Perioral Dermatitis - Dermatologist Guide on How to Treat and Prevent

[@karlamicheldealba]

That cetaphil “gentle” cleanser made my skin GO CRAAAAAZY. It triggered my dermatitis in a way no product had before! Some people said they had the same reaction. What is crazy to me is how literally every product affects us differently! I’m going to try both la roche posay products you recommended !

[@gwengunn3583]

Cetaphil has SLS, sodium laurel sulphate, This ingredient needs to be banned. Bad stuff!! Stay away

[@farrah2529]

Try CeraVe products instead of Cetaphil ( she showed the moisturizer but called it Cetaphil). Cetaphil is horrible on sensitive skin.

[@dojei_]

thé ceraVe SA cleanser is what I use. Sometimes when my derma is really bad, I use the aveno baby creamy wash. for a cream i use ceraVe daily moisturizer during the night/day and when it’s really sunny/hot I use the spf 30 facial moisturizer lotion, the AM one.

[@carak4356]

Same

[@lemonstealer2902]

@@farrah2529 cerave gave me rashes 🥲

[@313Mulan]

I just bought yesterday the La Roche-Posay Hydrating Gentle Cleanser, Vanicream Daily Facial Moisturizer for Sensitive Skin, Hyaluronic Acid Serum and Niacinamide Serum and OMGGGG my skin has done a 180°! I'm so excited 😊 I was diagnosing myself with having acne but that's not the case. I just have PD and Rosacea. The key is to use products that aren't harsh on the skin. GENTLE GENTLE GENTLE!

[@followingup634]

I have it actually everything I tried It seems to be worse

[@isamarpena6075]

Thank you! I’ve been struggling with this since March of this year. I have discontinued all skin care and beauty products, and It has improved somewhat, but not completely. I think it’s time I see a dermatologist.

[@xRose_007]

Try using Benadryl cream, it worked for me. It MAY work for you as well. Just paste it on the parts that may have the pimples or irritation.

[@isamarpena6075]

@@xRose_007 thank you! I will give it a try.

[@brendajones4952]

Try proskin eczema by the natural skincare company 'mama nature'. I had this red perioral rash all around my mouth and it was gone in a couple of weeks. I think it has to do with the calendula. Mama nature do a full refund if it doesn't help. Doc says my rash was caused by hormonal fluctuations but the cream took care of it.

[@huiyuanli4856]

Wow I was just diagnosed perioral dermatitis, this is just on time

[@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.

[@karimamaroud3237]

Do not be really very happy. I experience also this skin disorder and still today. I got also a prescription for metronidazole. It has gone but not really totally. After few months , it came back and worse than the 1st time. I am crazy and really do not know what to do . I also used for the 1st time retinal from the ordinary. I was advised to start 1st with retinal in stead of Retinol which is stronger than retinal. What would be my skin reaction if I tried retinol directly may be worse ….. anyway I am still suffering. My dermatologist just recommended me to drop any skin routine currently which is also quiet difficult especially when the dermatitis is inflamed and need to camouflage it a concealer ….

[@user-pm9fm1dk9v]

@@karimamaroud3237Try Osmia clay bar and simple lotion ❤

[@maxirossi8787]

I tried a couple of these treatments recommended but had no joy! Used a brand I had never heard of before (Mama Nature) because their cream proskin eczema that contains calendula was recommended on a forum and my skin has been fantastic!! I, along with my doctor and dermatologist, had given up all hope and we couldn't believe how it healed all of my PD!

[@brendajones4952]

Yes! I have been telling people about this because it is the only cream that worked!

[@Melissa-xd7zf]

Tbh I would also remove the mineral sunscreen as that's what triggered mine. I've just gone three weeks putting literally nothing on my skin and its got a bit better but definitely still there. UPDATE - 4 months of no skincare AT ALL and washing face with water once a week and my PD is healing! Zero therapy works people :)

[@iluvcutestuf13]

hi has your PD improved at all?

[@Melissa-xd7zf]

@@iluvcutestuf13 Hi yes happy to say my PD has almost fully healed! 4 months ago I decided to stop putting anything on my skin and go full zero therapy. I have naturally dry skin so only got water on it once a week when I had to wash my hair in the shower and obviously water would get on it. Apart from that I did literally nothing, no moisturiser, no cleanser. The first 3 months were really hard, it just got drier and drier, then at the end of month 3 my skin kind of peeled and there was softer skin underneath. Coming up to month 5 now and my skin overall is so much calmer and healthier looking. My PD areas are still slightly redder and drier than the rest of my skin but definitely healing. Will never wear skincare products again now as im sure they were the cause of my damaged barrier, hence developing PD.

[@Nana-ir5bf]

@@Melissa-xd7zfI feel like this isn’t safe… I would love to try but I have oily skin.

