I'd like to say I've been cursed with bad skin, but I think on the 'non-medical' side, a lot of issues are easily fixed. I eat unhealthy most of the time, I don't drink enough water, I smoked for 23 years until a couple months ago and I always find myself picking at my face. When I change any of the above things, my skin clears up a fair bit.

For the most part, I think of it as my skin telling me it doesn't like what I put into my body