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Severe blackheads/comedonal acne. How can this be treated? (Photo)

mister1986
I've had severe blackheads/ comedonal acne on my nose and cheeks for years. I've tried everything under the sun including salicylic acid, isotretinoin, accuntane and 4 sessions of fraxel. Any advice would be wonderful. Accutane seemed to be the best treatment but the blackheads/ large pores returned after use.

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