Speaking as someone in their 30's I'd like to quash the myth that spots are something confined to the teenage years. I have a number of friends around a similar age who are still plagued with breakouts even now. If fact my mother in her 60's also has breakouts from time to time. When i've spoken to my doctor about it he has just said it's hormonal and or impurities coming out. If you've ever noticed on tv people with substance addiction etc have truely awful skin. The best advise i was given was plenty of water, fresh fruit and veg and avoid to much sugar especially in hot weather