How can I get perfect skin?

I've had a constant battle against acne for 4 years and it seems like its only getting worse. Currently, the skin care products I use are Mario Badescu acne facial cleanser, and anti-acne serum as well as clinique's dramatically different moisturizing gel and even better at least twice a day every single day. I never slack off with my skin care routine. My goal is to get to the point where my skin is completely clear and I don't have to wear makeup, but it's just not getting there. Should I go to the dermatologist and get an antibiotic? Any other suggestions?