Andrew,
My story is much like yours. I'm 22 and have had acne since 15. Very bad a times. I have been on accutane 3 times and just about every other antibiotic you can think of. Try this skin care regime. My face is finally clear.

1. Bactrim, aka Septra (the only oral medication that has ever worked for me)
2. Cetaphil Face wash morning and night
3. Clinique 2.5% after shaving toner after washing face/shaving
4. Clinique dramatically different moisturizing lotion-apply after toner
5. Drink tons of water and try to eat healthy

I think this will work for you if you try it. Be sure to talk to your doctor about Bactrim-it was the only medication I had never tried and my last result