Perioral Dermatitis | DERMSquared | Dr Sam in The City

The DERMSquared is back to share joy and lots of skin care expertise prior the busy holiday season. Today's video covers perioral dermatitis - have you ever applied toothpaste on your spots? Naughty-Naughty! See what Dr Emma and I have got to say to that. Looking forward to hearing your experience below.
Products we like:
1) Avene Tolerance Extreme Cleanser or La Roche Posay Toleriane Demo-cleanser to cleanse.
2) AveneTolerance Extreme Emulsion or Avenue Recovery Cream to moisturise.
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The content seen in this video is provided only for medical educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek professional help individually if you suffer from any dermatological condition. Due to the volume of patients seen in clinic, and to the unique nature of skin, Dr. Bunting is unable to respond to every query on these videos. Thank you so much for your continued support!

[@sharib5922]

I find the comment section much more helpful than the video

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@mimi_belle]

I had terrible perioral dermatitis for over a year. Unfortunately both tetracycline antibiotics I was prescribed (lymecycline and doxycycline) were ineffective. I removed all acids, face masks and serums from my routine and used only a gentle balm-to-oil cleanser (Emma Hardie) and a rich hydrating moisturiser (Avene Hydrance Riche). After about 4 months I was dermatitis free and have only recently started re-encorporating some acid-based toners into my routine. Thanks for the great advice Dr Emma and Dr Sam!

[@versacegang4140]

Mariama-Isabelle Cisse That's interesting, thanks for sharing your method. I have just gotten it from accutane and I have to use skincare products as my skin has dried out but I will try to avoid it around my mouth and see how it goes.

[@kristinas5714]

VERSACE GANG did you get perioral dermatitis from accutane did you cure it? What worked??

[@JoyfulFreckles]

I really appreciate your informative videos Dr Sam. I would like to comment though, that suggesting avoiding fluoridated toothpaste anecdotally to improve perioral dermatitis should be said with caution. The risks vs benefits of using a fluoridated toothpaste should be weighed up, given the individuals overall health, including dermatological and oral condition. Fluoride is an important factor in preventing dental decay, and when there are no changes to other factors (eg high acid/ sugar diet, medications that cause dry mouth), cutting out fluoride may be detrimental to the teeth. Just my two cents.

[@xxxmia123xxx]

Very informative video - thank you! Would also love to see a 'what's in my makeup bag' from Dr Emma too please, her makeup always looks so natural yet flawless!

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@helenmitchell8774]

Thanks for the advice. I get this on frequent occasions. Not sure of the trigger (not toothpaste). If I catch it at first hint I find using aveno moisturiser is really gentle and calms it. If I need to cover it (at work I have to!), bare minerals powder seems to cover and not irritate it. If anything the combination helps. Not sure why. If I do both of these straight away, within two days it's normally gone.

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@lakritzeslena]

Ah such an epiphany! I use to have rhagades in my lips, and it's definitely allergic. I'll try switching my toothpaste. As I now developed a bit of pod as well.

[@versacegang4140]

I really appreciate this, thanks so much! It was really informative. You are wonderful. I have gotten perioral dermatitis (I have never had it before)from going on accutane and it's so painful and raw. I have gone on a antifungal/inflammatory cream and lip moisturiser on advice from a pharmacist and it slowly seems to be healing up.

[@bakerwooten]

how is ur PD now? i also flared up from accutane. just wondering if you’ve cleared it up

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@s.b9118]

Look into taking probiotics and healing your gut. Also about candida and yeast as this is another major cause of perioral dermatitis. You need to get to the root cause not just mask it. Avoid antifungals, anti biotics and steriods

[@jadehughes1371]

My 5 year old has bad perioral dermatitis, in his case it is a side effect from long term oral steroids he takes for an unrelated condition (Duchenne Muscular Dystrophy). I know someone who had a lot of success with Avene's cicalfate cream, which I am about to try. So far oral antibiotics, antibiotic cream, and antiseptic cream have done nothing, while a sensitive skin moisturiser (Aveeno) has made a slight improvement but not much. The GP misdiagnosed it as impetigo at first, which I don't really get because it looks nothing like impetigo! Thanks for this video.

[@pokerxex0991]

I’ve been misdiagnosed as impetigo like three times now

[@ministryofmakeup]

My PD was caused by fragrance in a makeup product I was using, and then from excessive use of cortisone cream (during my attempt to calm my skin after the fragrance reaction) The only things that helped clear my PD was: using water based, simple skincare (cleanse, hyaluronic serum, water based moisturizer.. 2x a day). AND I think most notably, the use of Elidel cream (prescribed by my doctor) it does NOT contain steroids. It actually helps to repair the skin after excessive steroid use and also calms excessively dry skin. It’s not an overnight miracle, give it a week to clear fully. It’s a pain- I know.

