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Perioral Dermatitis / Acne Around The Mouth

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I'm 27 and I'm still suffering from acne since I was about 13 years old. It is concentrated below the corners of my mouth. And is always around my mouth and no where else.

I use a non-flouride toothpaste, and I wash with the Clinique Acne Solutions system morning and night. I workout a lot and do sweat considerably during, but I try to wear a headband and keep the sweat off my face. My diet limits dairy to a point, but I still like to eat cheese and drink milk. I eat lot of lean meat and fish.

Does anyone have any suggestions about what to try? Should I try to go on accutane? I'm starting to get REALLY desperate here! Any advice is appreciated, Thanks!

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