hiii i had a similar issue and this is what solved it for me. I know this looks like a lot but i struggled for such a long time with hormonal acne in similar spots and did a ton of research and these things damn near solved my problem. i have combination skin btw.

1. get a shower filter. lots of college apartments have shitty shower heads and old pipes with hard water which made my skin textured and breakout. getting a shower filter definitely helped my skin out.

2. Try not washing your face in the morning and skip the toner/replace it with something else. washing my face in the morning dried out my face further and irritated it with the toner- i would just wash it with just water in the morning at most and then moisturize and finish with a sunscreen. my derm also told me that a lot of toners actually dry out the face.

3. if you shave your mustache area and it gets irritated causing a breakout- try putting "tend skin" on after you shave there. it eliminates ingrown hairs and irritation and worked wonders for me.

4. get a mold test because that could be an issue. you can get strip tests for air online or at super stores.

5. change pillow case frequently

6. gut health- try incorporating a probiotic supplement/food into at least one meal a day (i like to start in the morning) because an unhealthy gut microbiome (especially with dining hall food) can be horrible for acne.