I'd say it's hormonal by the sounds of it. Of course you need to see a dermo...skincare will help but hormonal issues need to be sorted from the inside. There are pills and medications that can be prescribed but im not sure these are the best option as they have other negative effects on the skin such as drying and even burning in some cases. Sun burn is increased too.
Acupuncture in some instances has been recommended.
Good luck with it all, i know her pain having come from inescapable acne during which i tried EVERYTHING in highschool.
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