redwino have you tried anything that sfy suggested. I am having similar issues with my skin. It all started when we moved and the month I turned 36. I stopped taking the biotin too even though I think the issues are unrelated since they started before that.
Why am I having acne and break outs at 36 when I didn't have them as a teen? Get it together skin.
Adult acne is the suck!
I was on the pill for 10 years so that made it non existent but when I stopped it came back. Now I have a few scars on my cheeks ugh.
I'm actually getting another facial on Sunday (my last one was a few months ago) so I hope she has some good advice that helps long term.