i had acne for many years into my 20's. if you have tried all the obvious and this is not a result of bad diet, hygene etc, you must get referred to a consultant dermatologist. persistent adult acne is nothing to do with diet or hygene, if there is not a hormonal reason or any other medical reason, the cycle needs to be broken. if you have had (as i did) all the creams, pills, lotions and potions, the very very best i had is a dramatic drug called ROACUTANE. it can only be prescribed by hospital. i saw Dr Martin Black at St Thomas's Hospital in London after years of doctors and hospitals. mine was only on parts of my face, nowhere else, but it had wrecked my confidence and life until it was cleared. nobody has to put up with acne and dont take any notice of people who say its food or hygene. get a referal from your gp - good luck!