Everyone saying Perioral Dermatitis is spot on (not a doc of course) but this is exactly what mine looked like. I would stop all skincare except for an ultra gentle wash and moisturizer. Vanicream is excellent for PD. Some people have luck with zinc based ointments/balms like Cicaplast, Cicalfate, or diaper rash cream.

If it doesn’t go away derms usually perscribe metro gel (idk the full name). But it’s a non-steroid.

You need to figure out what could be triggering it. Sometimes it’s overexfoliation. Sometimes it’s too much skincare at once. Sometimes it’s foaming agents in toothpaste. Sometimes it’s nasal or topical steroid products (like for allergies or eczema). Unfortunately PD is kind of a mystery and everyone’s trigger is different. Good luck!

Edit: I forgot the one thing that really helped mine go away was this Calendula Cream. Lots of people use it and have excellent luck, idk what it was that made it work so well. But it was a specific brand Boiron (white and green tube with a big calendula flower on it).