For some people, it is the hormones going nuts during puberty. It is the junk food that is consumed... it is the lack of good personal hygiene... not washing hands and constantly touching the face and/or squeezing pimples further spreading bacteria.
Developing good habits can help. Using cleansers that are free from irritants can also soothe the skin. Constantly using antibiotics can diminish their effectiveness. Perhaps you have run the course with antibiotics.
I have had acne my entire adult life. It didn't begin to clear up until it was determined I had hypothyroidism. When I was put on the right thyroid medication... my skin cleared up, too. That was in my 50s. I tried everything under the sun for my skin... acid treatments, a form of dry ice, pills, birth control, applications... nothing worked.
You mentioned things you tried... what you didn't mention is how you eat and sleep. What do you consume that could be bad for you??? Are you into "fast foods"? Are you stressed out in your life??? Do you get plenty of rest and sleep?
Maybe you need to slow down a bit and take a look at what you are doing as well as what you are not doing.
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