Managing Peri-Oral Dermatitis: A Complete Guide

Peri-oral dermatitis is a frustrating and often persistent skin condition that affects the area around the mouth, sometimes extending to the nose and eyes. It presents as red, inflamed, bumpy skin that may feel dry, itchy, or burning. While the exact cause is not always clear, common triggers include topical steroid use, certain skincare products, hormonal fluctuations, and even toothpaste ingredients. If you're struggling with peri-oral dermatitis, here’s what you need to know about managing it effectively.

1. Stop Using Topical Steroids

One of the most common causes of peri-oral dermatitis is the prolonged use of topical steroids. While steroids may initially seem to improve redness, they can worsen the condition over time. If you’ve been using steroid creams, discontinuing them is the first step—though this may lead to an initial flare before improvement.

2. Simplify Your Skincare Routine

A gentle skincare routine is essential when dealing with peri-oral dermatitis. Follow these steps:

• Use a mild, fragrance-free cleanser (such as a gentle hydrating or micellar water cleanser).

• Avoid heavy or occlusive creams that can further irritate the skin.

• Opt for a lightweight, non-comedogenic moisturizer that helps maintain hydration without clogging pores.

• Stay away from harsh exfoliants, scrubs, and active ingredients like retinoids and AHAs/BHAs until your skin has healed.

3. Choose the Right Toothpaste

Some cases of peri-oral dermatitis are triggered by fluoride or sodium lauryl sulfate (SLS) in toothpaste. Switching to an SLS-free and fluoride-free toothpaste can help reduce irritation.

4. Avoid Irritating Ingredients

Certain skincare and cosmetic products may worsen peri-oral dermatitis. Look for products labeled “hypoallergenic” and “non-comedogenic,” and avoid the following:

• Fragrances and essential oils

• Alcohol-based toners and astringents

• Heavy or occlusive face creams

• Waterproof or heavy makeup

5. Opt for Prescription Treatments When Necessary

If your symptoms persist or worsen, a dermatologist may prescribe topical or oral medications, including:

• Topical antibiotics (such as metronidazole or clindamycin)

• Oral antibiotics (like doxycycline or minocycline) for more severe cases

• Topical azelaic acid or sulfur-based treatments to reduce inflammation

6. Focus on a Healthy Diet and Lifestyle

Diet and lifestyle factors can influence skin health. Consider these tips:

• Reduce inflammatory foods such as processed sugars and dairy if they trigger flare-ups.

• Incorporate anti-inflammatory foods like omega-3-rich fish, leafy greens, and probiotics.

• Manage stress through activities like yoga, meditation, and adequate sleep.

• Stay hydrated and avoid excessive caffeine or alcohol intake.

7. Online Consultation with Dr. Mandy Mak

For those struggling with persistent peri-oral dermatitis, seeking expert dermatology advice is crucial. Dr. Mandy Mak offers online consultations, providing personalized skincare recommendations tailored to your condition. An online consultation can help identify triggers, suggest effective treatments, and guide you toward healthier skin.

8. Be Patient and Consistent

Peri-oral dermatitis can take weeks to months to fully clear, even with the right approach. Avoid trying multiple new treatments at once, as this can further irritate the skin. Instead, stick to a simple, consistent routine and give your skin time to heal.

Managing peri-oral dermatitis requires a combination of eliminating triggers, using gentle skincare, and possibly seeking professional dermatology treatment. If you’re unsure about the best course of action, an online consultation with Dr. Mandy Mak can help tailor a treatment plan suited to your skin’s needs.

By taking a mindful approach, you can regain control over your skin and achieve a healthy, balanced complexion.