For any reason skin care doesn't work along with mega dosing vitamin B5, then before any of you assholes try to get some Accutane (which I never will and ever recommend) get some Doxycycline as long as you have no allergies or adverse reactions to antibiotics and use 100mg a day for a few weeks. It targets the bacteria that causes blemishes but is only effective if you take care of you skin.
Instead of going to a dermatologist and spending money for a visit, Google fish antibiotics. You can get 100 capsules of 100mg Doxycycline for $27.00 without a prescription and it's human grade. You can put the pill imprint through a pill-id site and it will come up. The only difference is that it's marketed for fish and you are supposed to split the capsule open and pour the contents into the fish tank.