Hi Dear, Welcome to HCM. Understanding your concern. As per your query you have severe acne on the face which can occur due to clogging of skin pores and due to accumulation of bacteria, sebum and dead particles in that. Well the symptoms you mention in query can occur due to many reasons like hormonal changes , excessive sun exposure , allergic reaction and oily skin . Need not to worry. I would suggest you to wash your face with face wash containing salicylic acid twice a day with cold water , after washing face apply cream containing azelaic acid twice a day. Drink plenty of fluids. You should apply clindamycin gel at night time. Take diet rich in multivitamins. If condition doesn t get well then consult dermatologist for proper examination . Doctor may prescribe antibiotics ( clindamycin ) along with retinoids , anti inflammatory and corticosteroid cream . Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari