It's a valid observation - not a joke. Why do you assume I'm not quite familiar with cystic acne and hence the need for help? I had the EXACT SAME THING at age 16-17 due to a hormonal imbalance and due to working at Burger King on Sheridan Drive (grease from the fryers is a killer to the skin of hormonal teenagers). I was prescribed a drug to address the hormonal issues (can't remember which one) and Retin-A as a topical. The drugs are what does the trick as I recall... but it is a valid observation that help is necessary. I know this from experience. I understand the "pack" mentality of message boards, but the original comment was just a comment that people took offense to. I get it. My apologies. But, spare me the lecture as you have no idea what I do and don't know about this particular issue.