started getting pimples on my lip line a few years ago but now the redness and inflammation will not go away and tiny, deep pimples won™t come to a head. It™s impossible to see in the picture but if you look very closely in person you can see what looks like tiny clogged pores but idk if it™s clogged pores or something else. It™s been like this for the 4 months with no signs of going away. My gluten free, I use SLS FREE toothpaste. I think maybe it happened because I was vaping? I stopped vaping once I realized that could be a factor but i don™t think it™s reallt helped or maybe the damage is irreversible idk. My dermatologist says it™s perioral dermatitis but I doubt it since I™ve been dealing with this since January (it is April 21st), taking sulfamethoxazole (Bactrim) at one point, taking minocycline, neither of them worked. I didn™t use steroid creams. I™ve used elidel for about a month and it hasn™t helped. Both the left and ride side of lip line are inflamed. I don™t know why. Idk if it™s clogged pores or rosacea or perioral dermatitis. I hate going out in public and it™s ruining my life. Please help. There™s probbaly stuff I forgot to cover. Take my word when I say I™ve tried pretty much everything. I™m using elidel and adapelene gel rn. Would an EXTRACTION say a dermatologist help this or just make it worse??