Getting off birth control

I've been on birth control for 10 years (since I was 12) for acne. I want to get off of it because I’m worried for my health long term, but I’m terrified of my acne coming back. I tried to get off of it one time and my breakouts were completely ruining my life and giving me so much anxiety. I know there are oral medications like spironolactone, but don't know much about the effectiveness vs birth control. Has anyone had an experience switching? Also, feel free to give me any other advice you have about how to switch/what to do instead of BC.