Dermatologist Explains Perioral Dermatitis (What it Looks Like, Causes, & Treatments) | Dr Sam Ellis

[@Melissa-xd7zf]

The only thing that finally healed mine was zero therapy. IT took one whole year to fully disappear, and now my skin is better than ever. PD is usually a sign your skin cannot handle the chemicals you are putting on it no matter how 'minimal' they are marketed as. Some of us cannot tolerate skincare. Trust your skin to repair itself. If mine can, anyones can. It just took a year of pain, sacrifice and patience

[@sarahhyde3284]

Did you go without fluoride toothpaste for a whole year as well?

[@Melissa-xd7zf]

@@sarahhyde3284 No, flouride toothpaste had nothing to do with my PD. Mine was caused by applying skincare products to my face. Its actually frustrating that flouride toothpaste is cited as a leading cause of PD as while it may be a cause particularly for children, for adults who having been using flouride toothpaste their whole life with no issue and are suddenly developing PD, this isn't going to be a cause. 90% of PD cases occur in young women, who no coincidence are starting to apply skincare and makeup. So the cause needs to be studied further by dermatologists. Dermatology is really behing in regards to recognising how sensitive skin can be damaged by even 'hypoallergenic' products and how this is leading to the current epidemic of rosacea, acne, PD, seb derm etc. Just remember PD is a barrier issue, something is damaging your barrier and you just need to find out what that is. Zero therapy for at least 6 months the best option as nothing can come into contact with the barrier and it can have the time it needs to heal, and it does need a long time, for me a year, but the body will heal it.

[@Melissa-xd7zf]

@@sarahhyde3284 no flouride wasn't the culprit for me, skincare products were. If you have been using toothpaste your whole life and have suddenly developed PD, then its highly unlikely you have suddenly started reacting to it after 18 years when it hardly touches your skin anyway. Instead pay attention to the chemicals you have put on your skin in more recent months/years. Not eveyone can tolerate skincare products. Flouride in toothpaste can be a cause for babies and kids but far less likely for adults despite what dermatologists like to claim.

[@brookekasprzyk4850]

I had perioral dermatitis twice. The first time I did zero line treatment (no makeup, no moisturizer, etc) with antibiotics. Lasted around 6 months. I got it again, a year or two later. This time I used makeup and adapalene. Last 6 months again. Then I discovered azaleic acid 15%. I originally started this for some acne scars but I realized anytime I started to get dermatitis bumps, I would put the Azelaic acid on the bumps and the bumps WOULD NOT SPREAD or WORSEN. I haven’t had a full blown rash in years. I have only seen a few dermatologists recommend azaleic acid for perioral dermatitis because I don’t think anyone actually knows how to treat perioral dermatitis or what causes it.

[@carak4356]

Where did you purchase the azelaic acid? I’ve been looking for a stable form and sounds like the one you’ve found must be stable as it has worked for you. I use a prescription cream but have wanted to try this for maintenance and at early stages or recurrence. Thanks in advance if you get my message

[@brookekasprzyk4850]

@@carak4356 I get a prescription for the 15% azelaic acid. You can get that from a dermatologist, Goodrx care (you have to pay a fee for the virtual consultation), or Apostrophe is an online dermatology company that compounds the prescription for you. The Ordinary makes a 10% azelaic acid topical you can try too. I personally used that only once and didn't like the texture but wanted to mention that option as well.

[@dennisguilder1]

Dermatology in a nutshell, they usually know nothing or how to treat it or even diagnose it.

[@apoemadaywithkk4660]

@brookekasperzyk4850 Could you tell me how you use azelaic acid? I applied it but it made my skin tight and resulted in exfoliation. I do feel my rash is a tad bit better but I want to know if I am going right.

[@gabriellaspotards8449]

did the adapalene help cuz i’m abt to try but scared

[@BeanBitesMe]

You can get a biopsy of it and figure out what bacteria or fungus is attacking your skin once the barrier is broken

[@aussiefox2000]

I was 64 when i got this . I suffer from psoriasis ,so i used that cream on it . Bad move. It got worse and grew. It's itchy, and it's now all over my nose and between my eyebrows. I am so glad i found this video.😊

[@nataliastariha1710]

i had my first peri orificial dermatitis flare around 2-3 years ago brought on by a chemical sunscreen. i really really struggled with confidence and ut is so validating to see many commenters share my struggle and know what its like. here are some tips I've learned while dealing with this condition: - tap water often contains fluoride, washing face with distilled water helps - avoid vaseline and lip balm, for me, it makes it worse. even the generic unscented ones. -oil free moisturizer and look for non-comedogenic products if you must use them. - azelaic acid helps with the texture. even though it will get flaky, it will get smoother after. i hope you all will experience and maintain clear skin soon.

[@relee1207]

I experienced perioral dermatitis after 3 weeks of retinol use. Get a prescription for metronidazole. After just a few days my rash is almost gone. I'm thrilled with the results.

[@huh9672]

did it come back?

[@marwenjbali]

Was it oral or topical?

[@Ashleyaireonna]

did it work and stay gone?

[@magpiegirl3783]

