Hey guys, I‘m finally coming on here and asking you guys for help.

I‘ve always had acne problems, since i was a teenager. I took a lot of accutane courses and it always worked but came back. Now after two new rounds of accutane, my skin alwas comes back in this form. My derm told me it was perioral dermatitis. I took metronidazol cream, oral antibiotics, azelaic acid, sulfur cream, they all didn‘t work. Now im starting complete zero therapy, meaning I only wash my face with water, thats about it. The plan was to wait 2 weeks and see if it gets any better (because then, most likely its perioral dermatitis caused by overuse of skincare products and active ingredient or even the sudden oil production after stopping accutane). 

The thing is, i don‘t know if it could possibly be demodex mites, because i mostly have those tiny little pustules that get white in the middle, but no crazy dryness or redness (just on the nose area), my skin is actually always quite oily (thats why accutane always works so well). So now i‘m thinking, maybe it isn‘t perioral dermatitis after all but demodex mites?? Because i’ve seen other people post pictures of their skin on here saying it was demodex mites and their pictures look very very similar to my skin. And people on here said that ivermectin could help with that… But on the other hand I don‘t really have an ichy feeling or a „crawling“ feeling like most people with demodex mites describe their skin condition. 

Thoughts?? Grateful for any help i can get!!🙏🙏

Perioral Dermatitis or something else (demodex)??