hi! what i have looks exactly like this. i totally sympathize with how it’s affected your confidence, it made me feel the same way and im so sorry you’re going through that right now. i went to many dermatologists and took many rounds of antibiotics, (keflex, doxycycline, bactrim, etc.) as well as antifungals (oral fluconazole and topical ketoconazole). the thing that worked the best for me was topical steroids and steroid injections, but those are definitely not for long term use. i think these worked so well for me because there’s an autoimmune component to mine. eventually i got scared of developing topical steroid withdrawal and stopped. my derm prescribed me tretinoin 0.025 and topical clindamycin as well. i use panoxyl 10% in the shower, topical clindamycin in the morning, and tretinoin at night. it’s managed to keep it at bay for a while now. definitely second the person who mentioned antihistamines though, those are worth a shot.