Thanks for this information. My doctor caused me to develop perioral dermatitis. I had a light skin rash across my eyebrows and upper eyelids for a few years and no commercial lotions made a difference. I asked my doctor about it, and without looking at the rash, she recommended an OTC light steroid cream and to only use a fragrance free, minimal moisturiser and not wear makeup. This did absolutely nothing. On a further visit, again without looking at the rash, she said she would prescribe a stronger steroid cream and added "if that doesn't help I don't know what else to do". That was an extraordinary statement because a referral to a dermatologist would surely be the next step? Anyway, having been given NO instructions from the doctor on how long to use this new cream, I started using it once a day as per the instructions on the tube. Sure enough, it worked a treat - almost completely clearing the rash and underlying redness after a week. Because it had not completely cleared, I continued to apply it for a further week, started coming out in little itchy blisters. Within days of it starting, I was in a full blown rash across my eyes, under my eyes and across my nose, down into the cheeks and up across the forehead and into the hairline. The itch was unbearable and I looked absolutely GROSS (I'm not attractive anyway, so majorly depressing). I managed to get back to see the doctor and on seeing me, said "Oh, you've had a reaction to the steroid cream. I'll put you on an 8 week course of Doxcicyline. It'll give you acid reflux, so go to the chemist and get something for that." I mean, WHAT THE HELL? So I began researching and did as Sam has suggested - no makeup, no creams, no fragrance shampoos, etc. The itch kept me awake for 3 nights until I found a lotion for such problems which worked very well. I only took the antibiotics for a week but they made me ill. I threw out everything and started experimenting with safer products such as LaRoche (that's worked well), CeraVe, Aveeno, and so on. I was advised by a Dermal Therapist not to use any "actives" until things settled and that took about 2 weeks. But then I had a breakout at the side of my mouth which just will not go away. I believe that is actually as Same has said - the Sensodyne toothpaste and the mint floss, so I'll hunt around for alternatives. I think I should bill my doctor for all the product cost involved - but I have learned a lot more about proper skincare through the KZbin dermatologists. At the moment, only using LaRoche cleaners, LaRoche moisturiser and a soap-free bath wash by Dermaveen. One product I highly recommend is the CeraVe Advanced Repair Balm which is a bit like vasaline but works very well. Good luck everyone.

[@taylors189]

This is genuinely the BEST video I’ve ever seen on PD. Thank you SO SO MUCH!!

[@DrSamEllis]

So happy you found it helpful!

[@rogerdeleon3563]

How do i fins a dermatologist like you in phoenix az. Do you offer teledoc like appts.😂​@@DrSamEllis

[@helendangelo3885]

In case it helps anyone, I used to get perioral dermatitis all the time and it turns out the trigger was Aquaphor (though Vaseline was fine!). My dermatologist said this was a fairly common trigger for people with this skin condition! Ever since I stopped using Aquaphor, I haven't had a single flare up.

[@NandhiniramuNandhiniramu]

Mam you use aquaphor product cream or Vaseline I'm 23 yrs old nd I faced for 1 nd half yr still I have bad 😢 my derm give me moisturizer nd liquid paraffin not work good to me I have this prblm in my around nose mouth nd eyes so if I can use this aquaphor on my mouth r not

[@NandhiniramuNandhiniramu]

How many days you use aquaphor mam ?

[@heatherclark1796]

I think my trigger was a nasal spray. Was it caused by yeast?

[@lettucepieceof6043]

I was told to use aquaphor to fix it

[@helendangelo3885]

@@lettucepieceof6043 I personally would try Vaseline instead but that’s just because Aquaphor was the sole cause of mine.

[@qh3376]

A long term sufferer of PD and the most recent 2 triggers I believe were fluoride and mask wearing. Also being pregnant didn’t help. I do believe stripping back on skin care is key and it’s about restoring the skin barrier together with anti inflammatory products help such as azelaic acid. The other thing is trying to not let it bother you as much although its much easier said than done.

[@dpandjessobx]

Very helpful. My derm just diagnosed me with perioral dermatitis and I’m starting both topical meds this week. Fingers crossed, bc this isn’t fun!

[@katieeckler7543]

This was a really great video. So informative and helpful and made me feel better. I was feeling nervous and hopeless about my perioral dermatitis, but you made me feel a lot better and more hopeful about it clearing up. Thanks for the information and warm spirit.

[@gettingthatlove419]

Is it just me or is Sam EXTRA glowy today??? Stunning (and informative, as always)!!

[@ShelbeyWilson]

I’ve suffered from several types of dermatitis and Perioral is one of them. I can attest that I’ve had the best results with completely eliminating all skin care except basic cleanser and moisturizer and most recently I purchased Dr. Samantha’s Prequel line (Gleanser, Barrier Therapy, and Utility Ointment) and my skin has been the happiest it’s been in a long time! Those 3 products alone are keeping my redness and flare ups at a minimum! 🙌🏻

[@mtazc]

I couldn’t figure out what was wrong with my skin when I first had this dermatitis on my face so finally my dermatologist told me it was perioral dermatitis and gave me Pimecrolimus and my skin literally cleared up in two days. I can’t believe I struggled with it for months and it cleared up so fast so please guys speak to a dermatologist if you’re have any skin issues.

[@ItzEdward]

Did you apply the cream to your entire face or just the affected area?

[@mtazc]

@@ItzEdward Hi! I applied it to the affected area at first and but now I just apply it to my entire face when I gave it again and it’s totally fine. Please speak to your dermatologist first. 😊

[@treyjohnson23]

I went to two of them and they gave me steroids that didn’t work👍

[@passthab0ng]

Are you still struggling? Has it stayed away?

[@calling_miss_gaby1292]

I just went to the dermatologist yesterday and was diagnosed with perioral dermatitis. Dr. prescribed a low dose of doxycycline… I’m allergic to metronidazole so I got clindamyacine lotion instead. Crossing my fingers it works! I am changing my toothpaste and trying gentle cleansers. Switching to mineral sunscreen.🤞🏽🤞🏽🤞🏽

[@elaineterrill6664]

Lotrimin w/Butenafine hydrochloride 1% cleared mine right away when antibiotics and expensive prescriptions did nothing

[@arlinspencer]

My 4yo has this type of dermatitis. This tips are very helpful. Thanks

[@blackchicken90]

my perioral dermatitis started when masks became mandatory due to covid, at first wearing them made me just itch but then redness began with dryness, now it's been 2 years since i have it so i learned how to treat it, itching and dryness stopped but redness never goes away it's like my skin don't want to heal completely, i was ugly before but now damn i get scared when i see myself in the mirror and i'm not joking, as a teen it's tough i'm having problems leaving the house for how ugly i feel

[@lisamannion8178]

I woke up with this this morning! Small rash from nose to around mouth. I don't know if it's a coincidence but I've started using a whitening toothpaste. Thanks. Lisa, Ireland.

