This kind of acne requires intensive treatment over a period. Your doctor will treat you with combination therapy to control and cure the acne while trying to take care that minimum scars form. The treatment regimen for severe acne may include physical as well as oral and topical treatments. The options ay include- Isotretinoin, Oral antibiotics,
Oral contraceptives for female patients, Injecting corticosteroid in the lesion and
Surgical procedure. Let us look at them.

Acne / Birth Control Pill

For some female patients, treatment-resistant acne is caused by excessive production of hormones called androgens. With extra androgens in your system, your oil-producing glands go into high gear ­— and so does your acne. Several clues can help your doctor identify acne that may be influenced by hormones: acne that appears in adults for the first time; acne flare-ups preceding the menstrual cycle; irregular menstrual cycles; hirsutism (excessive growth of hair or hair in unusual places); and elevated levels of certain androgens in the blood stream.