Ortho Tri Cyclen completely cleared up my mild acne. It was great. Then I was on Mircette and Alesse which made my forehead constantly break out and I got occassional breakouts on my nose and chin. Now I'm on Ortho TriCyclen Lo which has been awful! I have mild acne on my face and it's given me shoulder and back acne. I've never had shoulder or backacne before!