[@veinfinderrn]

Just got diagnosed with this today after my dermatologist appt, plus eyelid dermatitis. I never thought there was a lot of triggers. Thank you for the info. I hope the treatment works, I’ll be on Doxy for 3 months plus some creams.

[@shelleymoats379]

I would make sure you get on a good probiotic after taking antibiotics for that long : )

[@MyDylan360]

Did it work??

[@veinfinderrn]

@@MyDylan360 it did! my face is pretty clear now!

[@Nicolee33333]

Mine was caused by Vitamin C. Took a year and multiple rounds of antibiotics and topical medication to finally figure out it was just from my vitamin C serum.

[@amymay3003]

I also got it from a vitamin c serum. The advice is to use vitamin c to help your skin but you end up with perioral dermatitis! Mine took ages and ages to go, will never use it again.

[@kkdol3761]

Same here got it from vitamin c serum

[@BrutalAndUnwantedHonesty]

Shit. My mother gave me a cleanser concisting Vitamin C which I recently started using, these rashes started appearing a little after… thank you!! You might have solved my problem

[@BexWagner]

Ty I think mine happened after vitamin c serummm also!!!

[@ekaterinavakhrusheva5700]

Ah I got mine from vitamin C serum as well.

[@AdrianaQuintana]

I've mostly experienced around my eyes and have found that tea tree oil wipes and sulfur soap really helps.

[@marinamole]

Mine is not temporary, I deal with it since I'm teen. I've tried pretty much everything. Changing tooth paste, stopping with the skin care routine, stopping eating gluten, using Vitamin-D supplements, nothing worked....... I've been to the dermatologist many times, tried what they suggested, didn't work also :D

[@ksd9503]

Got this when I was pregnant with my daughter (not my son). Went away a month after she was born!

[@magemynanouki]

Me too ! I have this since I’m pregnant with my daughter and didn’t with my son, it’s been 6 months… am waiting to see a derm but don’t have much expectations

[@broadbent2001]

Currently struggling with PD and this was very helpful and echoed what my dermatologist recommended...

[@lettucepieceof6043]

Has yours gone away?? I’m struggling with mine rn it came back

[@Toast2005]

​@@lettucepieceof6043 I had perioral dermatitis a few years ago. My lips don't hold up well in the moistureless winter time. I knew it was perioral dermatitis before I saw my GP. I spent like 10 seconds with him, he gave me a prescription and it went away within like 2 days. A few years later here I am on the verge of getting PD again. It's gotten colder here in the Southern Hemisphere and due to a condition I have to breathe through my mouth more often then I would like to. This sucks

[@Ninnjette-]

@@Toast2005I have taken my son to 3 different doctors, he’s 11 and I cannot find a treatment that works please what did you use? They have him now on Clindamycin topical lotion, I think it’s making it worse. He starts sixth grade in a month, you know how judgmental kids are at that age. I am desperate to clear this up before he starts school

[@larisadainese8354]

Switch to fluoride free toothpaste really helps.

[@WoollyBlanket1]

I have POD and have had to majorly overhaul my skincare and makeup. I can’t use CeraVe or Cetaphil, the both leave my skin really tender and bright red. I’m currently using just water and a face halo for “cleansing” and Aveeno for moisturising but it’s not moisturising enough. POD is the most frustrating thing I’ve ever had to deal with

[@uptonogood6738]

I thought for the longest time, I just had an allergy but weirdly, it always happened during vacations. The triggers for me were mainly because I used topical steroids, and during vacations I always use sunscreen. Additionally it's usually a different environment, with more sun and wind exposure. Plus I'm an avid makeup user lol. Recently, the flare up was the worse, with pustules. It was very itchy and somewhat tender, all over the sides of my nose down to my mouth, the inner corners of my eyes, to my eyebrows. I stopped using anything, even cleanser or sunscreen. I just washed my face with warm water. Then what really helped was Erythromycin 0.5% supposedly 1% but the 0.5 worked just fine. I used it 3 times a day, then just stopped when it was gone after a few days. Also, I just hid my face with huge sunglasses and a cap and tried not giving a shit when I'm on vacation, supposedly taking pics but feel ugly asf.

[@NJOETV]

Around the end of 2021, the edges of my lips started to dry quickly and itchy and lip balms weren’t keeping it hydrated enough. Months went by and it got really bad (the area around my lips were red and looked swollen). I finally went to a walk-in clinic and they diagnosed me with PD and said it was caused by my prolonged use of masks and licking my lips. They prescribed me with a cream and said it should be gone after 10 days of use and while it did go away, it keeps coming back. My lips definitely retain hydration better but when it dries up, it really dries up. Super frustrating.

[@yhnlindsay]

I feel your pain because I'm going through the same issue. I don't really remember when it started, but it seems like it happens once a month. I also noticed it's a week or so before my period starts

[@RamyaOfficial]

Hey! How is it going for you now? I have had similar flare ups and I feel struck in this loop exactly like you. Is it gone now or are you still facing the recurrence? Please let me know ❤🌸

[@lynny5510]

Once you get put on antibiotics you will be searching videos on how to get rid of yeast infection and or help with gut issues. Just trading one problem for another. I am glad it has worked for some people but it just isn't an option for me.

