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I never had a serious acne problem, but my sister had it until she was 20 and at that point she finally took acutane. It was 6 months I believe, having to get her blood drawn once a month to see if she was pregnant and possibly also for her liver. Durign that time she would always have chapped lips and really dry skin, like I suppose most people. At one point she put a small piece of tape on her lip to hold onto it and it tore a piece of her lip off when she pulled it off. If you can tough it out it's worth it because she also looks infinitely better without acne, but otherwise I'd just wait it out. Puberty can still be in full force for people at 19 and that could be a cause I suspect.
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