Thanks for all your pictures and comments, That is really helpful. I am curious to hear your long term results post all treatments. I have been using dermal rollers daily and have noticed minor results but nonetheless I can see improvements in fine lines and texture, so maybe that's a cheaper alternative to follow up, they cost less than $200. The theory is the same to punch small holes in the skin and produce the collagen to heal them. Might be worth looking into. I also had acne every month since I was 16. Every month 3 weeks of breakouts and one no breakouts - frustrating. Then I supplemented with Iodine and voila over a year now and no breakouts except here and there and tiny, really nothing. I only took the iodine pills for 4 months and not since and still no breakouts. It may not be the issue but it was hormonal for me too and iodine worked. I got a bottle from Kripps pharmacy in vancouver - ioplex-sr. It did get worse and then resolved. My sister took the iodine and started to break out so she stopped after 2 weeks so who knows. Iodine is supposed to make acne worse but it also helps the thyroid produce the proper hormones so maybe that's the key.
Thanks again for all your comments!