"Full of acne"!?
I’ve never heard that. As far as I know, "the hill" is age 40 specifically, or unspecifically, just middle age.
So "over the hill" in reference to a person’s age means simply over 40.
If the term is used to refer to the age of something other than a person, it just means old and/or connotes deterioration or that the thing is outdated. For example, I might refer to my car as "over the hill;" the thing is not 40 years old but in terms of car life, it’s old (a 1980 model). I also have a 1964 car, and it will be over the hill in both senses next year!
inanna