All Things Perioral Dermatitis! Reaction & Treatment Tips | Dr. Joyce Dermatologist

[@fairmaid366]

I’m currently dealing with POD. Using Metronidazole cream for 5 weeks now which is helping somewhat. I find comments from readers and other sufferers very interesting and helpful.

[@Hello-oi1nb]

I have honestly given up. First I had acne so I went on accurate for about 1,5 years. My skin got SO dry from that around my mouth and chin. That caused me to catch impetigo 2 times because my skin barrier was broken constantly. Now I am suspecting perioral dermatitis is what I have. I went to two different derms and none of the creams they gave me helped. I am so tired of always having trouble with my skin. People with clear skin don’t understand their privilege. Skin issues adds an extra layer of worry and insecurity to your life and I am tired of it. Hope it gets better sometime.

[@lindamaclennan8085]

Dr. Joyce, I have had it for about 2 yrs and am 80 yrs old now. I do use makeup but have stopped using heavy creams and flour😮ide toothpaste. My dermatologist tried 2 different, expensive

[@egwthe1]

I am 65 and got this PERIORAL DERMATITIS for the first time for a month between November and December 2024. Had it around my mouth, nose and eyes. I used jojoba oil and castor oil. It was horrible and itchy but was able to get rid of it within a month. I did eat a lot of sweets during the time right before I got this. Not good for me since I am diabetic.

[@lindamaclennan8085]

Sorry didn't finish but the expensive creams only inflamed the condition more. An antibiotic prescription was used in pill form and may have helped some. After the experience, I started using aloe gel day and night and it deems to have dissopated for the time being. Thank you

[@dennisguilder1]

“There’s a lot of things in dermatology we don’t know why it happens” literally any dermatology disease. Mostly autoimmune, poor immune response, genetic conditions or hormonal issues. Do a video on topical sirolimus for kprf 1% .

[@ccee3407]

I hope and pray this helps many of you suffering for a long time. I suffered from this since November of 2023. It first started small then overtook half the bottom of my face. It burned, itched and tingled. I tried almost every natural remedy which may have made it worse. I also was prescribed metro-gel for my family doctor which made it even worse as well. The only things that worked were plan greek yogurt overnight on my face to stop the itching and I purchaed canestan external cream (2% clotrimazole cream) which is an Anti Fungal. My doctor told me that if its not caused by bacteria then its caused by a fungus. It has been 3 full days and my PD is almost Entirely healed (90%). I expect it to be fully gone by day 5. Please if any of you are frustrated then try it. I apply it 3 times per day God bless.

[@joanyraquel]

Dermatologists make a living from saying this and tell you to wear sunscreen. 😅

[@laurenmaginley7256]

I stopped using any skincare/makeup. Then only used Dr Jart cicapair repair cream and La Roche Posay cicplast B5+. I used 4 different creams prescribed by drs - none of these worked and they started to block my skin - everything you use needs to protect and rebuild the skin barrier, not break it down further. Cetaphil sensitive face wash only and with warm water not directly from the shower head on your face. I avoided touching my face when possible and focused on getting a good sleep. It's been really frustrating so hopefully this helps someone.

[@maireadcollins5019]

Hi Joyce, is LED light therapy good for calming/treating POD?

[@karenamctiernan4684]

This video was so helpful, thank you so much! Please may you share your recommended face cleanser and moisturizer to use with Perioral dermatitis? xxx

[@MegaMoooa]

Hi! I Just found your page and you seem reliable! As an advancedd skin therapist/beautician (I'm Swedish, so I'm not sure about the English term of my profession). I would love to hear you talk about staph infection in the skin. Also, if you are up for it, give some recommendations to ppl in the advanced skincare field? When to send patients to a Dermatologist, ex if an acne looks suspiciously like staph. I would greatly appreciate it! ❤❤

[@cocowavs]

My doctor prescribed me Taro-Fusidic Acid antibiotic cream and Auro-Clindamycin 300mg to take every 6 hours. I don't know exactly what caused my flare up to be really bad this year, but I'm using gentle gel-cleansers, cera-ve night facial moisturizer and natural toothpaste that has no SLS, mint or fluoride. I used some of the antibiotic cream for a couple of days and already I'm seeing improvements. I made sure they were not a steroid cream. Do you think this will work for my perioral dermatitis?

