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Textural issues - What is going on with my skin and how can I fix it? (Photos)

I attached a few photos in different lighting for reference. I have some textural issues and I can't figure out where to start. I'm currently cleansing twice a day, using topical Vitamin C and tretinoin 0.05% every other day. I've been doing this for the past year with no results. Could this possibly be fungal acne? I'm just looking to guided in the right direction.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Anna Chacon, MD, FAAD
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Dr. Anna Chacon, MD, FAAD
Board Certified Dermatologist
4.6 | 21 Reviews
Answered on Apr 29, 2026
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Dr. Viva Eve Dermatology - New York
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Dr. Viva Eve Dermatology - New York
5.0 | 26 Reviews
Answered on Apr 29, 2026
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