[@Melissa-xd7zf]

@@Nana-ir5bf hey, its called zero therapy and is often recommended for treatment of perioral dermatitis so its probabaly the safest treatment you can try. But it depends on what caused your PD in the first place, if it was skincare products then zero therapy is going to take away the risk of further reactions to products and allow the skin's natural healing process to take place. I think many people aren't aware that the skin has the ability to maintain itself, it can just take time. I wouldn't be put off trying it just because you have oily skin. your skin being able to produce oil i.e. form a protective fatty layer over skin is a good sign that is working healthily. If you are constantly cleansing, the skin thinks it needs to make more oil, so it won't be harmful to do zero therapy and let your skin balance itself out over the period of a few months.

[@Nana-ir5bf]

@@Melissa-xd7zf what if I’m sweating all day everyday? It feels really dirty do I just wash off and use basic moisturizer? I have hypochlorous acid and rose water or hydrating mist? And what do I do when my face starts to get oily during the day

[@sshii]

Ugh I’ve been dealing with this for months, and it took months to get into the dermatologist’s office at all. I’ve thrown everything but the kitchen sink at it - topical steroids, acne treatment, etc. Finally got into my appt and on antibiotics, and I’m so glad this information is here. 😭 Never dealt with this before.

[@Espisama]

How is it going?

[@sshii]

@@Espisama hey, it’s going so well thanks for asking!! The antibiotic did the trick, and I’m in for a follow up tomorrow. :)

[@diahhh7557]

hallo, what antibiotics that u've got ?

[@COCO9PEARL]

@@sshii Glad you are better! If you don’t mind sharing what antibiotics did they give you?

[@brendajones4952]

How did you get on? If you still need a topical try proskin eczema by the natural skincare company 'mama nature'. I had this red perioral rash all around my mouth and it was gone like magic! I think it has to do with the calendula and the cream feels silky smooth. Mama nature do a full refund if it doesn't help. Doc says my rash was caused by hormonal fluctuations.

[@eleanorr2928]

The rash by my mouth is making me so depressed 😔 tried an antibacterial cream, an anti fungal cream, putting nothing on, diprabase but nothing works. Seeing a dermatologist next week as my doctor hasn't got a clue

[@PhyliciaJanelle]

Do you use fluoride toothpaste

[@dntfwm1233]

feel you :( i am suffering from it since years and i tried everything.. every once in a month i get so sad that i feel really down and cry a lot about it..

[@eleanorr2928]

@@dntfwm1233 I'm so sorry. Mine cleared up with an eczema cream called elidel.

[@leahbutler7459]

have it too! but you really shouldn’t use anything on it at all…that’s the way it goes away quickest (and even then it takes quite some time)

[@anieee96]

@@eleanorr2928 Im starting this on Monday… did it burn for you?

[@MargoKargo]

I have been proscribed 16 weeks of small dose of doxycycline antibiotics with food and metronidazole gel…i am seeing results after 3 days already…also stopped using towel (using paper tissue) after face wash, cream for sensitive skin on top part of face (no acids, scrubs, very active creams), threw away all shampoo (using eco bar), no spray deodorant or parfume, changing pillow cases every 2-3 days. Good luck to all, it is struggle but we will win🙌

[@melissajones7741]

What cleanser and moisturizer are you using? Also prescribed same treatment as you but still seeing small issues

[@donnagavin6694]

Can we get an update on your condition? What makeup do you use now?

[@Elisekathleen734]

Thank you so much for this video! I just made an appointment with a dermatologist. This is my first flare up but I have seborrhic dermatitis. I’ve had this flare up for about a month and a half even after switching up my products. 😢

[@emmyeve6321]

Try a cleanser with zinc pyrithione

[@karakenney6408]

I just found this video. I have gone months without putting anything on my skin. No make up, no sunscreen. Just sensitive fragrance free cleanser and moisturizer from Neutrogena. And yet... It's been years. Three years since I got it from wearing a mask. I have a horrible outbreak right now. But it's never gone away. It's always there and gets worse at times. I have not put any steroids or hydrocortisone or anything on it. But I can't get rid of it. It's awful and when it's bad like it is now, it's itchy. I have sensitive skin and the only thing that doesn't make it worse is the Neutrogena. I am at my wits end.

[@Melissa-xd7zf]

have you tried oral antibiotics? lots of people have had success with them, ive been on 100mg doxycycline for 8 weeks and it still hasnt cleared up though :/ but might be worth a try for you

[@anitamartin3840]

Thank you Dr Jenny, very useful. My skin is burning and scaly around my mouth. Will try your recommendations.

[@MiaSunflowers]

Oh my Buddha! First person saying Periorale dermatitis and seborrheic dermatitis at the same time is actually a thing. Struggling for months now and not finding a solution. There are conflicting information out there and not any experiences from other sufferer

[@amelioratenote7845]

I suffer from the same thing .. been having SD for the longest time on my cheeks. N this perioral dermatitis started during Covid.. I am so confuse with how to treat n what to use to keep it tame 😢

[@Kashmiriology]

I suffered from the same for a year plus. Use tacrolimus gel ointment and oatmeal facewash only. It worked.

[@rolm5702]

Did it occur again!

[@brendajones4952]

Glad you found something! I used proskin eczema and it was amazing!

