Honestly, I struggled with really bad acne forever, and it's very depressing. What finally worked for me, and I can't beleive I'm actually one of those people with good skin is this:
I get a facial once a month, by a good estatician. No cheap nail salon crap. I pay about $100 a month for a good facial, and I'm telling you it works. You don't have to do it forever, but for the first 5 months it really helps clean your skin out.
#2 Arcona face products. All natural, organic, and yes they really work. My friend works on celebrities faces' and she uses Arcona with them.
#3 Diane 35 birth control. But honestly, my face improved without it.
I've really been there. Did accutane twice, proactive, retine A. dry ice on the face. I really did it all and I never thought I would have good skin. But once i got facial and switched to good products I saw a difference. It takes about 5 months, but it works. My pores are even shrinking and my scars are vanishing, and people even say to me that I have nice skin!