Oh my goodness!! She is such a doll! It is so difficult to tell from the photo. Do you have a pediatrician here for her? You could show the pedicatrician the photo.
It could still just be hormones. I know my bio, Catie, had clear skin when she was born. She started breaking out after a week or so, then it cleared after about 8 weeks or so. Though my acne caused by worrying about her acne took much longer to clear. Tee-hee
Jill