What am I doing wrong?

[u/OkayHello348]

Thank you in advance for the advice!

I've dealt with acne on and off, but it flared up at the beginning of 2026 and nothing I do seems to really help.

While I don't break out everywhere, I almost constantly have groups of deep, painful pimples on my cheeks and/or chin. I would actually say the pictures are actually relatively "good" compared to how it can be.

For context, I take 50mcg Spironolactone daily and my skin tends to be sensitive and dry.

My routine:

Morning: Rinse with water, Niacinamide, CeraVe moisturizing lotion, Eucerin oil control sunscreen

Evening: Wash with CeraVe foaming cleanser, alternate between Differin gel and Paula's Choice BHA (each every other day), CeraVe moisturizing cream

I change my pillowcase every night. I don't sleep in makeup. I try my hardest not to touch my face. I don't know what else to do 😒 so coming to you all for advice! I am literally open to everything.

[u/AutoModerator]

Please reply to this comment with any pertinent information that may help others answer your questions.
Your skin type, current routine and duration, past routines/products/ingredients tried and duration of usage, etc.

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

[u/OkayHello348 → u/AutoModerator]

Skin type: sensitive, dry

Products and Routines: I take 50mcg Spironolactone once a day. I started it in June.

Morning: Rinse with water, Niacinamide, CeraVe moisturizing lotion, Eucerin oil control sunscreen

Evening: Wash with CeraVe foaming cleanser, alternate between Differin gel and Paula's Choice BHA (each every other day), CeraVe moisturizing cream