Hello Aaron
Thank you for your question. In addition to what Dr Winston has mentioned, you can consider changing the topical retinol (usually over the counter) to a prescription based retinoid such as retin-A. It can be applied every other night initially and you can gradually increase it to 5 to 6 times per week as tolerated.
You can also consider doing 20-30% salicylic acid (BHA) peels fortnightly. This is a safe chemical peel which is effective in treating oily skin, acne skin and comedones.
Oral antibiotics can also be given if you are not responding to topical treatments. Speak to your doctor to find out more!
Regards,
