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Hormonal acne marks help! pictures)

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Hi okay so. Im pretty fed up with my skin at the moment. I suffer from hormonal acne. I get my breakouts right on my monthly. Sometimes I get more than that but anyway, I dont know what to do with my chin area scarring and the red marks. I get blackheads SO easily and they just wont away. I just keep getting more and more. I have tried everything:
Topicals from dermatologist(s).
Clearsonic brush.
Chemical Peels
Oral Meds from dermatologist(s)
all of the drug stores products.
salicylic acid peels & creams.
benzoyl peroxide
ahas and bhas
etc etc etc. I can be here all day naming stuff ive tried.
Guess what im asking is, what has worked for you? any advice I maybe dont know about?
Any input will be much appreciated.
Thanks so much!!

Also have Milia or some kind of bump on my chin that has been chilling for years??


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It may be rosacea or some sort of perioral dermatitis... not sure though. I think perioral dermatitis is more red pink around the mouth. I have bright red marks from previous acne marks and BBL has helped with mine. Perhaps it’s hormonal and spiro could help 

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