I was on Roaccutane about a year ago... It really does work wonders... Had it on my face, back, shoulders and arms... was pretty bad too! Went on it for 6 months and after that you really could see the difference, my doctor gave me more supplies for another month and after that I would be finished. The doctor didn't lie... my face was spot free... was awesome!!! Although after about 2-3 months of being finished with the treatment my spots started coming back, no way near as bad as what it was before just the odd few popping up on my face and got a few back on my shoulders and arms but im planning on killing them suckers with the sun this summer! So my top will be off as much as possible! So yeah Joe... try and get o the Roaccutane treatment!