A highly realistic, cinematic portrait of a young woman in her late 20s with medium skin tone, showing visibly inflamed, deep cystic acne along her jawline, cheeks, and chin. Her skin appears red and irritated around the acne nodules, with noticeable swelling and tenderness, illustrating the painful nature of cystic acne linked to PCOS. Her facial expression shows discomfort and emotional distress, with slightly teary eyes as she gently touches an inflamed area on her jawline with her fingertips. Her hair is pulled back to clearly show the acne areas, and her skin has a slightly oily texture due to androgen-related sebum overproduction. The environment is a softly lit bathroom with neutral daylight, emphasizing the skin texture, redness, and deep acne. The style is realistic, 35mm cinematic photography with warm, neutral tones, soft shadows, and clear skin detail, providing a compassionate yet direct visualization of PCOS-related cystic acneemoji