What am I doing wrong

No matter what I do these small white bumps form. I have been using tret .025% since August 2024. I have always struggled with acne but never like this.

I felt like my skin started looking great until December when I tried using concealer and it totally ruined my entire face. I sleep in a bonnet, don’t use hair products out of fear of breaking out, don’t wear makeup, don’t pick at my acne.

I don’t have access to a derm but I did schedule a visit with my Dr (she won’t see me until March😣)

My routine is:

AM: CeraVe foaming cleanser, no moisturizer bc I’m extremely oily, clindamycin, Biore UV Aqua rich sunscreen

PM: Cicaplast Balm every night and Tret every other day

What could be causing this? Is it maybe the cicaplast balm? I’ve been using it daily for years and have never had my skin like this 💔