When all else fails ... King says that if you're suffering from chronic cystic acne that's painful or causing a major problem in your life then you should definitely see a dermatologist. He or she can prescribe products to help, like antibiotics, or birth control along with other oral or topical treatments. Another option is to see an esthetician/facialist who can help set you up with a skin care regimen. True, a doctor's office visit isn't cheap, especially without insurance, but it can make a huge difference in your skin (not to mention save you from buying products that won't work and wasting money).
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