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Okay, so a little background...I'm a male, 24 now, 25 in January. I had acne throughout high school and college, though in college it wasn't too bad and got a little better each year. Most of that time I was also taking acne pills to help control it. Then once I was out of college and started working in the real world in 2012, things got bad. It wasn't exactly acne and it wasn't exactly ingrown hairs, though both of those were problems. I shave with the trimmer part of an electric shaver since that has been the best for my skin in terms of breaking out. My problem is finding and plucking out hair follicles (I'm pretty sure that's what they are). I'm a bit of a perfectionist and probably have a mild case of OCD so whenever I see a pimple or bumb, or feel it (they sometimes hurt) I want to get rid of it so that my skin/face is even and/or the pain will go away. So I notice bumps and look at them very close and see something that looks like hair underneath (whether it's there or not) and think that if I can pull it out then it'll make it better after it heals. So I take my tweezers and try to get to the hair and usually it turns out to be the follicle. As I dig, the follicle becomes I guess separated from the skin in a bulb like way, so I dig around it until I can get a good hold of it and pull it out. This leaves me with holes in my skin and it takes a while for the scab to go away, but usually it just comes back anyway and I pick at it all over again. Most of this is under my chin and on my neck to about my adams apple. The skin on my face is actually pretty good with only an occasional pimple. I'm actually pretty good at not touching my face during the day, but once I see it, I can't stop until I pull it out. I get shots from my dermatologist monthly, but it doesn't seem to stick. She suggested Accutane, which I was going to do, but my mother was completely against it as soon as I said it. I have tried and continue to use Acnomel at night and I use it as a cover up type thing in the morning for the whole day. It helps a little, but it sometimes dries out my skin so much that I have to stop for a few days. It seems to help the scab, but not stop it from returning. I take a lot of the Vitamins suggested, like A, E, Fish Oil, etc, but they keep coming back. I feel if I could just get my skin to point 0 again, meaning good, I could be okay. But I can't get to that point. I have times when I get a good few days and think that that's the start of something, but then I'll find myself picking that night. There are no triggers either since I pick on good days. I've done the put something on it to cover it once I see it method and while that may work on that night, but it doesn't get rid of it and I eventually pick at it and pluck it. I don't eat bad and I exercise so lifestyle changes wouldn't be an issue. I'm at a loss for what to do. I obviously don't want to be on pills for the possible effects, but would if that's the only option. But Accutane is out of the question, though I would like to try it, I understand the objection. I don't know what else to do. I'm going to ask my dermatologist if there's another option, but I'm hoping someone is like me and has a solution. Sorry for the long post, thanks in advance for any help!