I am a 47-year-old female with a fair complexiion. I used to have very oily skin, am acne prone and about 10 years ago took accutane (following 3 different antibiotics). Currently, my skin is completely clear except for constant small cystic pimple breakout on my chin. This is so frustrating. After all, I need botox on my forehead for lines. Do I have to have acne too? I read that acne on the chin in women is often hormonal. However, I have no ovaries! I had a hysterectomy and have no little to no testosterone in my system. I do supplement with estrogen. My question is, what to do? Accutane seems like overkill. Proactive dries my skin out and does not prevent new breakout or even treat the current one. Any suggestions? Words of wisdom?