Hello everyone, I hope someone can help me out. Ive been suffering with acne, scaring, hyperpigmentation and oily skin for 20 years. Ive tried so many things and nothing seems to help. For the longest time Ive had these pockets on my chin area deep below the surface. They are irregular in shape and seem to be filled with what looks like yellow puss, but it never comes to the surface.

Ive been on so many regimens including the acne.irg one which Ive been on the longest.

I went to see a derm who wanted to put me on accutane years ago and I said I didnt want that and he refused to help me if I didnt. I seen another derm who put me on arazlo (tazarotene) and azeliac acid but that didnt seem to help me much either.

the only time my skin cleared was when I was living in Vegas but I moved back to Michigan and my skin got crazy again.

my main concern is stopping these breakouts so I can tackle the scaring. I got a Dr. Pen but havent used it because of my active acne.

I dont know what these pockets are deep under my skin. Its hard to tell in the photo because i recently broke out again after trying the ordinary clarifying and balancing serum which I didnt think would make me purge but here we are.

I am 41, have oily skin red with scars sun spots and cystic acne. The elimination of dairy helps a bit but I still break out.

I am in showbiz and need to not look like a pizza face. I have to use heavy makeup to cover the redness but it doesnt cover raised zits or enlarged pores and scars as you know. I have ice pick scaring and box car scars.

im depressed and stressed about this. I hope someone can help me with what are these pockets of puss that are in irregular shapes under my skin, i see them espically when i push my tongue under them from the inside of my mouth. They are always there and never seem to want to come to the surface. I want them to go away. I want to stop breaking out so I can tackle my scars and even out my tone and texture.

im looking to change my routine. Currently Im washing my face with CeraVe acne control cleanser, using the acne.org BP and moisturizing with vancicream daily facial moisturizer for sensitive skin.

i am looking into the following regimen and looking at some Korean skincare products to incorporate:

AM routine:

1: gentle cleanser

2: BHA exfoliant (every other day to start then increase to daily)

3: serums to tackle concerns of aging and tone, Vitamin C, Peptide, Niacinamide

4: oil free sunscreen

NIGHTTIME:

1: gentle cleanser

2: BHA Exfoliant (if skin responds well to 2xs daily)

3: BP to breakout prone areas

4: Retinoid Treatment on days not using BP (3xs a week)

5: lightweight oil free moisturizer

looking at some Korean skincare products to do this.

does anyone have any advice at all?

I should mention I also occasionally use a high frequency machine at home which drastically reduces the amount of time I have a breakout. Its been a life saver especially for those deep cysts that havent come to a head but it doesnt seem to do anything on the irregular patches of what appears to be puss under the surface.

any help is very much appreciated!
thank you so much!