Anonymous wrote:My 17yo daughter has been on Tretinoin and Aczone for about three years and they seemed to work for a while but things have gotten worse in about the past year. She is very embarrassed about it but seems (to me) to do nothing about it. ?
I booked her for an appt at the dermatologist but we cannot get in until late Jan. But am just wondering: what would the next steps be, medically? I mentioned birth control to her but she was horrified and said she would rather just have the acne on her face than have her hormones controlled.

I just do not know what to do.
As an aside, if this contributes, she, while also fit and an athlete, also eats junk food constantly at her part-time job and then squirrels it away to eat at school or at home, and feigns ignorance when I tell her that diet is probably contributing to the acne. Is this actually true, or is this outdated advice?
Thank you.