[@chloievillafuerte]

Thank you for this 🥺 So here is my story. I have acne prone skin and last 2022, I decided to take accutane. I took it for 10 months. It all went well, my skin cleared up. Although, during my journey, I developed ring worms on my body, i’m not really sure if that is eczema. By the end of my accutane, my skin was better. Until 2023 of november, I suddenlt developed blisters on my face. It wasn’t pimple or acne. Just out of the blue, small red spots started appearing. Now the only products I use was Dove soap bar, Cetaphil moisturizer and neautrogena sunscreen back then. My skin care has always been simple. Until I decided maybe my skin needs a break. So I did remove all those and decided to go for some laser. Again, my skin got better. I thought it was it. I had no idea at all what it was. Unil this day. Last tuesday, I noticed my face was so red. My routine changed btw. I’ve been using neutrogena blackheads toner, neutrogena nourishing cream and anessa sunscreen. For the past few months my skin was at it’s best but recently I honestly don’t know what went wrong. I started thinking maybe it was the ashwagandha I recently took? I don’t know. Or the moisturizer. So again, I eliminated my moisturizer and went back to my derma for laser. But this time a different laser. It got better but the tiny red bumps like blisters are still on my right cheek. Until today, it’s all gone now but there are red marks 🥺 I’ve been figuring out what it is and thought maybe it has something to do with eczema. It’s definitely not pimples or acne. I was starting to give hope because my skin is flaring up again. I’ve been only using a sunscreen. After seeing this, I might leave my skin as it is for now. But in all honesty, it’s super dry and I can feel the tightness it’s bothering me 😢 I hope you can give me some advice for this issue

[@kaitlinkocsis9752]

Thank you for making this video! I remember how hard it was when I first experienced PD so love that everyone has this video as a resource. I struggled with Perioral Dermatitis really badly and was prescribed an antibiotic and topical. As I healed, I found anything zinc made a huge difference Avene Cicalfate+ Restorative protective cream was the best to calm down the area (with Cerave hydrating cleanser) and Jasons power Smile toothpaste was a great switch as fluoride was a big trigger for me. When I could do SPF again colour science and elta md were the best. With these products, I finally have it under control

[@Jameyln]

I've had this exact same problem and Zinc, Avene and changing my toothpaste was exactly what helped me as well!

[@MrsBrent]

Thank you for this video, this was such a eyeopener. I now understand that the flares I sometime get are periorificial dermatitis and I now know exactly what it's linked to/what causes it.

[@Idk-do4db]

Switched to sls free toothpaste and so far the irritation has gone away. Burt’s bees has several options that are sls free but with fluoride. Need fluoride for teeth health. Also use alcohol free but with fluoride mouthwash.

[@soniaaqila91]

Perioral dermatitis+acne is frastuating, since use retinoid for my acne medication (prescription) i got 2 times perioral dermatitis (i used adapalen with doctor instruction wich is avoid mouth and sensitive area), but my face being more sensitive. Now i am still suffering with dermatitis and acne at the same times, i am dying 😭

[@lettucepieceof6043]

How is it going now ?

[@Iskanderrra]

Ichthammol/Ichthyol and Zinc ointments really helped me cure my perioral dermatitis very quickly. Dermatologist recommended to try it before antibiotics. Also it helps with acne :)

[@sehamhamoudeh8719]

What zinc ointments did you use please

[@Iskanderrra]

@@sehamhamoudeh8719 Should be a very simple creme with Ichtammol and Zinc combo. It can be prepared in a pharmacy. Also some brands can have it ready made. In my country it is Tormentin creme for example.

[@arianeskincare]

That’s exactly what I needed! I have them pretty often now that I’m on my 30’s (I also have rosacea) and it is so annoying.

[@relee1207]

Have you tried metronidazole. It cleared my rash in a few days.

[@tamarakieper5029]

Oh Dr. Ellis, thank you for this. I remember wanting to request a video on this about a month ago, but I can't remember if I did or not, but thank you nonetheless!! I had this in all 3 places, around the mouth, next to the nostrils, under my eyes, and even eyelids. After consulting the internet, I ceased usage if ALL products; sunscreen was a hard one to forego. I found a dermatologist, but by the time she could see me, I was cleared up. I then started adding things back in, slowly. So far, so good. I have ultra sensitive teeth, seriously, I need to microwave fruit so I can even bite into them. I found a fluoride that didn't burn, so I was using it every day. And because it didn't burn at all, I would keep it in my mouth extra long. I just started it back up again last night. I use a bit less, swish it around a shorter amount of time, and just a couple of times a week. I hope this all works out. Anyway, thank you so much for doing this!❤

[@NandhiniramuNandhiniramu]

Which fluoride ? Name

[@tamarakieper5029]

@@NandhiniramuNandhiniramu I'm sorry, I'm not naming brands on a public page. Too many people are sue happy.

[@marymaryquitethecontrarian]

Just had my first experience with this problem. About 3 weeks in and it is almost gone. It looked the same for the first two weeks. Then I started using Mary Kay night emollient cream. It is a pink Vaseline like product. Also switched to Cetaphil.

[@kellykennedy4073]

Thank you so much, having had perioral dermatitis related to peri menopause / stress... this is v v helpful indeed. Thank you :)

[@ktmcpdd]

Ive had this for about 8 months . The only thing that helped me and got rid of it after about a week was teatree face wash ( i let it sit on the area for my entire shower and wash off at the end ) and then sudocrem at night. Also avoiding any glycolics, retinols or vitamin c around the area

[@asherasator]

That's because the Tea Tree killed the yeast which is the real cause. Which then allowed your skin to heal. Antibiotics are a major cause of this because they can alter the microbiome allowing yeasts to proliferate. Antihistamines play a huge role too because they affect H1 receptors that also control sebaceous glands which then don't secrete properly causing further skin drying and damage, that allows yeasts that feed off the fat of your cells and microbes to enter deeper into the dermis, then the immune system wants to react. It's a horrible viscous cycle mostly caused by psychotic MDs.

[@R_bird117]

Surprising. I was using this wash and I feel it exacerbated it. Stopping it and using a sensitive wash was much helpful.

[@ktmcpdd]

@@R_bird117 this face wash was just teatree maybe some other ingredient made it worse. It feels like most things make it worse. I originally thought it was acne so i was putting alot of glycolic ect on it and it god so much worse. I hope you got yours sorted

[@R_bird117]

@@ktmcpdd using a Simple face wash at the moment and an Aveeno moisturiser. Struggling with the hyperpigmentation of the area though. So I am planning on trying the Original mandelic acid and seeing how that works out.

