A lot of acne has absolutely nothing to do with hygiene, you know that right? When I was younger... in fact until I was in my mid 20's, I had dreadful acne all over my face and body. I have always been extremely hygienic, but I had a hormonal imbalance that caused the outbreaks and I have had to have my hormones regulated to correct it... not that I give two toots if you or anyone else thinks I am attractive at all... but your view is pretty misguided to say the least.
Back to the OP, I don't really wear make up any more... I do like wearing it, but I am lazy. I am also comfortable either way. I love colours (hence the blue hair and tattoos) so makeup is an extension of that for me... but I tend not to wear it a lot at all anymore. I'm happy with myself and that's all that matters
What other people do is none of my business and I think people (not just girls) can look amazing both with and without makeup