Peri-menopausal skin or maskne?

[Shinygoldbauble]

Or both? I'm 46. I was a very lucky teenager. I had great skin, hardly a spot and remained that way until earlier this year.
Back in the spring I started getting little red spots around my mouth. I suspected peri-oral dermatitis but it seemed to clear up.
Now it's a different story. I have a huge breakout around my bottom lip, proper big 'zits'. I have no idea what to do about them.
I have sensitive skin. I have a very basic routine. I don't use a lot of products.
Can anyone suggest products or anything they think might help?
Thanks

I'd go straight to a dermatologist to be honest.

I think you might be right but would have to go privately and not financially easy to do at the moment.
I have 2 monster spots under my bottom lip right now. I can feel them throbbing. They look awful. I have no idea where to start.