[Acne] Am I purging or breaking out? 1 Month Skinoren (azelaic acid)

Hello everyone, Last year in February I noticed pimples on my cheeks..which was something new. I had tons of clogged pores (used to have very oily skin as a teen) and some pimples on my chin around that time of the month..but the acne on my chin and jawline was something new. So I started using the acne.org regimen. Instead of the BHA Liquid by Paula's Choice, which I've been using for over 7 years. I was clear for 4 month and suddenly became allergic to benzoyl peroxide. I had to stop the regimen and my acne was out of control. Salicylic acid didn't help anymore and I had the worst summer of my life. Around December my skin calmed down a little bit then it got worse again and I started using Skinoren (azelaic acid). I think after 2 or 3 month my skin was okay and I started using salicylic acid again because I liked what it did to my pores. Then the acne on my jawline got worse and started leaving scars, so I started using Skinoren again. The picture on the left was taken after 1 week of skinoren..the upper part of my face was almost clear before I started and started to look worse after only 1 week of usage. I've been using it for almost a month and the picture on the right shows my skin right now. Am I breaking out or is this purging? I don't remember it being so bad when I used it in December..or maybe it was but I didn't really notice because my skin was so bad to begin with. oh and it looks a lot worse in person than it does on the picture :(

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