Well I haven't been doing a good job managing those fine points of puggie hygiene. At vet today, learned that Pema's itchy ears caused by yeast infection, not mites as I suspected. The ear wash we'd been using not helpful as it doesn't have drying property. Got the right kind and an Rx for treatment. Pimply chin too - but then Pema is a teenager.
Karma's visit to the ophthalmologist vet confirmed that she has pigmentary keratitis so she'll have daily eye drops for rest of her life to prevent blindness.
She has made such progress with socialization towards we humans. I'm really proud of her and it is good since it makes it easier now to get those twice daily eye drops done. And I have neglected her face wrinkles too so I'll be mending my ways.