A clinical examination is must for appropriate diagnosis and management of your condition. Well, without a detailed clinical evaluation it would be difficult to determine the cause of your symptoms. Take a good sleep and drink plenty of water, Stress, hormonal imbalances, lack of sleep, too much of use of makeup all can cause acne. You could try using ointments containing benzoyl peroxide/ clindamycin, and see if it seems to help. In cases of severe acne oral antibiotics may be needed. If your symptoms persist or do not show any improvement you should get evaluated by a dermatologist for an accurate diagnosis and appropriate management. Whether microdermabrasion will be useful or not and should be recommended on your case can be determined only by your dermatologist. Consult your doctor and discuss your concerns.
Best luck and regards!
My new Dermatologist is running some blood work, so I should know how to proceed after the results. Thank you for your reply.