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Estrogen control is definitely what is needed. Aromasin would be even better to control it. I didn't lose the most stubborn bacne I had until I started using it.
I get the nasty, painful "bacne" also. They're not "normal" zits, they're huge, swollen, red and angry looking and extremely painful. I have recently found that keeping estrogen in check via adex keeps the acne away, just as Defmetal said. Maybe try bumping it up a little bit and see what happens.
When I get this nast acne, no amount of topical treatment will take care of it, these things grow from deep below the surface. It's not oily skin causing them, that's for sure.