I'm middle-aged and still have breakouts. (Will it ever end?) I've found through the years that salicylic acid seems to be the product that helps my complexion the most. The Obagi Clenziderm contains 2% salicylic acid, which is the strongest version I've seen OTC. It makes my face so clean and the menthol gives a cooling sensation. I won't use this daily because it can be a little drying. I will definitely use it a few times a week to keep my skin clear. It works fast. Recommended