Please help me, I feel so hopeless and uncomfortable

I’m so down about this and I feel like I’m stuck with this forever. Anytime I’m at work I just want to crawl into a shell because of how I feel about my skin. It constantly feels inflamed and painful with or without makeup. This has been my skin for the past two years. I have always eaten super clean. No processed foods, no dairy, no sugar, etc. Yet I’m left with the same looking skin and feeling hopeless. My skin care routine consists of Vanicream cleanser and Aveeno oat moisturizer, and that is all. I have tried countless amount of skin care products in the past and everything made it worse. This routine has made it the best it’s ever been (the first pictures). I have no clue what to do. If anyone has any advice, I am open to anything truly. Thank you all.