Acne that continues for several years, along with oily skin and visible pores, is quite common and usually happens because of excess oil production, blocked pores, hormonal changes, stress, genetics, or improper skincare habits. Since your acne is increasing despite treatment, it is important to continue regular follow-up with your dermatologist because acne often needs long-term and consistent care to improve. Avoid squeezing or picking pimples, as this can worsen inflammation, enlarge pores, and increase the chances of scars and dark marks. Wash your face gently twice daily with a mild face wash suitable for oily or acne-prone skin, but avoid over-washing because it can irritate the skin further. Using oil-free and non-comedogenic moisturisers and sunscreen can also help protect the skin without blocking pores. Depending on the severity of acne, doctors may prescribe creams or gels containing medicines such as retinoids, benzoyl peroxide, or antibiotics to reduce oil, bacteria, and inflammation. In more severe or persistent cases, oral medicines may sometimes be needed. Visible pores and acne marks usually improve gradually once active acne is controlled, and certain dermatological procedures like chemical peels, microneedling, or laser treatments may later help improve skin texture if required. A healthy lifestyle can also support skin health, so try to maintain a balanced diet, drink enough water, sleep properly, manage stress, and avoid excessive oily or junk foods if they seem to trigger breakouts for you. Acne treatment often takes time, sometimes several weeks to months, so patience and regular skincare are very important for better long-term results.