I also went on Dianne for my skin (16 years ago) and it was fantastic. Because my breakouts are hormonal, when I went off it to TTC my skin went absolutely beserk. Those first few months were horrible. I'm now on antibiotics (oral but previously oral and topical) and a buttload of supplements (Vitex seems to have helped the most) and it's much clearer.
Proactiv also works well for me but it's pretty hardcore and not for everyone.
I'm with Kaytee on the diet factor, it's a myth. I recommend vitamins/supplements, a very basic cleanser and moisturiser (like Cetaphil), loads of water, exercise to get the blood flowing and a trip to the doc to suss out hormones if you think it might be the latter. There are some good topical antibiotics they could recommend - or refer you to a dermatologist.
Also...sorry, my thought process is all over the shop today...have you changed your skincare and/or makeup routine recently? Mineral makeup could be worth looking into...anything that won't clog your skin.
Mine has been shocking too hun. Usually I get one big one about every 6 mths and usually pre-menstrually. It will pop up, I will go - oh hi there you are after 6 months or more and then it will go. A few weeks ago a big one came, then went, then 3 more massive ones on my chin - they fade but don't go and ANOTHER one pops up on my nose, so big DH the other morning goes - "Oh hi pimple...I think it's waving hello at me" Ummm thanks DH it was huge though but all I can put it down to is a bit more stress than usual. I might try the witch hazel too because I don't use anything other than moo goo moisturiser on my face at the mo.
Long story, I have no suggestions other than to tell you a long convoluted story about me but my GF swears by that St Ives apricot scrub you can get at the supermarket and her face is always gorgeous.
Oh no I tried for two years to manage my skin by switching to natural products and drinking heaps of water but in the end I caved and it was cleared up by anti biotics and Pro active. I hate using those chemicals but it was getting me down so much. It works quickly which is a bonus!
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it was huge though but all I can put it down to is a bit more stress than usual. I might try the witch hazel too because I don't use anything other than moo goo moisturiser on my face at the mo. 
I tried for two years to manage my skin by switching to natural products and drinking heaps of water but in the end I caved and it was cleared up by anti biotics and Pro active. I hate using those chemicals but it was getting me down so much. It works quickly which is a bonus!
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