Most likely diagnosis: Severe inflammatory acne vulgaris (nodulocystic acne).
The image shows:🔥
Numerous inflammatory papules and pustules.
Deep, inflamed nodules on the cheeks and chin.
Post-inflammatory hyperpigmentation and possible early acne scarring.
Treatment considerations:🔥
Refer to a dermatologist because of the severity and risk of permanent scarring.
Oral isotretinoin may be considered for severe nodulocystic acne under specialist supervision.
Avoid squeezing or picking the lesions.