How do I get rid of this kind of acne?

acsendackj

acsendackj

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I think its perioral dermatitis but Ive tried pretty much every remedy and nothing works. I wanna start using tret for other parts of my face but im afraid it will make the acne around my nose worse.
 
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I do have something similar I think just not as bad, mines hardly even there tbh you can even see it in pic, raw carnivore should probably fix it
 

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