I’m so sorry for your troubles with acne starting since your teenage years. My daughter also has acne. With modern medicine, there is a solution to it if its effects are debilitating to your self-esteem. I had acne in my early 30s for two years. There was some change in my hormones and the change in environment that caused it. But that’s nothing compared to starting in teenage years for my daughter. She used Acutane that helped clear her skin.