I have been to a dermatologist for acne for approx 4 years. I have been on every antibiotic know to man/woman and have had numerous peels, tried retin A, duac gel and then finally was on accutane. I was so upset about acne that my doctor even referred me to a psych doctor cause it was affecting my life so badly. Accutane helped and I don't break out anymore and my skin looks great....but there is a catch, I have developed Melasma within the last year. I can't win. I stopped taking birthcontrol around december and have been on triluma and have noticed a huge change, however, who is to say that the next time I go in the sun that it's not going to come back. It's not fair, what am I not supposed to go in the sun and get a tan ever....any advice or any good news, I could use a pick me up right now!