Cindy,
Sorry to hear about your son's situation, I am doing research at National Institute of Health (NIH) in Maryland on Biomedical research. My son has same situation as your son, but probably it is not as serious as your son. I prepared one solution which is specific for treating acne according to my medical knowledge on acne. The effect of treating is perfect. What you need do is just to wash the face for 10 to 15 minutes at first two or four weeks daily, then once or twice per week after. It will keep the acne free from face.
As I know, the basic ingredient in Proactive is Benzoyl Peroxide, the manufacture just wrap this acitve component into particles, they claim that it is easy to absorbed by the skin. As clinic report, benzoyl peroxide is not very effective on treating ance. There was a scientific report in 1992(Clin Thera 1992; 2:247-253), the treating effect (efficacy) of Benzoyl peroxide is even worse than Salicylic acid, Salicylic acid is 50%, but Benzoyl peroxide is only 28% on skin damage; for treating open acne, Salicylic acid is around 50%, but Benzoyl peroxid is only around 30%.
Even the new releasing drug, Adapalene, the clinic data show 38.78% significant effect after 8 weeks (Ind J Dermatol Ven & Leprolo 2003; 69(4):277-280 ).
If you are interesting, we could discuss further on this topic. I would like clearify here is that I am not business man, I am MD who is doing medical research for more than 20 years, and I am not happy on the manufactures who produce these kinds of products which already did not show much effective for treating acne long time ago.
In addition, as my clinical experience, if ance happen repeatedly, the dents will appear on the skin when the age is up.
Whenever I start a new patient on acne treatment, I emphasize that treatments don;t usually take effect for 6-8 weeks, or even longer. Anything that happens before then, good or bad, is mostly what the acne would have done anyway. That's why it's so important not to read anything into what is happening with your son two weeks into treatment. I realize this is hard, but it's vital. If he doesn't stay the course, he'll end up getting nowhere. The good news is that if he does work with his dermatologist, he is sure to do well, even if it means changing things, and waiting the number of months--not years--it will take to get the job done. In general, pimples and pustules do not leave permanent scars, just red marks that fade in time if left alone.
Take care and hang in there.
Dr. Rockoff