Perioral Dermatitis

Perioral dermatitis is a prevalent skin condition that predominantly affects young adult women. It is characterised by the presence of numerous small red bumps and pustules, primarily appearing around the mouth. Additionally, these same types of small red bumps and pustules can also manifest around the eyes and alongside the nose, extending the affected area which is known as periorificial dermatitis.

• The exact cause of perioral dermatitis is not known but it may be related to a disturbance of the epidermal barrier function and changes in the skin microflora
• Perioral dermatitis is often triggered by the intentional or unintentional use of potent topical steroid creams around the mouth
• Oral steroids, nasal steroids, and inhaled steroids may also be a trigger

Treatment tips that can help with Perioral Dermatitis

Prescription

• If potent topical steroid creams have been used around the mouth this should be stopped immediately
• When stopping the potent topical corticosteroid creams, perioral dermatitis could get worse before it gets better. These potent topical steroid creams should never be used again in this area as their use will cause a relapse
• Topical prescription medications would include Erythromycin, Clindamycin, Metronidazole, and Tacrolimus
• Oral Tetracycline for 4-6 weeks

(Check with your medical professional)

Non-Prescription

• Stop using any harsh products such as alkaline soaps, foaming cleansers or toners, and exfoliators/scrubs
• Cleanse the area using either a Micellar water cleanser or a very mild cream cleanser for sensitive skin but only once a day, preferably at night
• Use products that contain Azelaic acid and flavonoid polyphenols such as Resveratrol
• Apply a moisturiser that helps to restore the normal epidermal barrier function of the skin
• For darker skin types they should use a high-factor, broad-spectrum sunscreen with an antioxidant to prevent post-inflammatory hyperpigmentation (PIH), and preferably use a mineral brand make-up
• Avoid the triggers that cause this skin condition

Skincare ingredients that can help with Perioral Dermatitis

• Azelaic acid
• Niacinamide
• Centella Asiatica extract
• Ginkgo Biloba Leaf Extract
• Green Tea Extract
• Cucumber Extract
• Squalane

Skincare products that can help with Perioral Dermatitis

Cleansing the affected area helps to remove potential irritants, such as dirt, bacteria, and residual makeup or skincare products. These irritants can exacerbate perioral dermatitis and contribute to inflammation and flare-ups. Dr Webster recommends:

• Bioderma Sensibio H20 AR Micellar Water
• mesoestetic hydracream fusion

Using a targeted treatment can help prevent the recurrence or relapse of perioral dermatitis. These treatments are designed to address the underlying causes, helping to break the cycle and reduce the likelihood of future flare-ups. Dr Webster recommends:

• FEEV Hyper-Hydro Serum
• SkinCeuticals Resveratrol B E

Moisturisers provide hydration, replenish moisture, and help repair the skin barrier. This can improve the skin’s overall health and reduce dryness and discomfort associated with the condition. Dr Webster recommends:

• Lamelle Serra Restore Cream
• pHformula VITA B3 Cream

Sun exposure can aggravate perioral dermatitis and lead to increased inflammation and skin sensitivity. UV rays can also cause skin damage and contribute to the development of other skin conditions. Applying SPF helps shield the skin from harmful UV radiation and minimises the risk of sun-induced flare-ups. Dr Webster recommends:

• Heliocare 360° MD A-R Emulsion SPF 50+
• Heliocare 360° Mineral Tolerance Fluid SPF 50

For darker skin types Dr Webster recommends:

• pHformula CC Cream SPF 30+ (Dark)
• Colorescience Sunforgettable Total Protection Brush-On Shield SPF 50 (Deep)