Start w topical Rx
Everybody picks them. Over-the-counter stuff is much less effective than an inexpensive clinamycin topical solution with or without a retinoic acid derivative.
If this does not give satisfactory results, your physician may choose a systemic antibiotic
that is right for you, and dermatologists have "big guns" for acne
. There's no reason in this day and age for you to have unwanted acne like this.