How To Treat Perioral Dermatitis

Posted by Azadeh Shirazi MD on

If you’ve noticed a persistent outbreak around your mouth, you might be dealing with Perioral Dermatitis. We’re diving in today on this condition and how to treat it. You guys know I love to see you glow so if you’ve been looking for a solution, I’m here to help. Check out my YouTube video on this topic at the bottom of this blog for additional information and resources!

What is Perioral Dermatitis?

Perioral Dermatitis (PD) is a facial rash that causes breakouts around the mouth and chin area and is considered a cross between hormonal acne and eczema. It can also extend to the nose and eyes. This condition is characterized by red bumps, mild peeling, and sometimes itching or burning.

What Causes Perioral Dermatitis?

There are many factors that can cause PD. First and foremost, if you’re using topical steroids, it’s time to throw them out. They might provide temporary relief, but they often make this condition worse in the long run. It’s like breaking up with a toxic ex – tough, but necessary.

Fluoride found in toothpaste can also play a role. Switching to a fluoride-free toothpaste may help some individuals. Other things that can potentially cause PD include hormonal changes, sun exposure, and diet.

Dr. Azi’s Tips for Tackling Perioral Dermatitis:

  1. Gentle is the Name of the Game:  Switch to a gentle, fragrance-free regimen. Sulfur cleansers are a great way to treat this. Avoid any products that are too harsh or overly complicated. If it has a laundry list of ingredients, it’s a no.
  2. Enter Azelaic10: If you want real results, products like Azelaic10 Serum can change the game for PD. This 10% azelaic acid serum is combined with hyaluronic acid to not only reduce inflammation but also hydrate the skin. Azelaic acid works wonders by unclogging pores and reducing redness, making it perfect for calming
    Perioral Dermatitis: Before and after Azelaic10 serum
    that fiery rash. Before and after of Azelaic10 results (Right)
  1. Hydrate, Hydrate, Hydrate: Did I mention hydrate? Keeping your skin moisturized is crucial. Dehydrated skin can exacerbate PD, so drink plenty of water and use a good moisturizer like Intense Recovery to help repair the skin barrier.
  2. Sun Protection: Never underestimate the power of sunscreen. Look for a mineral-based sunscreen that's gentle on your skin. Remember, sun damage can worsen PD, so SPF is always your friend.
  3. Patience is a Virtue: PD can be stubborn, so give it time. Stick to your skincare routine and avoid the temptation to try too many new products at once. Trust the process.

Recommended Regimen:

My motto is simple for skincare: Cleanse, Treat, Protect. Less is more for this condition. Here is a simple regimen that can help:

Step 1: Sulfur based Cleanser 

Step 2: Azelaic Acid 10% Serum

Step 3: Intense Recovery Complex

Use this regimen 2x daily for 4 weeks.

If symptoms persist or get worse additional treatment plans such as oral antibiotics may be the next step. Be sure to reach out to your dermatologist for other treatment options.

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MEET THE DOCTOR BEHIND IT ALL

Dr. Azadeh Shirazi, MD is a Board-Certified Dermatologist.

Specializing in medical, surgical, and cosmetic dermatology, Dr. Shirazi received her undergraduate and medical degrees from the University Of Kentucky College of Medicine. After doing a Research Fellowship at Harvard Medical School at the Wellman Center for Photomedicine, she completed her residency training in Dermatology and Cutaneous Surgery at the prestigious Mayo Clinic in addition to completing her training in dermatology and cosmetic surgery at the University of California San Diego.

She has received multiple research scholarships from iconic institutions including Harvard University and the University Of Texas Southwestern Medical Center and has several peer-reviewed publications to her name.