There’s a genetic component to acne – affecting the degree of oiliness of your skin, testosterone levels (male and female) that play a role, and probably a whole host of other individual details, e.g. skin flora, that you have no control over. I was a real pizza-face & so was my son. Severe acne also runs in my wife’s family. You can’t change your genes, but you can (do as I say, not as I did):
* Wash your face a million times a day. Embrace your inner OCD lol.
* Try various mainstream acne products (among those known to work)
* Get a magnifying mirror & budget a couple minutes a day for squeezing blackheads, little black dots (comedones) before they turn ugly. It hurts but goes to the root of the problem.
* Avoid excessively touching your face with your hands, such as the habit of resting your chin in your palm, etc. – often done unconsciously – or else wash your hands a million times a day, too. Similar to the bangs-forehead connection.
* Read up on acne vulgaris at .edu, .org, or .gov sites that have patient-oriented articles (use google to filter out dot-coms).
* See a dermatologist. Not an option for many people. In my day (the 60s) the dermatologist could do little more than squeeze a few blackheads & lecture me. For my son, however, there was Accutane. We saw a dermatologist in his teen years in the late 90s; one course of the expensive pills effected a near-miraculous cure. I wonder if it would have worked for me?
Btw, @kimchi, surely you are not literally “the only one with acne,” even if yours may be one of the worst cases. Keep in mind that being self-conscious will enhance your sense of how your skin compares with others. Acne is very common among a certain age group, but even if you were the only one with some skin disease, would/should people think badly of you for it? So you have acne. Do what you can & move on.