Anyone who only uses their hands for skincare?

I rarely use a cleansing toner, so during my skincare routine, I just pat my face with my hands, apply essence, and that's it. Of course, I wash my hands thoroughly before using them, but lately I've been getting breakouts, so I keep wondering if I haven't been taking good care of my hands. I'm curious if those of you who only use your hands have experienced any skin deterioration or anything like that. Haha.