For spots, the proactive mask works great. I had some fairly bad acne when i was younger and have a ton of different acne stuff from back then. I am now 23 and still get a few minor break outs from time to time. I have tried just about everything except accutane. That said, what works best for me is tanning 1-2 times every few weeks, cetaphil skin cleanser (great for people with sensitive skin like me) and the proactive refining mask. Hope that helps