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Could be rosacea, which can look a lot like acne. Look at your parents & grandparents. If your grandfather has a nose like WC Fields, that might be what you've got. It's super-treatable. 2 weeks on mild antibiotics and out of the sun and it should be gone. A dermatologist will probably tell you to get a ZNP bar at the pharmacy and use that to wash your face (it costs like $10 a bar but it lasts a long time and if your face is inflamed it actually feels good). Seriously, even if you look really bad now, you can be fine in less than a month and not look back.
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