Help! Acne! 31 weeks pregnant

I have pcos and always struggled with acne but it’s so much worse since being pregnant. With my son my skin completely cleared up. I have overly oily skin yet my nose recently started to dry out, peel, is just so red. So much redness all over my face. Splotchiness and breakouts. It’s awful, I’m desperate. I guess with the dryness and oiliness both, you could say I have combination skin, lots of redness ( inflammation? ) what can help!!! Anything!! I’m so so so insecure from this. I feel disgusting!! Just seeing these pictures or looking in the mirror makes me want to throw my phone away, remove every mirror in the house and never step foot outside again.