Please help me with my acne

I need your help with me and my face! Ever since I was 10 years old I have had zits, spots, nasty acne and I am now 22 years old and I am seriously getting sick and tired of this! I have tried everything under the sun to control to get rid of my spots, but every time and everyday it is a really big struggle to get out of bed! This morning I was supposed to start a new job, but because of my face playing up e.g. make up not covering up and spots are bleeding I called in to my temping agency and told them my car wouldn't start only to stay at home and sort out my face!!
I use OXY for face wash and moisturize after showering. I drink plenty of water, I have fruit and vegetables most days.
I live in the UK and I feel whenever I go away on holiday my face clears up and as soon as I come home all the spots come back again. And I wonder why this is? I know it might be down to the sun and in England we dont get much sunshine, so going away on holiday is always a nice thing because my face clears up and I don't wear to much make up, if any!
But as soon as I hit the ground of the England they come back, and I dont know why? I feel like pouring bleach on to my face and just getting rid of the skin I have, but I know I'm not going to do that, but that is how I feel!!!!!!

I wouldn't call my spots, spots..... They turn into nasty big red things where you can see the underneath layer I dont know how to explain it, hopefully my picture you can see what I mean... but they are horrible nasty things!!!

I can not take it anymore! I have seen a few doctors and they put me on medicine yeah it would work for a while but if he stopped prescribing me the medicine, the spots would come back, I really would not mind staying on medicine for the rest of my life, if it means a clear face!!!!
Please tell me what to do! I am going crazy and I feel like just doing nothing and staying in my home and not going out. My husband is in the USAir Force and is being deployed in about a month and I will be visiting family soon and the last thing I want is a face full of spots seeing them!!!
Thank you for your time

[Vanessa Lacuesta]

Hi,

I undersand this is frustrating.

Treating and managing acne depends on the severity of your acne.In your case,this seems  to be of the nodular type. Firstly, use only bland and mild cleansers. As much as possible use only cleansers or soaps that are clear and unscented. Most patients with acne have very sensitive skin and scalp.

Do you have any known allergies? Or do allergies run in the family?Some patients with acne may observe that their acne seems to recur given certain triggers like heat, dust, food intake, menstrual cycle, extreme stress levels. I suggest that you observe any triggers for this flare up. If you are allergic to certain elements like food and heat ,then try to avoid these as much as possible.Also, use mild toothpaste.Use the ones with low fluoride levels.Also ,use only very mild shampoos.

With severe acne, do not self medicate.Seek medical help.You may need to take some antibiotics and for really large pimples ,you may opt for intralesional steroid injections within the lesions.This will help the pimple subside rapidly and may even prevent scarring.

[loiloi]

Hi. I have answered your question in the acne forum.