Cystic acne ??

I’m really sorry for these gross ass pics but I’m honestly so ashamed I’ve tried every medication I’m currently trying accutane

But I just can’t afford a dermatologist atm they’re so expensive and I feel like I’m forever going to being trying different shit with the doctors. Some of my pimple are just little hard lumps that won’t pop and other are like a cyst. Has anyone else ever had acne like this before? I need major help

(I’m a very hygienic person, I shower once a day, try to eat healthy and drink plenty of water)