adult cheek acne

hi there, Im at the end of my teather- i will try try anything to get rid of this embarassing affliction!...
Im 30, female, have had acne since i was 15.
I used to get it on my forehead, then it spread to my whole fce. I was put on dianette for 5 years- i was the most beautiful girl at school, at uni- i looked great. i was a bit fat (65kg/167cm) and had bad mood swings.....so i decided to stop after uni....
then i lost weight, my mood settled greatly...but my acne returned.
i dont want to put weight on and more importantly i want to keep control of my mood- so i wont use the pill again ( i have tried others which dont fix the acne but give mood swings- no hormones please)
at 27 i was at the end with it- it was really ruining my life- so i went on roaccutane...
no side effects apart from every square mm of my body was extremely dry. it dried my spots too i was cured!....
til now- i was on max dose for the max time..... now at 30- they are back- but in a very specific place...

absolutely symmetrically along the lower border of my zigomatic arch ( cheeck bone) and sometines big painful ones on the apples of my cheeks too.
thy are 2-3mm across, start as a small red swelling under the skin..by the next morning its a big shiny red spot with a white head- very turgid.ill sqeeze it hygenically and it will scar for 2-3 months. i get some black heads around my eyebrows and nose but i can deal with thaat.

I guess i have overdeveloped sebaceous glands at my cheeks- but why?

it gets worse before my period- so i know its prob hormonal.

I have tried agnus castus with a detox plan and a slightly acidic diet ( as i was apparantly alkaline)
i drink caffeine free tea all day, as i love warmth and hydration.I dont really have a sweet tooth. I can binge eat esp around my period.
my face generally looks best first thing in the morning- even though i may have a new spot- by the time ive showered the redness of the scarring and healing o
r erupting spots appears.
my periods are regular and not really painful.
i have taken to sleeping on my back which is the only thing i have found to ameliorate it slightly.
i go for regular facials and the beautician says my skin looks asphyxiated (thanks!)- so i try to go 2-3 times a week to sauna/steam room which helps ( temporarily)
my general mental set up is quite strong, i feel unsatisfactorily
-looking in my husbands eyes but hes very supportive- im just quite embarassed about my face- im still confident, but i know i would be more relaxed that my husband was satisfied if i had no acne.
i like to be warm
i swing between being moody and mild- im quite changeable i think. i always try to pull myself out of negative feelings on my own- i dont want to depend on anyone for my happiness.
i feel alive in a thunderstorm
im very sensitive to noise/high pitched noise or unnecessary background noise eg. tv
my fears are my husband cheating on me or finding a soul mate in someone else because im ugly or moody
i sleep ok mostly- not fantastic but usually 7-8 hours- sometimes i have anxious dreams or cant sleep cos im planning someting in my head.
my hunger is a little bit excessive, but that might be winter..?
i love chillis- i eat them almost every day- fresh green or red ones- is that bad for my acne?
stool usually fine but can be in hard little round pellets or too soft depending on if ive not eaten enough fibre or ive been out drinking, i can get flatulnt( esp with fatty food or red meat) quite easily.
my sexual desires are well looked after usually, but im probably more on the oversexed than undersexed side.
diseases in my family-
acne, high bp (dad)
breast cancer mum
IHD granparents
diabetes i uncle
diabetes ii auntie

I eat a very balanced diet- i dont exclude anything (apart from lactose- i drink lactose free milk)
i ecxercise 2-5 times a week- cv and weights.

I am of north african descent, am a healthcare professional from a medical family.

ok im sorry this was such a boring rant, but my last visit to the doctor ended with her telling i would hve to live with it as there is no cure- i was really upset- how long can this go for?!!

any suggestions specifis for my need much appreciated