[Acne] Please help me. My back acne has caused me misery and shame for ten years and I need to do something about it.

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I've had acne on my face and back for about ten years now (I'm a 23 year old woman). I've managed to reduce the acne on my face a lot and now just suffer from hormonal acne and mild rosacea.Pics here.The acne on my back is just awful. I feel so ashamed by it, I always keep it hidden even from my family and my SO. Aside from how it looks it is extremely painful and a lot of the time I can't even wear a bra because the straps hurt my shoulders so much.I had really long hair and thought that might be irritating my shoulders so I cut it all off and that hasn't made a difference at all.As a teenager I tried every prescription drug the doctor would give me and lots of different creams and gels. Nothing worked however I will admit that as a teenager I wasn't very good at keeping to a routine and I think perhaps I could have done more.I have a healthy lifestyle (I don't drink or smoke) and I'm fairly active. I'm not currently applying anything to my shoulders and just wash them in the shower.The only thing I am not willing to try is accutane.Please help!
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Submitted by cedarseng