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@ShivaniYadav-rk5gm]

I am suffering from PD... From last 3 years... Now i came 2 know the cause but still i am unable to do any cure.. !!!

[@kristinas5714]

Shivani Yadav what was the cause , did you find a cure?

[@Eighteen19]

Apple cider vinegar or yogurt apply it to the face starts healing right away

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis.I feel so happy and excited today.... 💃💃

[@jessiesaavedra8801]

I had that and went to a dermatologist and got prescribed fluticasone propionate for a year,, so I basically stopped using the steroid cream and let my face flare up for a month and kept on applying rosehip oil and that saved my face

[@Doublehelixdesignsart]

Jessie Saavedra has it come back since?

[@deanah212]

Great advice! Did Dr. Emma change her hair color? Looks amazing. xo

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@pevitzachast6892]

I do not understand for the life of me given what is now known about the microbiome how dermatologists continue to prescribe internal and topical antibiotics. Makes no sense to me at all.

[@s.b9118]

Exactly!! Over prescribing antibiotics is what causes these problems in the 1st place!! I would avoid this dr sams advice

[@carolinetattoo4072]

I’m pretty certain that sunscreen aggravates my pd. I’m trying hard to find one that won’t!

[@indygo19]

Zineryt has been my only saviour to stop the dermatitis that had been going on for months. It fixed it within days. Used Bactroban before it and zero effect. MOA the geern balm has been a great natural help and worked awesome with Zineryt (on top of it after a few minutes).

[@GeorgeGlass298]

Everything you are suggesting about skin care products is stuff I already do but I still got this horrible rash 😭

[@concettahoughtaling992]

Do you know anything about broken blood vessels in hands? They itch and bleed and if I hit to hard I get it. For 25 years now leaves blue marks .

[@noemiward321]

What skincare products would you recommend for this condition? I was diagnosed with it this year, it's gotten better but I don't want to aggravate it so I'm looking for a good skincare routine with minimal products. I try to use more natural, nontoxic products but im unsure as to what would be best to use.

[@jad4923]

What do you recommend for really dry skin and perioral dermatitis as a moisturiser?

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@fris.eecurly]

Thank you for posting this video, I have just been diagnosed with perioral dermatitis (mild case) and I am allergic to doxycycline, I have been prescribed clindamycin 1% lotion topical instead, is this a good choice? Also, do you think cerave is a good brand for gentle skin care? thank you!

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@kristinas5714]

Would aboline cleaning balm be good for perioral dermatitis?

[@SuzieANDecho]

Hi Sam, is there anything I can do about this during (very very) early stages of pregnancy? I have had horrible hormonal acne for the last couple of months but after watching this and doing some reading, I think the worst of it might actually be perioral dermatitis. I am using Effaclar duo on my whole face (with limited results two weeks in to be honest) and just ordered some Paula's choice 2% salicylic acid liquid, but am now concerned about whether I should use this in pregnancy and whether it will actually make the perioral dermatitis worse. I tried Pixi Glow Tonic and it made my skin a bit unhappy, but I read that salicylic acid is better for treating acne. Sorry - it feels like this is lots of questions rolled into one! Also trying to work out whether I can afford to book an appointment with you to sort it out once and for all! Xx

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@sabipr18]

Hello, so you would recommend using Finacea in the AM & PM daily for Perioral Dermatitis? My Derm prescribed it but it says everywhere that it is meant to treat Rosacea & I don’t have Rosacea, I only have Perioral Dermatitis. Would Metronidazole Topical Cream work? Thanks!

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@natashahodkinson142]

I think my teen daughter might have this. She has it around her nose and it has only started since the autumn. I think she is using too many anti blemish products but she says she needs them for congested skin. She has used vaseline and face oil on it but I think it's getting worse. Any advice?

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis.I feel so happy and excited today.... 💃💃

[@jovicrazed]

I have PD right now for the first time. I've had clear skin my whole life and am in my mid-40s. I know that mine is not from toothpaste as I use all natural toothpaste. It seems to have come on from the mini-pill. A lot of reading I have done has said that dermatologists have recommended cleansers with sulfur but you didn't mention sulfur and I'd be very interested to hear your thoughts on it. You also didn't talk much about that acid you recommended so I'm not even sure what product I might be looking for.

[@toyazylstra6736]

Dr Sam I am an avid watcher and follower. I was just diagnosed with perioral dermatitis and quit depressed. Does it ever go away for good?

[@kristinas5714]

We’re you able to cure your perioral dermatitis??? What worked plz ??

[@toyazylstra6736]

@@kristinas5714oral antibiotics, and then sulphur wash and Azaleic Acid for maintenance

[@kristinas5714]

Toya Zylstra did you use sulphur wash and Azalaic acid together ??

[@soooooooo7444]

very helpful video thanks for sharing May I ask about the names of the two non steroid anti inflammatory products ??

[@DrSamBunting]

They're called Elidel Cream and Protopic ointment. Thanks so much for watching!

