Skin issues - where to start

[Namechangedforthis25]

as I head towards my 40th birthday, my skin I getting worse and worse.

Ive always had mild acne but it’s getting worse- cystic.

facial hair getting worse - did start a laser hair removal course so maybe that will help

white patches forming - honestly worried its vitiligo! But happening quite suddenly which is weird

and I usually use something like simple so have no idea about skin car let alone any other options out there to make my skin fresher (and yes younger looking)

who should I book that can deal with all of this? A dermatologist? Or someone like therapie?

Any help welcome as i have a mix of cosmetic but also clearly medical skin issues!

Kind of not the question you asked but i would start with changing your diet and drinking more water. Then, full health checks re hormone levels and any mineral or vitamin deficiency. Food intolerances!? Dust mites at home!? Etc
Then dermatologist x

You probably want to look at allergies and deficiencies before messing about with your skin.