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What is this acne that I have?

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So im 26 year old, my skin is fairly clear i would say i have mild acne, and hormonal breakouts. However, my MAIN problem is that im constantly getting little bumps under the skin - kind of like clogged pores, or sebum plugs. A lot of the time i cant actually get them out until i go for a facial and have them extracted. They aren't milia, just kind of clogged bumps, ill attach a photo. Ive been using retin-a creams for over 2 years, that hasnt fixed the problem.. Also recently started including paulas choice bha exfoliant. Like i said i dont have severe acne or anything, but these bumps make me crazy and i end up picking at them and causing a huge mess. Does anyone know what can help with these?



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