I've had hormonal/cystic acne since the day my brain decided "YOU'RE A TEENAGER NOW". I've seen a dermatologist off and on through the last 10 years. In my most recent stint, I was seeing my dermatologist regularly for ~10 months (up until I started Phyla). She had me on antibiotic wipes, and they had results, but nowhere near the results that phyla provided for my skin. The day the product line got to my house, I started using it regularly, twice a day. I use this product with Paula's Choice DEFENSE Antioxidant Pore Purifier (this I use in the evenings - I put it on after I've washed my face with Phyla's cleanser and before I put on the Phyla Serum). The results were almost immediate, for me. I am now about 1 month into using this product line. The results are fabulous, and I will swear by this product to as many people that can hear me. I still get breakouts, but the difference is that there are less spots, they are less red, and they seem to occur less frequently. This has made a HUGE difference for my Hormonal Acne. With the occasional cyst that I still get, this has not made a big difference in swelling/pain, but it does make a difference in redness/frequency (less red, less frequent). My before pictures were right when I woke up one morning, so bare with me in the "swollen" face difference. After photos & after video are taken on two different days (4 days apart).