I was called Pizza Face in school. Assumed to be unclean, a heavy fast food eater, greasy, always touching my face. It was always my own individual fault that I had acne and not sebum production that I had little control over. I was so ashamed of my face I'd try to hide my face when talking, placing my hand in front of my chin, looking down, trying to wear discrete concealer (a nightmare for a closet gay boy trying to act masculine). I tried every cream going. Once I drank about 7 litres of water hoping I could flush acne out. I wrote a diary of every thing I ate, constantly monitoring fast food intake. It made no difference. I then went on Roaccuatane and it cleared up. My eyesight isn't great. I was warned this was a side effect at the time. I ignored it.