>skin keeps getting worse by the day I actually want to kill

Just take female hormones anon

>>38788900
I know that feel anon. Have had body (plus some facial) acne for 15 years. Currently KHHV at age 26.

>>38788900
I have been washing my face twice a day with a 2% salicylic acid cleanser which I swear is only making it worse

>it literally hurts to make different facial expressions

I can't even look at my reflection in disgust without physical pain

>>38789432

twice a day is a lot anon. try using it once daily and a more soothing/moisturizing cleanser in the morning. dry/irritated skin is just as acne prone as dirty/oily skin. alternatively, try benzoyl peroxide. drink a shitload of water, that always helps.