Extreme acne help?

I've had horrible acne since I was like....11. 3 years before I even got my first period. Now I'm 8 weeks ish pregnant and I feel absolutely hideous and disgusting. I don't know how anyone can stand to look at my pizza face.

I'm miserable. I want to look nice but instead I sit at home in my sweats because I'm too ashamed to leave the house.

What do you ladies do for acne?

I went to a dermatologist in high school and she couldn't get rid of it no matter what she tried, and most antibiotics made it worse.