I am 27 and also suffer from cystic acne. I suffered with these lumps for a long time and finally had enough as they were really painful! I went to my doctor and he prescribed a gel to put on the areas effected. I have very oily skin and found this dried up the excess oil and has helped a lot. Its called Duac and contains Clindamycin and Benzoyl peroxide. Someone recently commented that i wasn't so spotty anymore (how nice of them!) so it must work! I also found when it was bad i would be washing my face a lot which made it worse as your skin produces more oil etc. The gel is quite strong though, the first time i used it i slapped it on wanting instant results but it REALLY dried my skin out and i went red for days so follow the instructions!!