Im a male 29yr that had, essentially my first acne breakout earlier this year. i had to take antibiotics and face cream. it cleared ip but have marks. im starting to see small bumps come again. what is causing this? never had breakouts before?

Sudden onset of acne at 29 years old is rare and it can be precipitated by some medications, hormonal imbalance as well as social or environment change. I wonder if any of these factors applies in your case?

Not too uncommon for Acne in females , but also in Males , to appear in the 20's . Need to continue with topical agents , eg. Retin A as a long term maintenance, preventative program . If pustules keep developing then you may also require a topical antibiotic therapy and also oral Antibiotics longer term .