Oily skin with blackheads and whiteheads is common and occurs when pores become clogged with oil and dead skin cells. If prescription treatments have not suited you, it does not mean your skin cannot improve, but it may respond better to a gentler and more gradual approach. Start with a gentle skincare routine. Wash your face twice daily with a mild cleanser. You may try over-the-counter products containing salicylic acid, which help clear blocked pores. Avoid harsh scrubbing, as it may irritate the skin and increase oil production. Use a light non-comedogenic moisturiser and apply sunscreen every morning to protect the skin. If strong treatments like retinoids or antibiotics were not suitable, a dermatologist may try lower-strength options or alternatives such as azelaic acid or carefully introduced topical retinoids. In some cases, procedures such as professional comedone extraction or light chemical peels can safely help clear blocked pores. Avoid picking or squeezing spots, as this may cause marks and scarring. A diet with less sugar and highly processed food may also help some people. Since your skin is sensitive to treatments, a personalised treatment plan from a skin specialist is often the most effective next step.