I'm 65 and have always had the occasional breakout. Who knows why, hormones, lack of sleep, a bad food choice - whatever. However, about 6 years ago I started getting deep cysts, that although small - once present NEVER went away. First 1, then a second, then a third...panic! The dermatologist proclaimed it cystic rosacea gave me an antibiotic plus Retin A and informed me that it wouldn't do much good. He was right. Didn't help at all. Over the last few years I tried everything. Clarisonic facial brush, African Black Soap, 20 different brands of cleansers & treatments - none helped much. And then I tripped over this Mario Badescu Buffering Lotion. I'm on my second bottle and I'm delighted with the results. All of the newer cysts are totally gone, and the original ones are shrunken down to tiny lumps that are smaller every day. I couldn't be happier! I use it morning and night every day. I have zero dryness or flaking and recommend this to all of my friends with cystic acne problems.