I used proactive for the first time when i was about 15, didnt really have bad acne just a few pimple here and there, and i can honestly say it is as efective as any over the counter acne medication. Yeah it leaves your face smooth, but it can also cause harsh dryness, it did give me a break form breakouts for a while, but after a while i guess it just stopped working. Not all that great really not worth all that money. My friend has really bad acne and he started using it the same time i did and up to today he still has really BAD acne. your better off saving that money to get a professional facial which might really help to deep cleanse the pores.