I am 43yrs old i still get acne what can i do to clear my skin im feeling very ugly?

Serious Rx: Since topical benzoyl peroxide has not cleared you, you'd do well to get with your personal physician. Options will include topical clindamycin, a systemic antibiotic, a topical retinoic acid derivative, spironolactone, and the oral contraceptive pill. Acne is manageable until it self-cures; i was able to stop taking rx when i was 50. Best wishes.

A few options: For over the counter methods try using products that have benzoyl peroxide, salicylic acid, alcohol, and acetone. For prescription treatments you may be prescribed antibiotics, retinoids or vitamin a derivatives, azelaic acid, oral contraceptives, or spironolactone. Always ask a dermatologist about the possible affects and the risks vs benefits of each treatment. Make sure it's best for you.