I've struggled with cystic/hormonal acne for a long time. I have many acne scars and I know they won't go away - clear skin seems unattainable at this point. I've been on two rounds of Accutane in the past and while my skin responded while I was taking the medication and a couple months after, my face broke out again with some lovely large painful cysts. I've tried so many things: tea tree oil, acids, retinoids, benzoyl peroxide - basically everything that has helped numerous people. But nope, my skin won't respond. I've tried to convince myself that looks aren't everything in life (and I realize they aren't) but I can't help but feel insecure anytime I talk to someone because the first thing anyone sees is your face. I can't "put my best face forward." It also feels worse because I'm a girl and we're supposed to be beautiful all the time (what the fuck is up with that?) and it makes me feel like I'm ugly and I'm gonna die alone. I wouldn't mind posting pictures of skin, it's just that I don't know what else can be done and asking for advice seems pointless.