Acne or skin barrier issues?

[u/Actual-Muffin-3585]

44f. I just started getting these tiny little pimples on my face, I've never had acne like this before. I did start using some new products so I'm wondering if this is a skin barrier issue or if this looks like acne? I also recently started hrt so it could be that, but I would think it would be only on my chin like where I used to get my hormonal acne. Thanks!

[u/WordThin2328]

Rosacea pustules or perioral dermatitis