So I can relate to your son. I had acne all of my life throughout preteen to teenage years right onto my adult life when it got worse. i tried everything. I was so frustrated that I would hide my face when talking to people. It was embarrassing. As an adult my face broke out so bad sometimes it hurt to touch it. Nothing helped. Eliminating wheat products helped a little, avoiding too much caffeine also helped. But I recently spoke to a hairdresser of all people who suggested some things. And they have helped. So here they are. If you choose to go the medicated route just remember you will have to use them for a really long time. Most likely though they will not work. If you don't have luck with over the counter then most of the prescription stuff won't work. Except perhaps accutane but that is harsh and expensive. So here are the suggestions:
1. Have yours son put a t-shirt over his pillow at night. Change it everyday just like he does his clothes. Never use the same one. You can do this with pillow cases but t-shirts are softer and less expensive so you can buy a bunch just for his pillow.
2. use Noxema to wash his face. Put it on before getting in the shower leave it on for like 5 minutes and then rinse it off. Don't use a wash cloth on the face as this can irritate the pores causing them to produce more sebum and making the break out worse.
3. Keep the face moisturized. I know I know but my kids face is already oily. Thats because it is dry. If you keep the skin moisturized the pores will not have to produce as much nasty oil which in turn will keep the pores open. I use vitamin E oil to moisturize. It isn't super greasy and it is great for the skin. I put it on when I get out of the shower 2-3 times a week.
4. Only use spot treatments when the break out is super bad. Otherwise let it heal on its own.
5. Go ahead and remove those black heads. Go to a spa and have them do an exfoliate and black head removal. That way the pores are empty when you start doing new stuff. I recommend doing this when he is on school break as this will most definitely make it worse before it gets better.
Tell him not to stress out. It will go away especially once he starts dating

But I can't stress enough moisturize, moisturize, moisturize. Never scrub the face as that irritates it.
Good Luck and hears to a clearer face
