I'm 26, I have problematic skin. I have enlarged pores, dryness, rough texture, and breakouts. How can I remedy this? (Photo)

I've been using Retin-A 0.05 in the morning and at night for about a month now. I feel like my skin has gotten worse though, even drier and rougher than before. I use a moisturizer twice a day, sometimes use coconut oil or Bio-Oil to soothe inflammation, and I try to drink lots of water, eat healthy, etc. What should I do? Asking before I make a dermatologist appt. Thank you!