[@LULU-uu2mg]

What brand you use tea tree?

[@evelynb453]

The main cause of POD is a not intact skin barrier. This is what you have to tackle. This helped me a lot: Morning Routine: - Thermal Water for „cleansing“ - Creme with ingredients that are close to your mikrobiom (I use the TOLERIANEDERMALLERGO) - mineral (!) sunscreen Evening: - cleanse with mild cleanser (I use Vichy thermale) - same Creme from above - once a week mild exfoliant ( I use enzyme peeling) Stick to your skin routine at least 3 months!

[@sheebarodrigues1990]

If you are at the initial stage of it.. Just keep your face clean.. Use face wash if you've used any product such as sunscreen or moisturizer and then apply Surfaz SN ointment.. It is available at the medical store.. Worked for me

[@_mylastname]

Been dealing with dermatitis my whole life. Flares up when i get hot and start to sweat. My chest, my head, under my beard.. It drives me crazy. I'm so tired of it.. I'm 45 male, no make up . No facial cleaning routine, i just rinse my face.

[@caseydyer6793]

Mine lasted most of my teen years. Like 12 to 20 lol. I am 47 and went to cedar point this summer and boom its back. Grr. My daughter has this also.

[@khadsykoo2528]

I experienced this when eating toast or anything with gluten.

[@debloui]

I have POS. It’s the worst. After many years of trial and error I worked out it flares up with whey. So I avoid dairy. It’s made a huge difference.

[@theemoturtle7002]

I have this right now and it's SO PAINFUL for me right now. I just brushed my teeth and just the menthol getting on my lips caused it to burn so badly. I went to a walk in clinic and the doctor was shocked when she saw how quickly it spread throughout my face. It's all around the left face and it's painful, but I'm sure it will pass. I'm just using a very plain facial cleansing routine. No dyes, no perfumes, and no fancy ingredients for anti-aging and I'm not going to use ANY MAKEUP! Luckily my Boyfriend is super supportive and he tells me it's not too bad... IDK if he's just trying to make me feel better but it helps.

[@paigemashaalani2990]

Mine was caused from my birth control pills. I was on Apri birth control pills for years. Finally I figured out the issue. I had perioral dermatitis for many years struggling to get rid of it. I tried every topical ointment, steroid ointments, and creams. Literally nothing was working, in fact when I used creams and oniments prescribed to me containing cortisone and steroids my rash got WAY more inflamed red. Within about a week of using *(as prescribed by my doctor) my rash had spread around my nose and up to my eyes. I tried cutting out everything, from fluoride toothpaste, to shampoos containing SLS, I cut out gluten and sugar. In the end it was my birth control pills. I had stopped my pills and my rash was completely gone in a span of 2 weeks. I had gone to about 6 different doctors and dermatologists over the 6 years I struggled with this rash. And never once did any of them mention if it was a possible side effect of the birth control pill. Maybe it's not a well known side effect caused by birth control pills

[@leeaskew]

I’ve had perioral dermatitis, it was the worst. My doctor said it was probably the whitening ingredients in my toothpaste. I did a round of antibiotics and then used metrogel.

[@tajammalsaleem8803]

Hey, how long the antibiotics and metrogel take? Are you PD free

[@leeaskew]

I took the antibiotic for 3 months and used the metro gel for maybe 6 months. @@tajammalsaleem8803

[@heatherclark1796]

Antibiotics can cause yeast infections. Try to avoid

[@AP12360]

I recently bought some natural mint toothpaste and it caused perioral dermatitis around my mouth. I stopped using the toothpaste and it cleared up in 2 weeks.

[@cjanderson6941]

I’m pretty sure that tretinoin caused mine. I would get dryness and peeling around my mouth, then I harshly scrubbed it. Bad mistake! I have had a few flares in the past couple of years. Doxycycline is the only thing that works for me. I use Tretinoin again, but I keep my skincare very simple. Products I am using that haven’t caused a flare, Paula’s Choice Calm line cleanser, Beauty of Joseon sunscreen, and LRP Triple Repair Moisturizing Cream. Also, I can use the is clinical cleanser in the morning. If I stray and try to go back to my favorite products, I flare. Toothpaste isn’t a trigger for me. Oh, most foundations I try cause a flare.

[@misslacolebaby734]

I think that tret caused mines also smh, I discontinued tret smh

[@fatbottombiker3038]

I am another person that believes that Tretnoin caused mine. I have never ever gone through anything like this before and it’s extremely embarrassing. I am a teacher so I work hard to cover it up. Is there a certain makeup brand I can use?? I am grateful for any and all suggestions!!

[@liyanazagorska]

I get PD this year, February for the 2 or 3 time, it cames flamely and horrible. I found out that was caused by corticosteroids. Now i use Bulgarian rose water , aloe gel, hyaluronic acid, i have azelaic acid and i will use it more often. Thanks for this video and the recommendations.

[@Vegetable-seller]

What has helped cure it the fastest?

[@kzvegansuperstar]

Perioral dermatitis gang!! One way that I make the “skincare diet” work for me (since my skin is really dry and I can’t skip moisturizer), I just skip it around my mouth. Pimecrolimus works great with that routine too, and a sulfur + sulfacetamide wash

[@herusaleron6793]

been doing this too (skipping moisturizer in my flare areas) and it’s working.

[@anaaaananaaaaaN]

Dermalogica water gel is the ONLY moisturizer my skin can take, and ive tried more than 20 different ones throughout the years, cheap expensive, luxury, you name it. This one is expensive, but worth every penny for my PD skin. My skin is combo and I cant imagine not using moisturizer, especially when having a flair up. Sometimes , if my skin feels dry, i would put moisturizer directly onto wet skin after washing. It helps!

