Orthotricyclen advertises (or at least they used to) that it helps control acne. I used to be on it to regulate my cycle, and it did indeed clear up my acne. I did get a pimple here and there, but for the most part, I had clear skin. I do remember my gynocologist saying, however, that other brands of the pill do the same thing. So I would talk to your doctor and tell him or her what you need your birth control pill to accomplish. Then given your medical history, your doctor can help you choose the pill that is best for you.
Good luck!