This image shows a case of severe acne, specifically after an extraction procedure has been performed.
The numerous small, open holes are pores from which comedones (blackheads and whiteheads) have been manually removed, likely with a tool called a comedone extractor. The redness and inflammation are a result of both the acne itself and the recent extraction process.
Psychological Reaction: Trypophobia
It's also important to note that this image is a strong trigger for trypophobia.
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Trypophobia is an aversion or disgust towards images of irregular patterns or clusters of small holes or bumps.
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While not an officially recognized phobia in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), it can cause significant discomfort, anxiety, and even nausea in people who experience it.
Disclaimer: This type of extensive extraction should only be performed by a qualified dermatologist or esthetician in a sterile environment to prevent infection and minimize scarring. Attempting this at home can worsen the condition and lead to permanent skin damage.