My mom has severe acne scarring. At 24, I have my own scars, though they're not as severe. I had warded off scarring until I was 23, when high amounts of stress caused a bad cystic breakout. I had no access to a dermatologist at that time, which left me to fight a losing battle (and to scar). I once tried Accutane, but after just one week, I had severe muscle pain in my abdomen. My derm took me off the medicine, and I've never wanted to try it again. At this point in my life, I plan to eventually have microdermabrasion.