Vermilion border redness / swelling. What is the diagnosis and/or treatments (including surgical options)? (Photo)

Skin background - long history of seb derm / rosacea involving a variety of topicals (antifungals, corticosteroids, etc.) applied to the skin above my upper lip. The below pictures show a red line with visible white spots (black arrows) on the vermilion border of my upper lip. The red line is slightly raised and hard relative to the surrounding areas. The skin is slightly ridged (see green circles), and the ridges encompass and extend upward from the dots / redness. Thank you.