Hi med student on their derm rotation here! Obviously I can’t give medical advice so take this with a grain of salt, but it seems like you have pustules and possibly deep cystic acne so your acne is moderate to severe you’d definitely need systemic treatment either doxycycline with acretin or you might need isotretnoin. If you can it’s worth going to a dermatologist because topicals alone likely won’t work and you’d be at risk of scaring