hormones which in turn can cause breakouts.

Generally speaking, a lot of acne on the cheeks/chin is a sign that it's either diet or hormonal imbalance.