What were people’s skin like before modern medicine? (Acne specifically)

by reddituser1158

I know so many people with bad acne that is only cured with intense drugs like accutane or topical medication like Salicylic Acid.

What were people’s skin like historically? I’m curious about ancient history and recent history like when photographs were first invented (I haven’t seen anyone with bad acne in an old photo).

Have people always had terrible acne and just couldn’t do anything about it? Or is acne a modern phenomenon?

knoperope