Someone help me with my skinnnn

So I won't be able to see a dermatologist for a few months unfortunately and my skin is awful.. all year it was looking the best it ever has and just in the past 1 1/2 months I've been getting cyst's again, bumps literally everywhere, blackheads, whiteheads all of it. My skin is naturally oily but in the winter it's more combination, overall I'd label it as oily though. My products haven't changed at all, I drink only water throughout the day all day and my diet hasn't changed either. Right now I use a soft scrub brush thing that has a silicone exfoliating thing on the back, philosophy purity face wash, I use my custom curology cream, and I use a clean and clear acne moisturizer or it cosmetics moisturizer. I also use those zit patches that work really well for quickly getting rid of blemishes but I still get marks on my face and it doesn't prevent them from showing up again obviously. I was told by a few people that it looks like it's only really around where my mask lies on my face and the cyst's might be hormonal. I just recently started taking maca which is supposed to help eventually, I take a hair skin and nails vitamin which I'm stopping soon bc I started taking it around the same time my acne got bad and I take fish oils. I'm 23 and I look like a teenager going through puberty... What do y'all suggest??