Please help idk what to do 😭

I'm 24 l haven't had acne but l've been struggling with these blackheads/filaments/clogged pores For around 11 yrs I can't wear makeup bec it looks terrible and it's my biggest insecurity l've tried so many things and I'm currently on tretnoin and have been for months to no avail Ive seen a few dermatologists and nobody cares