Can I ask you what birth control pill your on and and i've switched or have just started a couple months ago? I never had bad skin before and then I switched to alesse and 2 1/2 months later my face went nuts (well right now) but is doing better, I just switched bc's again so i have to give it time. I went to the gno today to ask her about spiro and she had no idea what I was talking about but she said I need accutane! And really my skin was NEVER bad! So that just shows how many a wrong bc pill can mess up your skin :( Don't know if this is your problem or not just want you to check to see if maybe that could be a reason to why your face is breaking up again. Hope everything works out ok for you. I don't know if you have ever taken prednisone before (I am for a week) but I am already seeing an improvement and this is onl day one of taking it! I'm only on it for a week for a jump start and it is really working. Be/c my skin has been stubburn :( I was ver discouraged until today. It's 5 in the am here lol (can't sleep) and I looked in the mirror and have already seen an improvement.