Thanks for your patience.
I can understand your concern.
They do seem to be comedones(early acne) , but if you see his skin it is very dry. Application of creams in this scenario, can be difficult as anti acne creams are very drying in nature. It is very essential to relieve the dryness, otherwise it can trigger more and more itching and irritation.
I would recommend application of cetaphil cream twice a day on the face.
Also application of differin gel on the acne is useful once at night. BUt since its difficult for him to apply creams, you could leave them alone for a while. Cetaphil cream can be applied.
If its possible to appy differin gel, it can be applied for 2 hours every night.
its not easy to deal with acne. it requires a lot of time and efforts. it can start as neonatal acne.
But for a person as young , its recommended to even not treat it. Thats one possibility.it will slowly get better.