[Skin Concern] What do I do about this situation? I've seen 3 derms in 3 years and they all say "it's genetic, there's nothing you can do"

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tl;dr at the endI’m a 25yo M and I suffer from oily skin, dry lips, acne, acne scars, hyper-pigmentation, seborrheic dermatitis, black heads on nose, problems with texture and tone, basically everything short of leprosy. Everything was fine until I hit 18, then for whatever reason things went downhill very quickly and have steadily gotten worse since, no matter what I try or how carefully I look after it. When I have asked any of my derms why my skin is like this, they tell me I’m just unlucky with my skin and to keep washing my face. I’m hoping r/SkincareAddiction might be more helpful.​FrontRight sideLeft sideChinLeft side angleRight side angleForeheadProductsLeft cheek scarsRight cheek scarsAcneMy current routine/habits:- Cleanse (Neutrogena Fresh Foaming Cleanser) and moisturise (Ego QV face oil free moisturiser) AM and PM- Sunscreen (Ego QV face moisturising day cream 30 spf) when I go outdoors- 20g of collagen peptides a day- Just started daily red light therapy- Change my pillowcase every night- Clean whole foods Keto and intermittent fasting- Daily exercise- Probiotics- Never touch my face with my hands- No dairy- 8 hours sleep every night​Despite my best efforts, my skin is only getting worse with time. More oil, more acne, more seb derm, more scars and more dark spots.I tried a 6-month course of oratane, too, when I was 18. Things got significantly worse while I was on it, and when I finally stopped things had not improved at all, and my lips have been permanently dry ever since.To his credit, my most recent derm did a scar subcission and collagen graft for some tethered scars, and it went really well, and he recommended something called co2 laser for the rest of my scars - “the gold standard for scar treatment” he called it - but I told him I wanted to try and get the acne and seb derm and excessive oiliness under control before I try any kind of scar treatment as I’m afraid my other skin issues might interfere with my skin’s ability to heal post-laser and I really want to get the best results possible from it without any potential risks or complications, or maybe making things even worse as I’m extremely prone to scarring and hyper-pigmentation with basically every pimple I get now, no matter how small.What are your thoughts? How should I go about tackling this situation? What products or habits might help? And should I forget trying to get things under control before I go get my cheeks lasered and just book the appointment now? Or am I right to wait until I've got my skin behaving a little better and only then happily get my face melted like the Nazis in Raiders of the Lost Ark?I can’t tell you how much any and all advice will be appreciated. Thank you in advance.​tl;dr trying to take care of my skin but its slowly getting worse and worse and I'm out of ideas, need help
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