There are times during a flare when my skin gets very oily and I notice more pimples. It's probably not acne, but if there's a connection, yes, I sometimes notice skin problems. (Skin problems I didn't have when I was a teenager, say.)
It's been six years or so since diagnosis, and early on I didn't comply with my meds very well. I was often off my meds. (But I smoked then, and I think it had an effect.) In hindsight, I probably should have been more compliant.
I often avoid my doctor, but I've always had one. You never know when you'll need one.