Acne for me started off by looking like a little face rash, but by 4 months in acne became a problem on my face and shoulders. Not horribly bad, like maybe mild acne. Some bad break outs here and there on the face. Shoulder acne was different. Some nights after bathing, I was like, "wow, omg, how the heck did that happen?" And then the acne would go away, then it would re-appear again, then go away again.