[@Yaymess]

Hey Dr, I’m finding it more affective from taking a complete fast and cut of all skincare products, just water and it’s doing well. I’m also taking anti biotics like the ones you recommended, should I try it for 6 weeks and see where i am?

[@beatrizr9673]

Mine just won't heal. I've tried everything you mentioned in the video and it keeps raging - has been really bad for a year or so. It gets better for a few weeks but then flares HORRIBLY. I don't know what to do =( Could it be coming from the gut?

[@user-pm9fm1dk9v]

Yes!! Try a clean diet and get off gluten and dairy and sugar as much as you can…drink apple cider vinegar every day (bragg’s brand), and get on a GOOD probiotic (Garden of Eden has a few reasonable priced ones but a more expensive one may be better) Also include omega 6 in your diet (fish oils try Barleans Omega in Orange Cream Swirl from Vitamin Shoppe) and use Cetephyl Sensitive face wash and try Cera V PM lotion. Don’t over moisturize…and keep your face out of sun as much as you can. Also try juicing! ❤❤❤

[@TeawithMD]

I'm so sorry to hear - it can be such a difficult condition to treat! Hopefully your dermatologist can help you explore other possible triggers and treatment plans

[@ROMANS.12.2-USA]

I had PD for over a year. The thing that helped me was eliminating milk, washing my face with 10% sulfur wash, and covering inflamed area with a thin layer of Sudocrem (UK version). In the morning, I wash with water, use dermacalm face lotion, and beauty by earth SPF. It’s finally clearing up! Thank God 🙏🏼 hope that helps :)

[@sissysalander6150]

I’ve read links to gut health so have been taking a pre/probiotic religiously, my diet is pretty clean I eat well, no processed crap, healthy fats etc. Still no improvement but I’ve been taking the pre/probiotics for 2-3 weeks so will persevere. I’ve also read about sudocrem helping, does it help out with the dryness/soreness?

[@sissysalander6150]

Have also just started with sulphur soap, early days so will wait and see. It didn’t burn when I washed with it so hopefully a good sign 😕

[@annephilipiah1455]

Hi without knowing I applied advantan cream on my face?? what shall I do now please advice

[@maureengreen617]

Thank you for this Dr. Joyce. I've also seen videos about yeast imbalance in the same triangle of trouble 😆 and the symptoms appear pretty much the same. How do you determine which is which?

[@TeawithMD]

Yeast can cause conditions like seborrheic dermatitis (facial dandruff) which mostly appears around the nose, more scales and less bumps, and also pityrosporum folliculitis which is fungal acne. It can be hard to differentiate so a derm can help with that!

[@maureengreen617]

@@TeawithMD Thank you for sharing your knowledge with us! Skin is infinitely interesting!

[@sissysalander6150]

Been dealing with this for 6 months now… I’ve been using clindamycin gel which just seems to dry out the affected area, have been using for about a month now and no real improvement, so am going to try and get oral antibiotics this week. I switched to an oil free moisturiser but even that flares it up and the tightness/dryness/scaliness is driving me crazy… it hurts to yawn and eat and my mental health is suffering as a result, this condition is so miserable 😢 is there a moisturiser you would recommend? I’m based in the uk.

[@Jenny-ju1ng]

Try Avene Aoxitive water cream and a zinc soap for the antifungal properties. This is what helped mine.

[@sissysalander6150]

@@Jenny-ju1ng hey thanks I only just saw this! Sulphur soap helped me massively in the end, as well as cera-ve moisturiser! Thanks for reaching out 🙏

[@tinatan1581]

Hi dr Joyce, I’ve been prescribed with Elidel cream to use on my face.do I put it on my entire face?

[@TeawithMD]

Hello, please ask your derm where to apply! We typically recommending using on just the problem areas so it really depends on your case

[@shannon3295]

I'm 46 and I'm having this so bad for the 1st time in my life. It's been so bad for 7 weeks now and nothing is working.

[@shazjaved2726]

Same here my face has been paralysed by it

[@sissysalander6150]

I’m the same, also 46, convinced it’s my fluctuating hormones plus piling on anti ageing products in recent years. Had mine about 6 months now and just keeps getting worse. Been using clindamycin gel for nearly a month now and no real improvement. My skin is so dry and tight it hurts to eat and even the few patches of skin that don’t have spots are a horrible texture.. I’m going to go back to my docs this week and ask for oral antibiotics and hope and pray this works. I feel like I’m being dramatic and superficial but this is having such a detrimental effect on my self confidence and my mental health 😢

[@EJC-be5kr]

@@sissysalander6150

[@ZazuliaummarkmenhunMawiong]

Tell me to what madical u used 😊

[@izzylauria5768]

Hello! I was prescribed Clindamycin 1% / Tretinoin 0.025% gel. But I have adhd and I kept forgetting to apply! I then lost the tube! This was a few months ago. Now I have used it, will it no longer be affective if I try again because my skin will have built up resistance? Thank you! X

[@TeawithMD]

It will still be effective and your skin doesn’t build up resistance to it. Good luck!

