Ortho Tri-Cyclen Lo worked for me.
I didn't get on it for that reason...and I didn't really expect it to change my skin, but it has. No more blemishes before my periods start!
I also have no breakthrough bleeding at all.
I guess some people just need a stonger dose of hormones than others.
However, I have read a lot of posts on this board from people who have tried OTC and OTCLo and have had a lot of skin problems.
It's just different for everyone.