I have cystic acne problems, so it's been difficult for me to find a cleanser that works well. Basically, cystic means my breakouts are cyclical based on hormone changes, and they are always in the same spot. While my normal routine works great most of the time, once the cystic acne starts to appear, nothing ever seemd to work, not even a spot treatment. This product was a game changer though. It's very strong, so try on a small spot at first. Once applied, it dries and you leave it on overnight. By the next day, my breakouts were almost invisible, and now that this lotion is part of my routine, I can catch the cystic breakouts before they develop very large, and I have great skin all month long! This was worth every penny, and it lasts a very long time, since it is so potent. Just applying at night for 3 days a month and I'm able to keep my cystic acne in check.