I am 27 years old and have had acne since

Patient : I am 27 years old and have had acne since I was 15. Tried many different things to get rid of acne. Overall seems to be getting better (less breakouts) but when I do breakout they are huge inflamed cystic type acnes that take forever to go away. I have a picture of you would like to see. How could I quickly improve my complexion and hopefully prevent. I used benzoyl peroxide but I have given it a break today because it seems to only be making matters worse. Been to dermatologists before nothing ever seems to work.
Symptoms:  Cystic type acne
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