I here ya! I'm 40 and had severe cystic Acne as well.
I came across a website 3 months ago that changed my
skin forever. Here's an excerpt:
" To cure your Acne once and for all you need to stop looking at your skin as the problem. We at acnecured.com will show you that contrary to popular beleif Acne has nothing to do with your skin...It however has everything to do with what is happening inside your body. Your skin is essentially only a feedback mechanism for your internal health. If your skin has acne and is not healthy then you need to look at your system as a whole".