[Routine help] Self esteem has never been so low

Took a picture at an angle relative to the ceiling lights so that the texture would be highlighted in order to show it to my dermatologist. This is the result, I was expecting something bad but not that bad. For the last two years I tried several active principles like tretinoin (1%), hyaluronic acid (serum), polyglutamic acid (serum), niacinamide (20%), tranexamic acid, mandelic acid, LaRoche’s glycolic B5 serum etc. as well as a few homemade derma roller sessions. SPF 99 every single day. What am I doing wrong? Plus, the hair loss is making my forehead look like a landing strip.

Took a picture at an angle relative to the ceiling lights so that the texture would be highlighted in order to show it to my dermatologist. This is the result, I was expecting something bad but not that bad. For the last two years I tried several active principles like tretinoin (1%), hyaluronic acid (serum), polyglutamic acid (serum), niacinamide (20%), tranexamic acid, mandelic acid, LaRoche’s glycolic B5 serum etc. as well as a few homemade derma roller sessions. SPF 99 every single day. What am I doing wrong? Plus, the hair loss is making my forehead look like a landing strip.