I had a decent bit of acne on my face during the first puberty, but since being on T (I think I'm about 2 years in), it's only been cropping up on my arms and back, and once in awhile on my neck. For some reason, though it can be really severe on my back, I've only had one or two zits on my face in the past year or so. Prior to going on T, I only had problems with acne around the monthly horror (I was 25, so WAY past first puberty). So I guess you could say it got better or worse, dependent upon your definition.
SD