[@zachlucas]

10/10 this video was so well done, thank you

[@peppylemon4lemonsrsour943]

I feel sick, I’m so tired of crying everyday of my life because my face is inflamed and rough scaly skin. I’m such a makeup girly and love dressing up and I can’t go without it at school and now I’m sick. I feel ugly and I know I have a horrible mindset of wanting to be beautiful, but I also have a trip I’m planning for. I have two months to get rid of this and I feel so at lost. I’m seeing my dermatologist and they’re trying to help me out but it feels like it’s getting worse and worse and I can’t tell if that’s meant to be the process. Worse before it gets better?? I don’t know I feel sick, I feel ugly, and I’m so depressed. It weighs down on me and I genuinely want to rot away because of it.

[@shannilovely]

Girl same 😭 I’m struggling with this stupid rash now and it’s terrible! Has yours gone away? If so, how?

[@BeanBitesMe]

Go get a biopsy of your skin to determine what kind of bacteria or fungus is attacking your skin once the barrier is broken

[@khawlaalansari8290]

This was so helpful , thanks doc ♥️

[@sebumpostmortem]

😳Did you read my mind? 🤯 I' m 48, due to an inherited genetic anomaly (the sebaceus cousin of hyperhidrosis), my seborrhiasis needs a round of isotretinoine every 5-6 years (without counting the first one, THE ONE that ended with acne, wich I don' t have anymore). This round, as always 5 mgs every other day, has caused me a perioral dermatitis but, paradoxically, my lip mucose is ok, it has NEVER experienced dryness even being on daily 10 mgs🤷🏻‍♀️🤔. My Saint Derm is trying to solve the mystery so this video comes from heaven. My like and many many thanks in advanced!! 🧛🏻‍♀️🖤

[@davidhoover8877]

By far the best looking MD in the country.

[@Sparki883]

Thank you for this information! I've been looking for an explanation for years as this condition flares up and down - depending on the environmental triggers. Time to switch toothpastes for a while.

[@cressidaaaaa]

What the toothpaste you switched to?

[@mandykleiman4134]

Manuka honey really helped mine.

[@noellev9332]

How did you take it? Did you ingest it or did you find a topical product ?

[@jessmcc8234]

Thank you so much for doing a video on perioral dermatitis!! I’ve been struggling with this for almost a year and my dermatologist keeps prescribing antibiotics which I don’t love being on. Also purely vanity, I hate how it looks 🙄 and itchy

[@brookekasprzyk4850]

Ask for a prescription for Azelaic acid 15%. You will most likely need to moisturize before putting Azelaic acid on because it will be itchy while you adjust to the treatment. I have had perioral dermatitis twice and I can vouch this is the best method. Antibiotics did nothing for my rash.

[@asherasator]

Antibiotics are a major cause of this because they can alter the microbiome allowing yeasts to proliferate. Antihistamines play a huge role too because they affect H1 receptors that also control sebaceous glands which then don't secrete properly causing further skin drying and damage, that allows yeasts that feed off the fat of your cells and microbes to enter deeper into the dermis, then the immune system wants to react. It's a horrible viscous cycle mostly caused by psychotic MDs.

[@cheriestl]

My derm recommended Lotrimin. The problem is that brand has many different products with many different ingredients.

[@xtobimayax]

I have had this since 2011. It hasn't gone away at all. And I know it was because I blew my nose way too much cause I had severe allergy issues. And then I'd put lotion on afterwards which stung. But I've been struggling with this. Been to a dermatologist a few times and it feels like nothing works at all!

[@R_bird117]

I'm sorry, dear. Have you tried Aveeno moisturizers? Research on that esp the oat one. Mine started 2 weeks ago caused by the weather and was very irritating. Getting it was so helpful, the itch has stopped. Now, I'm wondering how I can help myself to remove the hyperpigmentation.

[@heatherclark1796]

Are you using a nasal spray? I think this caused my rash.

[@xtobimayax]

@@heatherclark1796 no I wasn't using any sprays. I had severe polyps in my nasal cavities so those wouldn't work anyways. All I did was just blow my nose constantly till it was raw

[@twinkletwinkle2815]

​​@@heatherclark1796 I have a nasal spray as well and Now suffering this awful PD 😢😢

[@dras3597]

do u have insta or something? can i message u somewhere? i have the same exact cause and issue like u do

[@LizaBrown-u5o]

I’ve dealt with it on and off since I was a teenager. My old dermatologist had diagnosed me, but my new one “loosely” diagnosed me with rosacea. I just went to see him again and again said use either Fucibet cream or Noritate. I went with option one now it’s out of control after I thought it was initially getting better. Now I’m on tetracycline, and stopped makeup and normal skincare, switching to Avene gentle cleaner. MY QUESTION: is Noritate considered a steroid and will it make it worse. What are your thoughts on zinc soap? I am finding my outbreak is sore, and feels “alive”. Is there anything else I can try to get relief? Oh and to make it worse, I have a propylene glycol allergy.

[@albalawideema6832]

I know what caused mine .. it was my stupid decision to alternate between topical tretinoin and topical glycolic acid cream … I’m gonna try stop using anything on my face for a while cause I’m terrified that this can turn into hyperpigmentation

[@preciselyavri7944]

I just got this!! First ever in my life! and i use to use bethamethasone and tretnoin frequently! My Derm put me on Clyndamicin lotion and Tacrolimus ointment on top!!! Its been 2 weeks its NOT WORKING!!!!! They wont go away do i need to go get a second opinion may or even oral antibiotics!!!

[@JayashaniMandila]

Hi Dr Sam, Thank you so much for making a video on this! I’ve been suffering with this since February, It's around my mouth and even my lips are highly pigmented and dried up. I was prescribed Azelaic acid and lymelysal 300mg. When I searched about Azelaic acid it is said not to be used around mouth. But my problem is around the mouth area. So is it okay to apply around the mouth at night avoiding the lips? What should I use to keep the area hydrated? Thank you

[@dime.overmatter]

Drs can't give you medical advice in KZbin comments, they'd be open to legal action.

[@lettucepieceof6043]

Have you been able to fix yours ?

