I feel like my acne and skin have just gotten worse since since I have grown older. Is this a sign of something else?

See dermatologist. YOU might be having acne for some time and the acne spots took long to get heal ed and leaving some scarring .Infected acne also makes skin change . Consult a dermatologist for treatment to skin look better .
Acne. usually not but occasionally a hormone problem so if your acne seems extreme see a health care worker.