A 17-year-old female presents to the dermatology clinic with complaints of “pimples” on their face, chest, and back that have been worsening over the past year. They report feeling embarrassed by the appearance of their skin, especially at school. The patient has tried several over-the-counter acne creams and face washes, but the results have been minimal. Recently, the acne has started to become more painful, especially on the cheeks and chin, where some lesions have become swollen and tender.