[@bdet313]

A couple years ago, after being on prednisone for several months, I developed perioral dermatitis. I was desperate, so I used a 20% zinc oxide cream and it worked!

[@dr.jennyliu]

Great to hear

[@LA-rc6nm]

Avene cream you mean?

[@bdet313]

@@LA-rc6nm No.

[@Luke2128]

@@LA-rc6nm Nappy cream...Desitin...Maty's Baby Ointment...that is usually 20% zinc oxide

[@norahj4644]

@BDet313 Could you please let me know what brand zinc cream you used?

[@accountantreviews7002]

I was told to use vanicream products because it’s gentle. I started having Perioral dermatitis in Feb 2023. Still trying to get rid of it 😢

[@brendajones4952]

Try proskin eczema by the natural skincare company 'mama nature'. I had this red perioral rash all around my mouth and it was gone in a couple of weeks. I think it has to do with the calendula. Doc says my rash was caused by hormonal fluctuations but the cream took care of it.

[@xRose_007]

I've been using Benadryl for mine and it dried up overnight. Still using it and it starts to flake and dry up, making the rash and pimples alot smaller. My face is no longer hurting and there is no longer any soreness or oozing. It does leave around my mouth dry so I add coconut oil to add moisture. . I'm so glad for this though. I got this rash from using huggies baby wipes (aloe vera) on my face. Hope you all find better results for you and feel better about your skin.

[@guykenniker9498]

I put aloe on my face and it swelled so much. Aloe contains nickel and I react to food high in nickel

[@xRose_007]

@@guykenniker9498 Oh, that's so unfortunate. I really hope you find what works for your skin.

[@melissajones7741]

Are you using a benedryl cream?

[@guykenniker9498]

@@melissajones7741 noz,

[@melissajones7741]

@@guykenniker9498 noz?

[@robinbrennan4561]

Thank you. Very informative.

[@patriciacruz2208]

Dr. Liu thank you so much for this video!!!! I took your suggestions and my PD is clearing up and it’s better than before!! However, can you recommend a makeup foundation that I should try? I am seeing so many variations and am not sure where to turn? Thank you so much!!!

[@user-pm9fm1dk9v]

Try mineral makeup, don’t wear anything with oil, even liquid makeup’s are triggering…try bare minerals 😊

[@nothanksmegan]

I’ve had aggressive POD for 3 years to no avail and no one can help me. I have no idea what to do and feel like all my options aren’t spent. It’s destroying my life.

[@FrancineMaultz]

Great video. Consider patch testing Aquaphor Diaper Cream 40% with no petroleum or mineral oil. Also try organic green tea compresses. No makeup. I hope you find relief.

[@selenite7751]

I was slugging with Aquaphor and it triggered my POD😭been 7 weeks now battling. Thanks for the video

[@Luke2128]

I feel ya! I made the mistake of using Cetaphil cream on my face and boy oh boy, it has spread to my cheeks and under eye area. I am miserable.

[@313Mulan]

@@Luke2128 omgggg me too 😭😭

[@Luke2128]

@@313Mulan, look at my reply to Sheila. It's under the replies to Nikki Pizarro. There is hope. Just don't give up. Keep trying. You have to find something that will work for you, but look at the exchanges between Sheila and myself. The less items in the cleansers and creams the better. The Osmia Clay Soap Dr. Liu was the beginning of a turning point for me. I also like Buff City Soap (available online). They have a clay soap with a moisturizer that feels super nice and they have a cream called body butter (don't add any essential oils just get plain). I put that on at night and it's healing. I also found Mother Dirt face wash, serum, and mist...it's all in the exchanges down below. Don't lose heart. Keep trying.

[@313Mulan]

@@Luke2128 I just bought yesterday the La Roche-Posay Hydrating Gentle Cleanser, Vanicream Daily Facial Moisturizer for Sensitive Skin, Hyaluronic Acid Serum and Niacinamide Serum and OMGGGG my skin has done 180°! I'm so excited 😊 I was diagnosing myself with having acne but that's not the case. I just have PD and Rosacea.

[@Luke2128]

@@313Mulan I am so happy you found what works for you. Amazing how we are all different in microbiome and have to slog through hundreds of dollars worth of products at a time when we are having a hard time feeding ourselves and putting gas in our cars. I am so very happy for you, Mulan. I pray to God above it solves everything permanently.

[@christinerodriguez9043]

Thank you for this video really helped me understand POD ❤️

[@Jack-hy1zq]

Many skin conditions are secondary symptoms of gut problems. Do your own research. Checkout the link between L-glutamine and skin inflammation. Dermatology is in the business of treating symptoms - we can do better. Also checkout biotin an riboflavin deficiency. The problem is on the inside.

[@mimiesdelicacies]

I think the same, antibiotics could make it worse right ?

[@yvettesoto1783]

Is there a facial someone with perioral dermatitis prone skin should avoid or a facial service you feel has caused a flare up for someone?

