Mod edit: Moved to general acne discussion forum

looks mildly cystic, which is not a good thing

go see a derm, there are options you have w/ antibiotcs and topicals, sulfur helps a lot of people...and of course there is accutane, and there are laser therapies that can be effective, but expensive and typically not covered by insurance

so get an appointment

in the meantime, clean up your diet if you haven't- try to ditch dairy and/or wheat for 30 days and avoid processed foods and minimize sugar...you can also try the acne.org routine although for cystic acne you may need more

you have options, but get an appt with a derm if you haven't...good luck to you and keep us posted