English is not my first language so apologies, I'll do my best and try to explain it.
...if I'm correct, that's your right cheek in the photo? what about your left cheek?
Anyway, I'm getting ahead of myself, but I'm going through a pretty similar phase of my skin right now. I've noticed you have also mentioned that you used to have pretty clear skin, and from the looks of the rest of your face, seems like this is something new to you and you might not have experienced breakouts before. Typically when you ask the internet you'll get "oh, stress is definitely one of the factors. It could also be related to your hormones yada yada.." - I'm NOT saying ppl are wrong here, but if your routine is pretty much still the same without any significant adjustment in your life, it could have been the COVID19 vaccine. I know, call me crazy, but I've never had acne, in 24 y of my life. After a week I got the jab last year, I've noticed breakouts. every other week. Yup, regardless of the same routine I've been maintaining for years. So why now?
Reddit has a few posts about covid19 vax and acne breakouts, basically, in conclusion, both genders were answered with allergies/hormones out of normal range and stress, the majority of them just got oral prescriptions, gradually healing in like 3 months after taking oral prescription, but never able to identify what is causing it however.
It's been killing me not knowing what causes it, cause I'm going through the same rough patch as you, for almost a year now, have been on oral prescriptions but nothing seemed to have worked. I'm desperate, and frustrated and it really took a toll on my social life and my self-esteem has never been that low, so I tried to search for alternatives and home remedies, then I came across something called "Face mapping" , an ancient Chinese belief, and I thought, SURE! WHY NOT?
Now everything just makes sense. Each part of your face represents an organ/ organ system in your body, which is a reflection of your inner health. As such, breakouts are pretty much a moderate to huge warning sign - indicating which organ system you should be aware of.
https://www.healthline.com/health/face-mapping
e.g. i) Forehead, small intestine; ii) cheeks; (left) spleen, stomach & (right) lungs; iii) chin, hormones/reproductive system, etc,.
well, thinking of this, COVID19 vaccine is a pretty strong vaccine that targets your lungs and digestive system...right? It's no coincidence, and the natural remedy is to sleep early, do more exercise, more outdoor time, and eat more nutrient-dense foods, but 'white' fruits and nuts specifically, to protect your respiratory system, e.g. almonds (if you're allergic ignore this), radish and Asian pears, they help nourish the lungs and get rid of any waste products.
I'm not quite sure, but anway definitely look into it but I hope it helps!