[@jeannineenos2758]

Ty, your video is such a big help for me!❤

[@user-rm2iu8nn2p]

My pd is not due tobskincate triggers as such however stopping anything on my skin helps a lot , just amperna products occadionally to help with the dryness on some days. Going dairy free and cutting sugar was the key for me, such a huge difference!

[@Padmaranimusic]

Somehow not many doctors talk about changing your diet, but lots of suggestions on products 😢

[@lailas.legacy]

I have been dealing with this for years now, i have tried everything, OTC and prescription, but my options have also been limited because i have been either pregnant, or breastfeeding for the past few years since 2019. I recently started Curology and thats all i am currently using. Its been a month and no improvement yet but i will give it some time and see.

[@relee1207]

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

[@NirodhaSheran]

I’m not sure whether I had perioral dermatitis. I applied Aloe gel for 5 days and then shifted to Vaseline. In one day, most of the red patches disappeared and counting. Anyway, I wish no one would go through this disease.

[@LA-rc6nm]

Thanks for the information I just want to ask if Avene cicalfate cream that contains Zinc is helpful or not! Cause is saw a video of dermatologist saying that any zinc containing products may cause a flare up and this was seen only in children so I am not sure whether to use it or not

[@evasmrekar6433]

It works great on my PD

[@nathaniallischak3133]

For those taking corticosteroids for asthma, what do you recommend to stop the dermatitis?

[@afabulousguy4754]

I have the same issue, have you found anything?

[@GenKraid]

Also curious.

[@suzannahhill6172]

Exact same thing happening to me, doctors claiming it’s not the inhalers but it’s literally triggered by corticosteroids

[@suzannahhill6172]

Did you find anything?

[@GenKraid]

@@suzannahhill6172 My doctor gave me pimecrolimus cream. It's working perfectly! Almost completely cleared up in a few days.

[@nikkipizarro5567]

Great video thank you! So my Perioral dermatitis just cleared up after 3 weeks of just using vanicream cleanser, vanicream moisturizer and topical clyndamycin and oral doxycycline. My case was not severe! I really want to start wearing makeup again and start using my prescription retin A (altreno lotion) again. But I am so afraid to add back products!!! How would you add those back in to your routine? Also I'd been using altreno lotion for almost 3 years every night so my skin is used to it!!

[@Happinessiskey1234]

Hi. Did you have any side effects with doxycycline? Hows your PD now?

[@greta6685]

Have this same question ^

[@Happinessiskey1234]

@@greta6685 i just started Doxy yesterday. So far the only side effect i had was nausea and dizziness! I would love to know how it will be the full 3 week course of taking it. Does the PD come back etc. Hopefully we get a response lol

[@Luke2128]

@@Happinessiskey1234 I got a bout of gastritis from it and it was pretty bad and painful. One thing about antibiotics I learned is take a probiotic with it if you can - I take it with a small glass of Kefir and at times a probiotic pill.

[@Happinessiskey1234]

@@Luke2128 I took it for eight days and had a terrible reaction. Severe abdominal pain to the point I couldn’t move for a few days and crazy amount of vomiting. I took all the precautions, took a good dose of probiotics and ate food with the pill. My doctor took me off of it immediately. I guess some people just can’t take antibiotics😞

[@mariaritaalvesferreiracent9314]

Dr. Jenny, if a stick to a gentle cerave cleanser and their moisturizing lotion, do you think that I can clear up my perioral dermatitis fast? I´ve tried so many things :(

[@afabulousguy4754]

Anyone here get perioral dermatitis from their inhaler? If so how can I treat it.

[@kristinewerner1051]

Thank you so much! I have MS and have been struggling with PD for most of this year. Should we throw out makeup brushes and applicators, foundations, etc.?

[@donnabolt5847]

Interesting. I have MS as well. I'm wondering if my DMT caused this because it listed skin infections as side effect. I'm trying to not take the antibiotic prescribed by my derm to clear this up. What a mess... lol

[@cloroxbleach4926]

Should i use facewash for oily or dry skin?

[@Kay2be2mr]

The moisturizer recommendation is confusing. I've been using The La Roche Posay Lipikar AP Balm but you're saying it's too thick? I also own the Aveeno oat gel but you say gels aren't good either. What about the CeraVe Daily Moisturizing lotion?? I stopped the lotion because I felt like it wasn't doing anything to help the situation so I bought the balm thinking thicker is better.

[@dr.jennyliu]

These are just my personal recs. Your skin is different than mine so if the thicker formulation works for you then please continue!

[@survivinglife262]

been having acne around my chin and lips all my life but I'm still not sure if it's pod- that's the first area i breakout always.

[@Nana-ir5bf]

If there’s pigmentation around that area then maybe

[@gabi1086]

Thank you. I have a question. Would you also recommend the cataphil cream as a gentle moisturizer for someone with dry face skin? I’ve been using that for a long time and now that i’ve PD i’m not sure if i need to stop using it. What do you think of the Equate version of Cetaphil? And should one stop using Panoxyl? Thanks :)

[@ludachris32able]

I was prescribed metronidazole cream for my POD its burning my skin is that normal? And what can I put on my skin besides a moisturizer to help not make it so dry and stinging feeling?