[@thesourpatchkid69]

i got perioral dermatitis again recently because i began to use my symbicort inhaler. although my asthma isn’t getting better, at least my skin is 😞

[@farrisscollins1890]

I narrowed mine down to baking soda toothpaste. Currently it's a new vitamin c serum. Back to my normal vitamin c serum.

[@emilya949]

Doxycycline is the only thing that gets rid of my dermatologist. I never had success with topicals. The first time I have PD I have it for 2 YEARS and it traveled from my chin up to my eyes before I saw a dermatologist. I get a flare up about every three years. Right now I’m pregnant and can’t take doxycycline so I’m screwed until Oct

[@kisstal683]

Thank you for making a video about this! It was so informative. I’ve struggled with eczema my entire life and I’ve more recently had very bad inflammation around my mouth, nose and hairline and just thought it was eczema. I’ve been using steroid cream every other week! I’m definitely going to go to a derm to have it looked at. Thank you!

[@emile8255]

I don't recommend using steroid creams on your face, it can cause a nasty rash. Spreads from your nostrils, to your mouth, to your eyebrows. Though everyone is different

[@youropiniondoesntmatter0]

Don’t use steroids! It will come back with a vengeance

[@brittanykruser7450]

My first, and so far only bout, started after using a different makeup brand that caused a rash and I treated with hydrocortisone cream. I finally saw a dermatologist after a couple months of trying online and doctor suggestions. Based on the severity and spread of mine, we went straight to oral doxycycline and topical erythromycin. It is currently cleared but if I use any creams, serums, or pimple patches on the areas, I start to see a flare.

[@karenmuntelwit2905]

Does anyone on here disagree with the prescribing of long term antibiotic treatment? I have PD and have been prescribed Doxycycline twice previously which I have taken for 4 months and 3 months at different times. I didn't that it helped either time. I am reluctant to take it again due to the effect on the gut microbiome.

[@maxirossi8787]

Taking oral antibiotics long term is not a good idea because a) It makes you become resistant to that antibiotic so it cannot be used for future infections b) it increases yeast within the body leading to thrush infections c) lowers your immune system. I was given a two week course of oral antibiotics by my doctor after several visits to him and dermatologists (also using numerous topicals). Antibiotics never worked and now I use a perioral dermatitis face cream by mama nature (proskin eczema) It got rid of it and occasionally when I get a mild flare up due to hormones it takes the rash away in jig time. My PD was BAD but now my skin is normalised.

[@sharon94503]

I'm so frustrated and miserable...can't get in to see the Derm and I'm in it hing/burning agony on my chin. I have established autoimmune psoriasis, and recently drastically changed my diet to exclude 98% of non-natural sugar (prediabetes), very low fat (non-alcholic fatty liver) and intermittent fasting (approximately 30 days now) It began about 7 days ago and is not getting better. Is it Perioral dermatitis? Is it the rare Keto rash on my chin? Ugh.....I just want to leave this planet.

[@born_confused]

I've had it for a couple of months. My doctor gave me antibiotics this week. She said they'd make my skin sun sensitive and I should use SPF but won't the SPF exacerbate the rash. Also I've read that sulphur can help. Would you recommend?

[@krcb24ify]

I turned 60 in June 23. The perioral dermatitis Jan 24 I was like what is this so I was using tooth paste with charcoal I only chew the tydent bubble gum I stopped both. was already using gentle foam Cetaphil coconut oil. I hate foundation so this is crazy. I had acne in 20's & one issue on right side the microphone was rubbing my face years ago had to go back to dermatologist gave me cream gone in a week that was 20 years ago had no issues since & now this

[@allisonvandiepen8052]

Hmm. I read the opposite -- that Pimecrolimus is not safe for long term use.

[@Britty_90]

I have had this for 9 months now and have tried EVERYTHING, its around sides of my mouth and corners of my eyes. Ive stopped using everything as well. Its embarrassing and stubborn 😣

[@healingasthmaacasestudy9851]

Purple LED light has helped me. I’m an asthmatic and got it from my inhaled steroids and retinol

[@javsdeleo]

Why can't anyone do a video of seborrheic vs perioral dermatitis???

[@carriesmith7331]

Nasal spray is what caused mine. I stopped using it and my skin cleared up.

[@noellev9332]

How soon did you notice? I stopped mine a week ago and I haven’t noticed any improvement.

[@ohdeniseluciani]

You look like a princess!

[@catherinebender8133]

I’ve had a rash for 2 years. popped up randomly and was given hydrocortisone fucidin cream. it helped and i used that on and off for 18 months to control the small red patch on my chin. all of a sudden it’s flared up all around my mouth and up my cheeks/nose. i’ve just don’t 6 weeks of elidel and i’ve had only a few days where it appears better, still sore and red almost daily. went back to the dr to check in and she refuses to give me an antibiotic. she says it’s just the way it is. of course, i saw her on one of my few good days when the redness was a bit less angry. i feel stuck, i want to find somebody who will give me proper treatment. i’m starting to switch everything i use to fluoride and SLS free as a non medicinal intervention. i’m pretty desperate, i’m only 21 and it’s ruining my self esteem. i’m a registered nurse and my patients have even pointed it out. a hard condition to deal with.

[@sanpatc4119]

Is anyone considering a reaction after dental work, that develops weeks after filling due resin filling toxins?? Do anyone get cured after being tested by a allergenist, pretty sure this happens a lot. Skin rashes like this also is a manifestation of toxins in the body, the liver can be intoxicated thanks to dyes, vaccines etc... it is a wide range of problems whee the skin is reacting to , find the cause is the point

[@laurencarmano3920]

Hi dr! Thank you for posting this video. I am currently struggling with my two-year-old daughter. I feel that she may have perioral dermatitis. I’ve brought her to the skin doctor, but they keep thinking it is eczema. They treat her with Cortizone creams. It ends up going away, but then it comes back with a vengeance. For some reason, they are hesitant on thinking that it is perioral dermatitis. I feel like I am stuck because I want to do what’s best for my daughter, but I don’t want to go against what the doctor is saying. The topical medication’s that you mentioned, can those be used on toddlers? She is almost 3. I am wondering if maybe I should blatantly ask the doctor about those medication‘s that you mentioned

[@anaillanr3854]

I suffered on perioral dermatitis for a year, and I think tretinoin helped me cleared it.

