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I would get pimples mostly around my lips, nose, and chin and it turned out that the bacteria causing that acne was living in my nostrils. Is your nose frequently runny/congested? Do you get pimples inside your nose too? I did, and they are awful.
I put Neosporin in my nostrils to kill that bacteria and with it gone I had completely cured myself of cystic acne.
Best of wishes on combating your acne