I pump my face full of cleansing chemicals twice a day, bloody spots won't shift. You get a pill from the doctor to sort it, but any effect it may have is temporary and gone when the subscription runs out. I'm 26, this should be clearing by now.
Have you looked at your diet? I can only speak from personal experience, but I'm your age and still get acne. On the rare occasions where I leave my normal eating regiment, I will always get a spot or two after two or three days. But while I take care to eat properly and cut out ALL the crap. I clear up and never get anything.
As for me, no real health issues except difficulty with sleep. And I hate that we age. Not death, I can't imagine how being dead could possibly bother me. But I hate looking forward to the constant decay ahead of me.