[@sydneyscaife3908]

I use the double repair matte, but would the original double repair be better for PD? I have very oily skin!

[@ICYHope]

Hi so I have this problem where I have inflammation around my mouth and on my lips it can go away but it goes away for 2 days and it will come back and it keeps on doing this by going away and coming back and another problem I have is when I wake up my mouth and the skin above my lip is TIGHT LIKE GLUE And it’s so tight to the point it’s also white because of all the dead skin and I have to take a wet towel and rub it on to make it feel better and so much dead skin comes off it’s ridiculous but I don’t understand why I keep waking up with irritated inflamed tight lips along with tight skin around my lips I only ever put on Vaseline and I admit I overuse it quite a lot but I have to put something on my lips but I don’t just put Vaseline on my lips I also put it on the skin above my lip because that’s the part where I also have the problem and that’s why I also think that I have perioral dermatitis around my lips and they get dry super fast and if i don’t put on Vaseline my lips and the skin around it Then it will start to get so dry and cracked and I have to put something on to prevent that so I apply Vaseline but I apply no other product I’m not sure if it’s my tooth paste and I do have eczema it’s all over my body and on my face however I do take a medication called dupixant to prevent it so my ezcema is practically gone right now but I don’t understand why I have this problem around my lip as well as on my lip and it’s definitely not a side effect from taking dupixant because I’ve had it before I started taking dupixant

[@haleypruett7307]

What do I do if even the cetaphil is setting my skin on fire?

[@suzi-ml8ep]

can we use face mask?

[@Emmastayofftheinternet]

hiya, thanks for the video, I get perioral derm when I eat cheese of any kind? is this normal?

[@Likeroseswebloosm101]

I used an original treatment of an antibiotic plus a gel to clear it up the first time and I tried using the same treatment for this flare up and my skin is so bad. It feels like my face is burning and its been spreading pretty badly. Is there anything else anyone recommends? Ive been taking steroids to help my lungs after covid and a lung infection. Thank you! ✨😭

[@amieambrose1861]

Is there anything you did to help yours?

[@Alexellis738]

Do you recommend vanicream the brand lol

[@squidwardtortellini2]

it’s the only brand that hasn’t flared up my dermatitis, totally recommend!

[@amandamichalak856]

Can Bianca cause this?

[@Tawkitoutti]

Mine was from mint flavoring in toothpastes.

[@noralutter3208]

Can POD manifest as tiny white heads along the lip line and on the skin around the mouth? I get cold sores but lately have been getting tiny whiteheads along my lip line (not in clusters) and around my mouth. they last about a couple days but I almost always have at least one or two .

[@nusratjahan5281]

Similar situation!

[@afabulousguy4754]

Did you ever manage to fix it? I have the same problem.

[@nusratjahan5281]

@@afabulousguy4754 Yes, I've used Dermasol/Dermeze oinment. It's totally gone.

[@afabulousguy4754]

@@nusratjahan5281 Do you have asthma and use an inhaler? Have had this for 11 years and i can't stop using my inhaler.

[@emilyhill7622]

Does a hydrocortisone cream make it worse? Can I apply honey to sooth the burning?

[@hasnaacoshca5344]

I dont recommend using hydrocortisone its defintly make it worse it may gonna stop it for few days but if you stoped using the cream its gonna come back waaaay worse than before

[@alpicoo]

Can perioral dermatitis be without bumps? Like the skin is just red and flaky and burning a bit? I've had this for most of my adult life

[@dr.jennyliu]

Usually not. But eczema can be more rash like

[@angellianneortiz8821]

@@dr.jennyliu what medication can you recommend?

[@vianeymartinez697]

I’m pregnant and my perioral dermatitis is worse than ever. :(. Been to 3 dermatologist and nothing has changed, I use only cerave cleanser and la Roche toleraine as moisturizer. Any thoughts? I’m really desperate. Actually I started to have this perioral dermatitis way worse than before after my first COVID shot in 2021.

[@xoxo2457]

The avene cicalfate cream helped me and just washing the face with water

[@HamGen]

I have red color on the line like eyebrow, nose, ans below lips. First time I dont really know about it all. So it's already attack my skin around 5 years. This last year I just go to Doctor with issue after traveling and have promblem on my skin, and I just know if I got Steroid on my Skin. And now the red color more and more and very dryyy. I very frustated. I hope I can my normal skin faster because its very uncomfortable. Very dry and red color. 😢

[@HamGen]

Now I just used azeclair serum product from Avoskin, and for Cleaning Essense by Skintific for Facial Wash. For Office and Outdoor I must used Baby Cream to Hide the RED Zone.on my Face. Very Uncomfortable. 😢

[@horsepowerequineaz]

I 100% cannot use a single one of these products. I have tried all except one - every single one set off my POD.

[@NandhiniramuNandhiniramu]

I have this prblm for 3 yrs nd still it continuing

[@cloroxbleach4926]

Is cerave good?

