acne 😕

I've been going to a dermatologist for who knows how many years now. I was prescribed a medication which caused my legs to have a blue tint to them so I had to stop taking it but it actually worked. After that I went through many medications and am now spironolactone. My face has honestly gotten worse. I go back to the doctor next week but the last time I went they said they might not have anything else to help me. Does anyone have any advise? I feel so ugly. I don't even see how my boyfriend is with me still considering how bad my face has gotten. I use biore charcoal face cleanser to clean my face and I had a medicated gel I put on the bad spots every night before bed.