What is the best treatment to reduce acne and scarring? I've tried Aldactone and doxy with little improvement. (photo)

Hi there!  
Your situation seems most consistent with adult female acne (life truly is not fair) which can be very hormonally driven.  For this condition, aldactone is considered very effective, although not without side effects.  Fortunately, the cancer risk seems isolated solely to rats given huge doses of spironolactone and has not been seen in human consumption.  I frequently cite an excellent study with 74,000 patients that saw no difference in cancer risk between those treated with spironolactone and those that did not get spironolactone. Granted it was in a different clinical setting, but still very informative.  (Google 'Spironolactone use and risk of incident cancers: a retrospective matched cohort study')
Otherwise, topical medications such as Aczone and Onexton are useful in this clinical setting.
Another effective option in adult female acne is the use of combined oral contraceptive for acne purposes.  
All of these treatments have their pluses and minuses, so it can take a bit of research to figure out which one will work best for you.  But there are options.
I hope that was helpful!