[@Tr_Valerie2014]

Can Cerave SA cream for rough & bumpy skin be used for perioral dermatitis too?

[@halifaxverbeck7098]

i’m not an expert, but from all the information i have found from doctors and dermatologists about perioral dermatitis, a SA cleanser is most likely way too harsh and will worsen the dermatitis. i personally found the Cerave SA cleanser to be very drying and irritating, even before i had perioral dermatitis. Salicylic acid can reduce the appearance of acne because it exfoliates the skin and gets rid of dead skin and sebum that are clogging the pores. the red bumps you get when you have perioral dermatitis aren’t caused by pore blockages like acne is, so salicylic acid probably won’t help clear them up. my doctor recommended that i just stop using a cleanser and any other skincare products for awhile to see if my dermatitis clears up on its own. if that doesn’t work i’m going to try oral antibiotics. you want to be as gentle as possible to your skin when dealing with perioral dermatitis, and you should see a doctor or dermatologist about it as soon as possible ❤️

[@Tr_Valerie2014]

@@halifaxverbeck7098 thanks a lot 🤗

[@Dranoeleo]

Hi

[@aminafaridi8571]

can i use vaseline on perioral dermatitis

[@dr.jennyliu]

Not the best. Some feel the occlusive nature may worsen PD

[@salisalsa4615]

Ha I have problems finding any sunscreen that dont give me a flare up, i have even tried mineral sunscreens but allas nothin works. Which is makin me go crazy as a skincare junkie bcs its super important😭

[@jordanwarner3827]

Can perioral dermatitis be on your cheeks?

[@dr.jennyliu]

Can certainly get a few scattered ones but majority of them are focused around the mouth and nose

[@jordanrisberg5579]

Okay, well my dermatologist has given me a antibiotic lotion (metronidazole) for a rash that is focused on my cheeks, nose, and mouth. A majority of them are on my cheeks though and she thinks it is perioal dermatitis. Any thoughts?

[@kamilakosmider4375]

I have this problem around my mounth and on my cheeks and no one knows what it is. I was using metronidazole (gel) but it did’t help. I made test on demodex but I have negative result so still I don’t know what it is and how to treat it.

[@marlo2919]

@@jordanrisberg5579 I'm the same I have rash that is around my mouth and on my cheeks and under my eye. I was told it was peri oral dermatitis and given elidele cream and its not working and they derm said there was nothing else they could give me. I think I'm going to go g e t a. Second opinion. I can't live like this it's my face and its ridiculous they don't have anything else.

[@marlo2919]

Also to had I've had my rash two years now and I stopped leaving the house and became a recluse.

[@Luke2128]

I had no problems until the stupid masks. My dermatologist said he is seeing a huge increase in PD. I was given oral antibiotics and an antibiotic cream. It got a better but the best thing has ben Manuka Honey with a UMF higher than 20. My dermatologist said that in Women over 50 it never really goes away - it goes dormant until the next time you wear a mask. And sure as heck, everytime I have to put on a mask, the next day, my nose is flaring up. Currently having a problem with columella area. It does burn for sure! I can actually see the spot where I think it lives. I am so sick of this as it's been a year. I am at a point where I seriously would entertain an injection of antibiotic in that area if that is even possible. 😬😳 Anyway, I will give some of these creams a try, but I agree that makeup aggravates it. Thank you for the video and product recommendations.

[@ashleykuzmicki]

This is crazy! Once I stopped wearing masks it started!

[@Luke2128]

@@ashleykuzmicki, it's crazy. My MIL said she was fine with the cloth mask but once she moved to the N95, she broke out around her mouth. I'm going to get her the clay soap and some shea butter, which is the only thing that has helped me so far.

[@josephinepatangui7977]

Inject much better i have also huhuhu

[@Luke2128]

I saw my dermatologist yesterday and he agrees with me when I told him that we are now lab rats because what works for one person might not work for another. I told him as well that as a dermatologist who sees what is happening, patients should have the freedom to wear face shields, which I had on when I first came in, but the nurses kept insisting that I also wear a mask. He agreed and he said that on your 3 month follow-up, you can tell the nurses that "Dr. S." said I a free to wear the face shield ONLY. Here is the ridiculousness of the face masks. 1) every mask box states very clearly that it will not stop the Rona germ. 2) All the receptionists aren behind plexiglass - every doctor, every FedEx store, Office Supply store etc., so what is the difference if you wear a face shield as well. At least you are getting some fresh air and not necessarily breathing in your own mouth germs. It is common knowledge that human mouths have more dangerous germs than cats and dogs who lick their bums all livelong day. 3) The dermatologist is going to ask you to remove the mask so he can examine your face - the irony!. 4) Why not divide the waiting room like they do with sick and well babies in the pediatric offices. In our case, create an area for those with PD and allow them to wear face shields and those with masks can sit together if it's that important to them. 5) How ridiculous is it that you are spending hundreds and at times thousands of dollars to find a remedy and a cure for a problem created by the masks and the doctors who are supposed to be helping you heal are only perpetuating it. I get masks are important for some - I'm not critizing them, but those of us with issues like PD should have the freedom to wear a shield. Just saying.