[@soooooooo7444]

Dr Sam Bunting thanks a lot doctor

[@VeronicaKaneti]

Where can you buy these? And will they be effective for the incessant itching at night? Cheers.

[@sandymarie9181]

Ok it seems I may have this. I have hirsutism and I use an electric shaver to rid myself of a mustache. I've got bumps & the hair is growing back out, this is a daily occurrence

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@VeronicaKaneti]

What exfoliating products would you recommend for somebody with oily, congested skin, alongside Perioral Dermatitis?

[@DrSamBunting]

Azaleic acid is my preferred active in this situation. Check out my Science in Skincare video series for The Telegraph for more info.

[@johnhealy4647]

What about fluoride in the water we drink, shower with? How the hell are we supposed to deal with that sweethearts?

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@Oniwabanshugirl]

You can find shower heads that filter the shower water, and other types to filter drinking water. Not sure about fluoride in particular, but its worth looking into?

[@carolevonaarberg472]

Is perioral dermatitis the same as angular cheilitis? In Europe, and every doctor, heilprakiter knows that it is the first sign of a lack of vitamin B2. Riboflavin deficiency. It is related to hormones, if you menstruate, you need more. Take 1 x B2 + 1x multi-B tablet for a week, (!00 to 200mg) Recommended dose i s 1.5 to 2 mg, this is much too low for young people. 100mg once a week thereafter or 10mg daily. Source: Experience, Merck’s manual, Upjohn’s vitamin manual, the Nurient bible by Henry Osiecki. Newton’s pharmacy. NHMRC riboflavin recommendations for Australian adults: 1. - RDI men: 1.3 mg/day - RDIwomen:1.1mg/day

[@billiezee]

They're not the same at all

[@anmirzoyan5827]

Can 15% vitamin c serum give a reaction like pd?

[@anmirzoyan5827]

I put it on the wrinkle lines under nose area and its the only place where i got a reaction

[@nikkilynn8401]

I think I got this from the ordinary vitamin c serum

[@Bes8406]

it did me, Vitamin c serum and got PD

[@Brandon-zl3gq]

Take 2000 mg Vitamin C daily,Drink water.Apply Apple cider vinegar to your affected areas as often as you can No joke ..Two Weeks it's gone!!

[@louisemedin]

I love all the interesting topics you are discussing! And I love Dr Emma, the two of you do so well on screen together! I love the relaxed and easy conversational style. And I am sorry, but I can't help but mention that your tip video on beauty (the one with choosing a good hair colour, having glowy skin etc) is running trough my mind when I see the two of you, you lady's are just stunningly gorgeous!

[@DrSamBunting]

That's exactly the comment I'd like to read after a long day in the clinic. Thanks so much!

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@markgilsapilan254]

I was suffuring a PD for almost a decay and its killing my self confident. How to get rid of this? Any suggestion😥 I was suspecting my toothpaste when its started and everytime i used it my face get red and peeling😭

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@Chicpea101]

Great to see the lovely Dr Emma back on the scene, the lovely duo are back x

[@DrSamBunting]

Thank you for watching! x

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@Michelle-jc6wq]

How much doxycycline and for how long do you normally start with? Is 40mg s day enough?

[@saritadiazcortes6479]

Can i use antiage hyaluronic acid treatments if i have perioral dermatitis?

[@VeronicaKaneti]

Can you please recommend an over the counter product that will alleviate the itchiness? It's driving me insane and disturbing my sleep! Please help Dr Sam and Dr Emma, I'm desperate! xxx

[@feliciau3368]

Veronica Kaneti I heard lotrimine helps with that

[@Bes8406]

That sounds like a fungal infection. Lotrimin 1% antifungal cream

[@eimhinking3414]

Okay so I'm a big fan of your channel HOWEVER every time I see one of your thumbnails that say Derm to the power of two, well the incorrectness hurts. One dermatologist to the power of two is still one dermatologist. However if you were to label them Derm X 2, that would be correct. Maths is important too.

[@DrSamBunting]

Your maths is completely on point. However, Emma and I might be two separate dermatologists, the views and opinions come across as one. We think the thumbnail is pretty creative! ;) Thanks for following.

[@vikkinikkih8770]

@@DrSamBunting do you have any information on periocular dermatitis? Will it go away on its own?

[@claudiastone7228]

HI thank you for your advice about PD. I suffer from this and have tried many different moisturizers for my dry skin, none that haven't made it flare. Do you have any specific moisturizers that you have seen work for patients??

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....

[@katecrowley1858]

Here I am again sorry to keep asking. But do you recommend microcurrent or is facial massage better Thanks a million. Kate

[@eloharrison5879]

This is so unbelievable!! How can I ever explain to the world that a female herbal Dr Omoye [e-mail] cured I and my boyfriend from our 6 years Dermantitis. I feel so happy and excited today....