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Decades of Hormonal Acne and the Cysts Also Come Back in the Same Place; is Surgical Removal of Repeat Cysts an Option?

I've had hormonal cystic acne for 15 yrs;I'm 26 now.The cysts always come back in the same locations, esp. during my period. Been on Monodox for 3 or 4 months & it's stopped working.The acne/hyperpigmentation outlasted/were exacerbated by laser hair removal, aldactone, Retin-A, Dianette-everything but Accutane (& even then, I'd break out a little during menstruation). I want a revision rhinoin 6 months but have such thick skin I'm tempted to go back on Accutane. Is surgery the only alternative?

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