Acne while pregnant?!

Marina • 💘Wife👰🏻Pregnant with baby #2🥰

Ok so since I was young I always suffered from cystic acne but about a year before I got pregnant my skin was so clear and glowy besides me having some scarring and I’m 13 weeks pregnant and I swear I look like I did in middle school/high school 😭so inflamed and breaking out in cystic acne soo bad!! Did this happen to anyone else?! How can I treat it without using harmful topical creams