I am 20 yrs old and have never had acne before about 3 months ago i started having breakouts i have dry spots cystic pimples on my cheak and forhead also small flat red marks that look similar to a rash nothing i use helps iv tried cutting out sugar and g

Some basics: First time emergence of pimples at your age suggests a trigger other than diet/usual hormonal issues.It could be related to a medication you are taking or a systemic health issue that needs to be explored/treated.Seek out a dermatologist with a practice focused on regular dermatology rather than cosmetic procedures. Exploring self treatment can delay needed care while you get into real trouble