Pimples and acne

I’m a guy, 24 years old. All my life I’ve had severe pimples and acne. I am tired. It’s so bad that sometimes it affects my self-esteem and I usually don’t feel comfortable in the crowd, even when I’m talking to girls cos I feel I’m just too ugly to look at. I’m just tired man. I’ve tried almost every product out there, even the so-called dermatologically tested products. This isn’t supposed to be a big deal as it’s just pimples and acne….but abegg I feel so insecure. Is there a Permanent solution like a surgery or gene therapy or something.