Thank you for the opportunity to help you with your question!
Acne is strongly influenced by genes, and having a first-degree relative with acne increases your risk of getting acne by 4 times. While genes as such don’t cause acne they change the physiology of your skin in a way that makes you more likely to develop acne. They make you far more sensitive to dietary and other environmental influences.
With combination of internal and external treatments you can mitigate the effect of genes and in many cases completely clear your acne. So while you can’t change the hand you were dealt with, it’s important you play that hand well.
But there exists a real possibility that you may not completely get over your acne. And that’s why it’s importance to practice acceptance, and you to identify and work on the reasons that make acne so painful. This work alone can make a profound difference not only in the quality of your life but also on your skin.
Please let me know if you need any clarification. I'm always happy to answer your questions.