Hormonal acne

Patient: I recently had the nexplanon birth control implant inserted and since then have severe hormonal acne. I have never had acne before now. The nexplanon implant is a progesterone only birth control which I chose because I have migraines. What is the best way to treat the acne? Estrogen supplements? Spironolactone? HELP! PS, I have been taking maca root. Is that beneficial?

Symptoms: Hormonal cystic acne