[acne] Sudden hyperpigmentation while treating sudden onset acne?!

Any ideas on what is causing hyperpigmentation in the lines on my forehead? And just general patchy discoloration all over my face?

Is it the peeling/shedding from actives?

My clients and family members are asking me what is wrong with my skin, especially on my forehead where these lines have suddenly appeared.

I am doing my best to remain calm – dealing with a sudden first time acne break out at age 35. Started in March. Treating it as a combo of fungal acne and closed comodones.

I have always had GREAT skin as evidenced by the last (before) photo. Always oily but never an acne problem. Never even did much of anything for skincare.

Nystatin cream didn’t help. I’m on oral nystatin and fluconazole for other health issues. Came off long term abx in December for other health issues.

Currently eating a low candida diet. I don’t have a set routine because I’m panicking and trying so many different things. Here’s my current routine (all fungal acne safe) :

AM:
Cetaphil daily facial cleanser oily skin
De la Cruz 10% sulfur mask 10 mins
True botanicals Microbiome enzyme essence
Acure vit c serum
1 drop pure vegetable glycerin for moisture

PM:
CeraVe benzoyl peroxide 4% cleanser
Ordinary salicylic acid
True botanicals Microbiome enzyme essence
Acure vit c serum
Acure alpha arbutin serum
1 drop pure vegetable glycerin for moisture

HAIR:
Neutrogena T/sal shampoo salicylic acid 3%
Pure aloe gel

SUNSCREEN:
Derma-e powder brush with zinc
(Can’t seem to tolerate any creams)

My naturopath isn’t helping – he’s just throwing prescriptions at it that I don’t want to use/don’t work. Dermatologist booking into 2025. I can’t stand the acne and the hyperpigmentation. Any ideas welcome. Thanks!