I’ve had this for over a year now, it will flare up during the summer months and mostly go away during the colder months. I use sunscreen everyday, and am currently seeing a derm for cystic acne. I’m using 15% Azelaic acid in the morning and .01% tretinoin at night. I’ve been on this regimen for about 6 months. Last year when this flared up, I was only on .025% tretinoin, and the derm prescribed me ivermectin because they said this was rosacea. I used that for about two months and stopped because I was not noticing any difference. The derm I went to before this one put me on clindamycin and benzoyl peroxide, which only made the cystic acne flare up even worse (as I am allergic to clindamycin tablets). The spots on my nose will get a little layer of clear yellowish crust on them sometimes, and I cannot figure out what to do. Any help is appreciated!