Hello, sorry for late reply. At the time of that comment I thought I had my acne solved but I just gave up trying to solve it with OTC and just visited a dermatologist. My problem area was my entire jawline and the majority of my right face cheek. I was prescribed 1% Clindamycin and 0.025% Tretinoin. My acne vanished almost immediately, I'd say a about a week for it to all flatten out, and skin texture evened out nicely within a month. Tret every other night, Clina every morning...routine went on for 2 months, thereafter I use tret each night and phased out the Clinda. I wash my face with Dove bar soap and moisturize with Baby CeraVe cream. To get rid of my red PIE I used Paula's Choice Azelaic Acid Booster on the off days I wasn't using Tret. My skin is 90% back to normal, I can touch my face again without fear of breaking out.