Home care vs. dermatologist treatment, which is more effective?

Lately, my skin has been generally dull and I keep getting breakouts, so I'm trying to take proper care of it.

I'm wondering if it's better to consistently do home care or if getting a procedure at a dermatologist's office would be more effective.

I’m conflicted because I hear that home care is less expensive but the effects are slow, and while dermatology clinics are said to definitely improve quickly, there are also many complaints about the cost and maintenance being a burden.

I am especially curious if things like pores, elasticity, and blemishes can be sufficiently improved with home care.

I'm also worried that once I get a dermatology procedure, I might have to keep getting it.

If anyone has consistently tried both, please honestly let me know which one you were more satisfied with and how effective it was compared to the cost!