[@SandiTink]

Great information. Thank you.

[@Deeceelise]

What mineral based sunscreen would you recommend for someone with POD but also acne prone? Thank you,

[@jeannegagniere6287]

up

[@sarahahmad4255]

It’s been about 2 weeks since I had my first flare up and it was really bad. I think mine was due to using topical corticosteroids as I do already have atopic eczema and rosacea. When I first went to the GP, I did not know what was going on with my skin so the doctor prescribed me a hydrocortisone which made it worse. Went back to the GP after doing my own research as well, and he gave me DUAC which is an acne gel. I stopped using everything and was only using DUAC at night. I threw away everything that I was using for my skin care prior to getting PD. It’s been 6 days since I’ve been using DUAC and my PD has substantially gone down. But since DUAC is so drying on the skin and makes the skin peel/flake I had to start getting my skin back in a routine. Currently using the following: 1. CeraVe hydrating cleanser 2. CeraVe micellar cleansing water with niacinamide 3. 100% plant derived squalene from the ordinary 4. La Roche-Posay Tolerine sensitive riche 5. La Roche-Posay anthelios anti-shine suncream SPF 50+ 6. DUAC once daily before bed for 10 days This might not work for everyone but it’s working for me so far. And slowly introduce each product to your routine.

[@brendajones4952]

I just use proskin eczema and a cream cleanser and my skin has never looked so good since my PD!

[@Jake-ue4ru]

I've randomly started getting what I think is perioral dermatitis in my nasolabial folds. I'm rosacea prone which significantly improved and basically resolved with use of daily moisturizer and physical sunscreen. I was using the thicker vanicream moisturizer and eltaMD UV physical but now I've noticed these products have been triggering this perioral dermatitis which is upsetting, so now I'm trying other find replacement products while also trying to clear the dermatitis.

[@aimee6786]

Why do dermatologists never recommend ALL natural products as opposed to products with predominately chemicals and a few natural products?

[@brendajones4952]

That has always puzzled me. Maybe they are conditioned to so so in training and have become more narrow minded?

[@cathydavies3552]

The only thing that clears my POD is a 6 week course of Lymecycline. I use AproDerm Colloidal Oat cream moisturiser which is very kind to my skin xxxx

[@EldritchCloak]

Did you fine it completely cleared up? Or does it still reappear once in a while?

[@nanarachel100]

Hi! I haven’t left my house in weeks because of it. Is there a foundation/concealer you would recommend?

[@boujibum6820]

Honestly I have done so much to try and heal my PD but nothing works except for sun exposure and unfortunately I live in the uk and the only way I can live without PD is going on the sunbeds twice per week for 6 minutes (that’s the minimum I’ve found that helps me). I even did an allergy test to see if something was triggering my PD, found out I was celiac and cut all wheat and rye out my diet, this never helped my PD. So unfortunately the sunbeds is still my thing.

[@smokiis9099]

I have dermatitis seborrheic and inflammatory acne but I am treated with this too, I don't know what to do. I'm some tired, it have been more than 5 years I'm in different treatments.

[@lynny5510]

Antibiotics just cause gut problems and then I have to deal with that. So basically I would be trading one problem for another. That is not a cure.

[@babyspce]

hi! i’ve been diagnosed with Pityrosporum Folliculitus since trying a ton of different antibiotics and have been on and off oral antifungals for a while now. i’m not currently using any leave on topicals nor am i using the oral medication and my skin looks good, but i have a red rash with small white pustules along my chin under my lips and around my nose and upper lip area. it’s uncomfortable, dry and itchy and i am thinking it’s POD. but i have yet to have seen my derm about it yet. i’m wondering if any body has any idea as to if there are any recommendations for “fungal acne” prone skin that are safe as well as good for POD. i feel like i’m the only person going through this, although i know i am not! it just feels so humiliating and lonely.

[@JayashaniMandila]

Hi 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

[@Baubles8889]

Can I use calamine lotion or drying lotion on it? I have a patch under my eye and it itches like crazy 🤷‍♀️

[@85jjp]

Thank you I’ve now realised that the rash around my mouth that I haven’t got rid of for almost 3 months must be peri oral dermatitis- i first through it was acne, then started treating it with a mild steroid cream (argh I’m sure I made it am worse) have sensitive skin, am a nurse and wear masks a lot so it’s all making sense. I will be following your advice now thanks!

[@tracyferguson5077]

do you not recommend the La Roche-Posay Lipikar Balm AP+ or the eczema cream? I have very dry skin.

[@walt6095]

yeah you can use it. Try the cicplast baume b5 that is also effective for PD.

[@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.

[@CarolynnG-rw4wj]

EltaMD subsitute? Canadian girl and product isn't available here... searched high and low for a zinc / titanium sunscreen but all seem to have alcohol... Thanks!

