Could your face just be detoxing? You might experience an intial breakout with the Retin A too.

You should consider getting colonics. Enemas only reach the lower bowel. If you have mucous, putrifying food, parasites, candida, etc....it can all be in the upper bowel or small intestine.

So if you can, you should strongly consider getting a series of colonics. It is really worth it. However, in the meantime, do you have mercury silver amalgams? They cause candida overgrowth, which causes acne.

You may want to try Oil of Oregano. It's not cheap, but much better than Antibiotics , and literally just as effective as Antibiotics at clearing Acne and killing acne-causing bacteria. Only buy the kind from the healthfood store.

Have you changed your diet? Cut out dairy, wheat, and sugar, get colonics, and try to get some oil of oregano, and understand that if you do have silver mercury amalgams, they can cause Acne by causing candida explosions in your gut. Acne is a puzzle; you'll have to really do your research and understand that you have to flush until you remove ALL stones; this didn't happen to me until my 8th flush or so, and until I had a series of 3 colonics, and removed my silver mercury Amalgam fillings. Now, I am clear and can eat whatever I want with no breakouts. As long as I maintain a clean liver and a clean bowel, I have no problems.