Skin help!

This is my skin 😞 I am 37. I started getting hormonal acne around 32, never had acne in my life bc I have dry skin. Obviously.

My skin was great other than some spots on my jawline.

I just had thyroid checked bc I gained 50lbs in a short time & my skin got super dry & hair started falling out. So that may be the cause.

But it just suddenly has an awful texture! I am so insecure.

I have very sensitive skin. I’ve been to dermatologist & I use retin-a at night & haven’t noticed a change after 3 mo. I also use Aczone as a spot treatment.

Then Cerave pm facial moisturizer bc I can’t tolerate fragrance, oils, or sunscreen.

Anyone have any advice??? I feel so ugly 😭