[@teriann1952]

I have some area near the nose and cheek fold and now and then near corners of mouth. I was using makeup and a concealer to cover my terrible dark circles under my eyes and sun spots...I started using the Cetaphil cleanser and it seems to be less irritated. How can I deal with looking better if I cannot use makeup to cover the spots, dark circles and sun spots? I am 71 and want to look better.

[@jessicastevens6342]

I have both acne and pod. It is torture

[@TheArunimaa]

Thanks for the video. I have been dealing with what I think is POD, and last January was the first time it happened. It was also the first time I was living outside of my home country and in Europe. I thought I had recovered bt it happened again this February. I really don't know what to do and healthcare is very tricky here because I am not a resident yet. If anyone has any advice to share I would be more than grateful. I just want to figure out the cause for this so that I can avoid the triggers next time. P.S. I had rosacea in my teens but never POD. Thankss 🌸🌸🌸

[@Luke2128]

Have you tried a telehealth with your own doctor from your country?

[@TheArunimaa]

@@Luke2128 Thanks for the reply. That sounds like a good idea. I haven't done that yet because I still wouldn't be able to get medicines they recommend without a prescription. But yes I could consult for over the counter options 🌸

[@Luke2128]

@@TheArunimaa , I'm not sure where you are from, obviously. But here in the states, our big pharmacies are Walgreens and CVS. Both will fill a prescription from a doctor as long as they have the script and the doctors have a number of your pharmacy. Once they fill it, anyone you send can p/u the prescription. Here they only ask you the name and address of the person you're picking up for. If it's a pain killer - different protocol and then it depends on the state and the store. All that said, can anyone p/u and send to you?

[@lauracanedy2690]

I lived in Germany for three years and also traveled around Europe a lot. They don’t don’t really have drugstores like we know them. Go to any of the local pharmacies. Most European pharmacies have pharmacists that can actually prescribe your condition and get you “over-the-counter” medicine because you literally have to get it from them over the counter. They will have stronger/better meds than what you’d find in one of their regular Walgreen-type stores. Use Google translate and show them your actual condition or the medication you’re looking for. I had to do this for a yeast infection that flared while in Italy, haha!

[@brittneyr4457]

I have 1st time PD and the redness and bumps are going away but there’s so much flaking and dryness - is this a good sign?

[@danielled1168]

Anyone notice PD developed after using the hero pimple patches for a while?

[@anjugeorge3784]

Hi, I have perioral dermatitis for 4 months now. No treatments is responding. Thy gave me steroids treatment for 2 weeks initially- it was clearing up first and then everything came back again when I stopped it. Then, I went to urgent care since it was spreading very badly overall my face including my eyelids. Thy gave me some shot and lotion- I left better for 4-5days, then everything came back again. I went to dermatologist, was on treatment for 2 months with antibiotics,steroids, anti fungal , Elidel, and some other ointment. Again, it was settling down, but once I stop the medication every thing is back again.. I am soo frustrated and with all this medications, my periods is irregular. Please help me. Thanks.

[@feli435]

I have perioral dermatitis for two and a half years now. It has gone back after I've done zero therapy but I still have some redness left which bothers me a lot. Nothing helped. Now I'm trying sulfur soap and purchased a Korean mineral sunscreen. Hopefully they'll help.

[@brendajones4952]

You could try proskin eczema. I love this and it is the only cream that helped me. Maybe their 'mother of skin' cleanser/moisturiser would work better for you?

[@codingjourney1549]

what about the diet that could be paired with this cosmetic "detox"?

[@reymarmonton556]

I think I'm the only guy who has perirorial demirtities

[@EldritchCloak]

I'm a guy and I'm suffering too :( have you been able to cure it?

[@mescalerohualapai]

I'm the other guy. Used CeraVe lotion and Cetaphil Cleanser. Had a flare up. I don't know which one was the cause just yet.

[@tezza6685]

Nah bro I have it too don’t worry

[@karliemarie2274]

Can I use the Avene with my prescribed metronidazole? If so, which one do I put on my skin first?

[@irfaaparveen3085]

I am suffering from perioral dermatitis since one yr and seen a dermatologist also and she recommending the same face wash and a sunscreen and a moisturizer also but because all of this tiny bumps came on my forehead

[@aminatujalloh1911]

Please 😢 I have this same problem 😢 help me dr Jenny

[@kzvegansuperstar]

So glad to see this video on POD! Somewhat surprisingly, Epiceram made a massive difference in my POD when I added it to my regimen after I'd been using Elidel for a few weeks. Now Epiceram is the only moisturizer I'll use!

[@Dranoeleo]

Hi

[@rscrl_07]

very well explained!😊

[@baileyegan3057]

What if you think your sunscreen is contributing to it?

[@cassi3179]

What do you think about cera ve??

[@dr.jennyliu]

Love their products I have a dedicated video on my favorites from them

[@apoloniamanikova4980]

Can you please make a video about seborea skin care ? Thank you

[@dr.jennyliu]

Will add that to my list

[@talarmond]

Can kissing trigger this?