This looks most like perioral dermatitis. Acne looks similar.
Have you used a strong steroid cream on your face for a long time?
Why? Using a strong steroid cream on the face for a long time can cause perioral dermatitis. It can also look like rosacea. Peer-reviewed review, open access
What helps
Treatment starts with stopping all steroid creams, cosmetics and ointments on the face. A provider may add anti-inflammatory or antibiotic creams, or antibiotics by mouth.
Peer-reviewed review, open access
TodaySkinCareAsk
What the sources say about perioral dermatitis
Perioral dermatitis is a long-lasting inflammatory rash of the face. It causes stinging, burning or itching and small red bumps or pimple-like spots that can last for weeks to months. The skin around the mouth is most often affected, but it can also affect skin around the eyes and nose.
Illustration made for this page. The sample answer shows how Skinby words a result: a visual resemblance, not a diagnosis. Skinby never names serious conditions from a photo.