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How should I handle this ? Pics included. Please help

Been on and off this site for years and have had an up and down battle with acne rosacea and sub derm for a long time now.  After years of conflicting dermatologists I finally decided to get on antibiotics for my back acne.  Doxy to be exact 100 mg once a day.  I saw a different derm and he said my back acne wasn't serious enough for antiobiotics and he told me to stop taking them.  I was using 100mg for 2 months and then went down to 50 a day and then everyone day and now I'm off.  I'm just using a salysitic  6% wash for now and my back seems ok at the moment.

however my forehead is breaking out now and that's usually never been an issue for me.  Could this be from the doxy?  
I used zinc oxide cream after a bad rosacea/sub derm episode on the areas around my nose recently .   None on my forehead....Could  that be related to the breakout on my forehead even though my forehead really hasn't had issues before to his extent.

here  a picturr.   Any thoughts?  How bad and what should I do now ?









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