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I had the same problem, along with the self-consciousness about it. My dermatologist started me out on 2 different antibiotics that didn't really do much, then put me on accutane. Accutane has been kicking some serious ass for me, my back is acne-free at this point.
I'm now looking at scar-removing like derma-peel. We'll see how it goes.
But yes, first step is to see a dermatologist.
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