u/Few-Garlic-114

hi everyone! I've had rosacea for a long while with pustules. I did accutane around 10 years ago and have been in and out of having breakouts for the past 5 years. I was finally able to clear my skin about a year ago until this past December by using sulfur wash and taking spironolactone with a gentle moisturizer and that's it. Unfortunately in December I began having breakouts isolated to my chin with no redness elsewhere. I hadn't changed anything about my routine at that point. My dermatologist had me do 6 weeks of doxycycline thinking it was perioral dermatitis. This cleared it some, but once I stopped the doxy it came back. Has anyone experienced something similar and has recommendations? Some of the acne is very surface level while others are more deep hormonal. Unfortunately, I am having these breakouts all throughout the month not just around my period though it does seem to worsen slightly around my period!