Boo to pimples. Bummer Onyx.

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.