As of right now, I am on doxycycline and even though it's not for most people, it works for me. The only problem I really have right now is scarring and gross skin texture. In the past, what I did was apply a 10% benzoyl peroxide cream by Nature's Cure on my face (you can get it at Wal-Mart.) It was the only benzoyl peroxide I had ever come across that didn't bleach all my nice clothes (and if you're on SF, I'm sure this may be of concern to you.) Along with a Dermalogica clay cleanser, my skin got a lot better but it was only the pills made made the acne go away. Unfortunately, I was really busy at one point within the past few months and didn't take my pills for about a week or two and my face went downhill again. So there are upsides and downsides to taking the medicine. If you get pimples all the time, it's probably not the surface of the skin that's the problem, but there are still a couple things that might be of interest to you. For example, your dead skin cells are probably all over your pillowcase so changing it more often might help and if it doesn't, you'll sleep easier knowing that there aren't dead skin cells all over it. And I hear people use stuff around the house to treat their acne. For example, some people wash their face with baking soda, or they might make a 20 minute ask with lemon and sugar or honey. If your acne is bad enough, you might want to try it. I'll admit I did for a little bit. But not long enough to see if anything changed. Oh, and one last thing, I use a tiny bit of tea tree oil on my face every day too, and I don't know what it really does but my skin feels nice afterwards (If I don't use too much).