It really depends on the individual, but from my 1 year experience with Ortho Tri-Cyclen it actually made things worse for me. I've been on Desogen for about 10 months now and I love it. My skin looks much better, and my periods are really light and only last, like, 3 days. I don't have any breakthrough bleeding problems like I did when I started on BC with Alesse. Just my two cents, I'd go for the Desogen. Plus, it's monophasic, so if you need to skip a period you can do that with Desogen.

Okay, I'm no doctor, but I think it's definitely not true that ALL birth control helps your complexion. Everybody reacts to the different hormone cocktails differently. You just need to find one that agrees with you. If you're breaking out that badly from OTC I'd switch to either Desogen or Yasmin, which is also supposed to be good...and maybe see a different doctor if she won't believe that a BCP is breaking you out.

Was your skin worse before starting the regular Ortho? If you were clear before starting birth control at all, I'd say scrap it all and just go off BC. If you want to stay on I'd go back to regular Ortho or try Desogen or Yasmin.