Never an official diagnosis. After 4 rounds of chin peels (salicylic acid 20%) - 3 of which involved extractions - I am still working to stabilize things. I do think the peels helped, though I had an "ugly" period about 1.5 weeks after each peel. I continue to have these tiny bumps that come up and form whiteheads, then I extract them, they go away for a bit, and they seem to come back. I'm able to pull "plugs" out of some of them instead of popping. After my final peel (at least for a while), I restarted Retin-A 0.025% 2 weeks later. I've been using it nearly every night for the past month, as I used to. Any moisturizer breaks me out, so none of that. Retin-A seems to bring the pimples/bumps to the surface faster, but whereas I used to not even get pimples/bumps more than once or twice a month, they keep forming on a weekly basis now. I can't pinpoint triggers. I'm using Oracea, which is a godsend for inflammation. I'm still on Yaz and Spironolactone 100 mg, plus I added zinc gluconate 25 mg on 2/13, then increased it to 50 mg on 2/28. I feel like it helps with the inflammation and redness as well, though the whiteheads and random bumps continue. I do wonder if I'm sensitive to cinnamon flavoring, as I chew a lot (I mean a lot) of cinnamon gum, or if my detergent is breaking me out from where my pillowcases hit my face, or if I have a sensitivity to gluten/dairy/peanut butter, etc. But I seriously can't figure it out, nor am I willing to do any elimination diets. I'll probably start Tazorac 0.05% again soon since the weather is changing. I don't want to end up with horrendous breakouts like last spring/summer when the season changed and I wasn't using a retinoid more than twice per week. Weather is always a trigger for me. It can't decide whether it wants to be winter or spring yet, so I'm frustrated by that. I am either peeling or sweating. Dry or oily. Make up your mind! Haha. Again, I'm still doing way better than I was. I need to remember that. Tiny bumps and pinkness are nothing in comparison to cysts. I just have BDD. It will never be good enough for me.