Dealing with persistent acne that appears deep under the skin and returns repeatedly can be incredibly frustrating and emotionally draining. What you're describing sounds like it could be cystic acne or a similar inflammatory type, which often requires a more targeted approach than typical acne treatments. Many people find that over-the-counter products alone might not be sufficient, and seeing a dermatologist can provide a personalized diagnosis and treatment plan. However, I understand the concern over cost and am happy to share some tips that have helped others manage this issue. Firstly, gentle skincare is crucial. Avoid harsh scrubbing or squeezing the pimples, as this can increase inflammation and cause bleeding or scarring. Instead, using products containing benzoyl peroxide or salicylic acid can help reduce bacteria and exfoliate pores. Introducing these gradually can minimize irritation. Additionally, incorporating a non-comedogenic moisturizer helps maintain skin balance. Sometimes, dietary and lifestyle changes can support clearer skin. Reducing intake of high-glycemic foods and dairy, managing stress, and ensuring adequate sleep have been linked to improvements in acne for many sufferers. If topical treatments are not enough, some affordable options include over-the-counter retinoids or considering prescription medications after consulting a healthcare provider. If seeing a dermatologist is an option in the future, treatments like oral antibiotics, hormonal therapy, or professional procedures such as chemical peels or light therapy might be recommended, especially for more stubborn forms of acne. Remember, you're not alone in this journey, and many people experience acne for the first time as adults. Connecting with support groups or communities online can also provide emotional relief and practical advice. Stay patient, practice consistent skincare, and seek professional advice when possible to find the most effective path forward.