[@tanyathompson9667]

I am just 53 I used to have as I was told eczema on my face in December last year my face showed signs again I have tried hydrocortisone and then celestoderm-v with garamycin I am still having the problem. After watching this I wonder if it isn't exzema so I will now stop everything and go back to my doctor.thank you. If you think I should do something else please let me know

[@TeawithMD]

Please do see your doctor if your medications are not working! May need a new treatment plan

[@neza8628]

Which spf do you recommend for perioral dermatitis? I think that spf triggers it for me.

[@MissHinds09]

Same here my face is on fire

[@neza8628]

@@MissHinds09 yuup, I have tried several and my face is burning. Tried mineral one, no burning but the consistency caused a flare.

[@MissHinds09]

@@neza8628 I usually do the Fenty mineral and have no reaction but since I have a flare up, I’m doin basic skincare.

[@kerrirosestubb]

I use sun hats don't cause rashes, may favorite solution

[@shannilovely]

Can I put Metro-cream on top of azeliac acid?

[@adriennepsychic7014]

I also had it but through muscle testing for allergies I found out what was irritating my skin and now it’s gone. Weirdly I am allergic to cinnamon and fluoride. Hope that helps anyone out there. An applied kinesiologist can muscle test you.

[@NFZ_]

This video is helpful thanks 🤝🏼

[@elisabettarausa]

Good morning Doctor, I'm currently battling with PD. One question about a point in the video: topical steroids can cause PD, if used in the lips area OR in ANY body part? I was prescribed a cortisosteroid cream to treat itchy hand eczema, and I hope it is not it that caused my PD😭 Thank you if you'll find the time to answer

[@TeawithMD]

Hello, good question, it is topical steroids around the lip and chin area

[@ariannemay2539]

Hello Dr. Joyce. Wondering if perioral dermatitis can sometimes appear as a skin colored bumps? Thanks

[@TeawithMD]

Yes they can!

[@gunjanbhardwaj3589]

Can we use benxoyl peroxide?

[@ConniePlaissay]

is hyaluronic acid serum safe to use?

[@TeawithMD]

Yes!

[@elisabettarausa]

Thank you for this video😢❤

[@OrlaithSmith-sv4ry]

Please do your skincare routine your skin is flawless 😊

[@TeawithMD]

Thanks for the kind comment! Makeup and great lighting definitely help. I will do my skincare routine video for summer very soon!

[@kls6612]

I wish I knew this in my 20's😂! Thank you for this video❤

[@TeawithMD]

Thanks for watching! This is such a common condition and often gets misdiagnosed!

[@KING-MUFFASA]

Can i use coconut oil?

[@kerrirosestubb]

If you want a simple moisturizer I would recommend beef tallow instead. It has vitamins A & D, and has a dry non comedogenic quality when used sparingly. Coconut oil has properties that worsen existing PD and other forms of dermatitis.

[@ramblingrahema2125]

I've heard that while antibiotics can help in the short term it can actually make things worse in the long term, any thoughts on this?

[@kerrirosestubb]

I've avoided them for this reason personally. My deepest regret was following dermatologist recommendations to use topical antibiotic cream and sunscreen. My PD was very well managed prior, and it's never been the same since.

[@kittychan2005]

Thank you for that detailed information. I do have a question: How can I stop from growing so much facial hair (with out electrolysis)?? I am 50 years old and I'm starting to look like a bear :(

[@TeawithMD]

Hello, thanks for watching! Laser hair removal is the best long term solution for getting rid of unwanted hair growth; other options include shaving waxing or hair removal creams

[@Grace-jb7me]

Azelaic acid caused this for me.

[@ppletheworse]

But when I was 14, I had this

[@paolarubalcava3594]

Hi Joyce, is LED light therapy good for calming/treating POD?

[@kerrirosestubb]

I've found going out when red light is highest, morning and evening, my skin is a bit better ☀️