Low self-esteem, acne sucks!

My acne has recently been getting EXTREMELY bad and it’s making me feel so terrible about myself☹️I literally don’t know what to do I try to take extremely good care of my skin and I almost never wear makeup anymore even though I want to so bad makeup is my favorite thing to do! I just can’t seem to find anything that works for me, I have combination skin and this is the worst it’s ever been. My self esteem is at the lowest point there is and I can’t stand it. What’s worked for you?