[@iriskeniafernandez]

It would be the opposite.

[@anaillanr3854]

@ty-xq7bl . My perioral dermatitis is outside around my mouth, so I applied the tretinoin around it. I also used the metronidazole, but it didn't work for me. So I think it depends on how your skin reacts to it . When I put metronidazole, it got worse. So here's my routine at night. Before I took a shower, I applied IDIAN HEALING CLAY and also called calcium bentonite clay. Read the and follow the instructions on how to mix the clay and how to apply it on your face. Then I go to take a shower to remove the clay after shower while my face is still damp. I apply the tretinoin on my face.

[@anaillanr3854]

I think it depends on how your skin reacts to it . When I put metronidazole, it so red and got worse. So here's my routine at night. Before I took a shower, I applied IDIAN HEALING CLAY and also called calcium bentonite clay. Read the and follow the instructions on how to mix the clay and how to apply it on your face. Then I go to take a shower to remove the clay after shower while my face is still damp. I apply the tretinoin on my face.

[@MuhammadIbrahim-un2kt]

I've suffer Sebhorric Dermatitis from 6 years i will use medicine and alot shampoos remove but they will again will attack it after some time. Some people give me advice he says don't eat wheat carbs and Sugar. Please tell me

[@devdawg22]

I had wicked rosacea that i had under control finally. Well i had to wear a respirator for long periods of time now im battling Peri oral dermatitis.

[@terrid5634]

I am 52 years old and for some reason my lips feel really dry and has red on my upper and lower lip on the skin. I have been using Dr.Dans chapstick for over ten years. This has never happened. I have been putting aquaphor to change it up and see if it helps. I don’t really think it is helping. The only other product I have put on my lips is the lanaige lip mask at bedtime. Would love to hear your thoughts. Thanks for the video.

[@Urmomlovesyoutube]

Im dealing with it and use laniege every night. Maybe time to skip it 🥲😅

[@sierraedwards5505]

Check ingredients in your products. If SLS is used get rid of it. It is used in so many products from toothpaste to skin care, shampoos , cosmetics etc. also try fluoride free toothpaste it may help you. Work on diet to help from inside out. Sugar is a culprit and some vitamin deficiencies too.

[@agnesezogota2953]

I used soooo many different creams which my doctor prescribed when I was 18 and first had PDermatitis. Didnt use cosmetics. Some months before I had full blown PD I used morning-after pill (hormones) and later had few bad stressful months when I started to overeat (emotional eating..). Could be those two thing combined which made my gut and who knows what else function badly. Dermatologist didnt ask these question, I later figured out it might do something..but anyways docs did nothing. Prescribed bunch of creams which did nothing or even worsen condition. I put myself on diet, did more sports, went to sauna regularly. Don't remember how fast it went away, but it did eventually. At around 30 I got it again. The same pattern this time also of what I did wrong (morning after pill, overeating). Now its worse :(..7 years already. Have not been able to do the old routine. Max for week and no difference ..surprise surprise. I think it is related to gut SO MUCH.

[@sarah10001]

Thank you this is brilliant. An important question for me … I have bumps and irritation up to my lip line can I use the metronidazole on my outer lip line and corner of my mouth?

[@angeemmanuelleelidje6064]

I first had it for almost 2 years all around my mouth but I can’t remember what I used to kill it. I know have it again and just noticed there’s SLS in my cleanser 😩😩 the first time I thought It was makeup but rn idk 😪

[@ctorvik21]

I get perioral dermatitis periodically. I have no idea how or why but the cleansing balm that constantly clears it up is Elemis Cleansing Balm.... It is super expensive, but for some reason, it just clears it right up. I am shoooocked about the mints! I am a gum chewer!!! Thank you!!!!! Just finished a flare-up myself. I definitely recommend the Cerve moisturizer if you need it. Metronidizole's side effects look exactly like perioral dermatitis and when I stopped using it my face cleared up. Thank goodness, but anyone suffering, don't give up! It can be frustrating but I promise it will go away :)

[@natashaprehn6070]

Thank you for this Dr Ellis. I thought elidel is not safe to use for long term? I’m been using it for several months and am trying to ween off but had a rebound flare when I stopped cold turkey.

[@jordynb2122]

I’ve had this since I was 15. I’m 26 and still suffer. Nothing works for me 😭😭😭

[@oceanbelow]

I got laid off and dont have insurnace anymore. Go figure my health started to decline, I just had my 1st flare up and thought it was ringworm how bad it itched. Can I not use antibiotic OTC cream or gel? Bactine etc?

[@damoodaiki]

i suffer from this as well. if saying these few words would help anyone, I'd be the happiest. please take it with a grain of salt, I'm just someone commenting. I believe this condition has to do with 1- gut health and 2- liver dysfunction. this's what I come to find out, personally. there must be something bad going on in these 2 organs. whether it's: infection, inflammation, bacteria or viral or parasitic, our gut is suffering from something and our liver is clogged from toxins and so it's not really filtering out harmful substances. it most probably has to do with the food we eat. fast/junk, fried, canned or preserved foods. all contain a certain kind of toxins that harm the gut and clog the liver. as well as skin products and makeup, as the the doc suggested. I've been going herbal to help my gut and liver filter out any accumulated toxins over the years. making tea using herbs that are good for gut and liver health such as: cloves, rosemary, black pepper, oregano, cumin seeds, ginger, turmeric, sage, anise seeds, fennel seeds, mugworts and dill seeds. i boil what needs boiling (5 min) and then I soak what need soaking (5 min) and then i drink a full mug of it throughout the day and my general health got better. of course, with limiting my diet to as organic options as possible.