Try black currant oil....you can get this at Vitamin Shop or any healthfood stores, it comes in pills....about 1000mg a day. This should help. Also, check all the things you use on or near your face and hands. I use Aveeno Baby Wash ONLY on my face. That's it. I too tried all the topical stuff from the derm, even Accutane (which made me horribly depressed). I found that the less stuff I use the better I am. For moisturizer I use Aveeno Baby Lotion...it has no fragrance or color and soaks in well. Burt's Bees has a Wild Lettuce soap and Garden Tomatoe toner that are ideal for skin that breaks out. I use those two in the heat of the summer.