Perioral dermatitis is a skin condition that often causes confusion and frustration due to its
similar appearance to acne or eczema. It is an inflammatory skin condition characterized by a
red, bumpy rash around the mouth, which sometimes extends to the nose and eyes. The skin
may appear scaly, dry, and flaky, with swollen, inflamed bumps called papules. This condition
can cause itching or burning sensations and is often mistaken for acne, eczema or just really
sensitive skin.

Whilst everyone’s skin is unique, here are some of the most common triggers:

• Topical Steroids: Prolonged use of topical corticosteroids on the face is a well-known
  trigger.
• Skincare Products: Heavy moisturizers, creams, and certain cosmetics can exacerbate
  the condition.
• Fluorinated Toothpaste: Some studies suggest a link between fluoride-containing
  toothpaste and perioral dermatitis.
• Hormonal Changes: Hormonal fluctuations, such as those occurring during menstrual
  cycles or with the use of oral contraceptives, may contribute to flare-ups. Hormonal
  changes around pregnancy, perimenopause/menopause may also trigger perioral
  dermatitis.
• Stress: Emotional stress can worsen the condition, which can often be a viscous cyle
  when it comes to treating perioral dermatitis.

“Okay great, so my red rash & sensitive skin is actually perioral dermatitis. Now what?”

Managing perioral dermatitis involves a combination of lifestyle adjustments and, in some
cases, medical interventions:

1. Discontinue Topical Steroids: If you are currently using topical steroids, we want to
   remove these from your routine to start with.
2. Simplify Skincare Routine: This is a time when your active skincare needs to sit back
   on the shelf. We’re talking about the anti-ageing, breakout-reducing or vitamin C based
   products. Instead we need to adopt a minimalist approach using gentle, fragrance-free
   cleansers and moisturizers until the skin settles back down.
3. Avoid Irritants: Steer clear of products containing alcohol, fragrances, or other potential
   irritants. Be aware of toothpaste touching the skin when brushing your teeth. Avoid
   chemical based sunscreens and opt for something zinc-based.
4. Gentle treatment: Red LED light therapy can assist the skin to heal and return to a
   healthier state.
   

I have watched people play the guessing game many times when it comes to perioral dermatitis,
waiting months to see a dermatologist. And while in some cases this is necessary for severe
cases, you don’t have to play the guessing game and do it all alone. Start with this list and build
your awareness. When your skin flares up, consider, what have I applied? What have I eaten?
How am I feeling? Your skin isn’t here to make you feel like crap. Your skin is often a messenger
for what is going on deeper within your body. If you still feel stuck or are confused with what
gentle products you should be using, send me a message and I’d be happy to help you out.