Perioral Dermatitis

Perioral Dermatitis is a chronic inflammatory skin disorder that can mimic acne or rosacea but has its own unique features and triggers. It typically affects the skin around the mouth, creases of the nose, and occasionally the area around the eyes (where it may be called periorbital dermatitis). The condition is seen most often in women between 18 and 40 years old, though men and children can also develop it.

Several factors may contribute to flare-ups, including the use of topical corticosteroids, certain cosmetics or skincare products, oral contraceptives, and fluoride-containing toothpaste or mouth rinses. People with a background of eczema may also have an increased risk of developing this condition.

While not dangerous, perioral dermatitis can cause significant discomfort and cosmetic concern. Treatment focuses on identifying and avoiding triggers, discontinuing aggravating products, and using targeted therapies to calm inflammation, reduce symptoms, and prevent recurrence.

• Small, red or skin-colored bumps that may be papules (solid) or pustules (pus-filled). Dry, flaky patches often surround the bumps. On lighter skin, the rash may appear pink or red, while on darker skin, it can appear purple or darker in tone.
• Most commonly found around the mouth, nose, and sometimes the eyes. The lip itself is usually unaffected, with the rash stopping at a distinct line along the vermilion border.
• May cause discomfort, including a burning or itching sensation, but may also present with no discomfort at all.
• Symptoms can flare intermittently and often persist if triggers are not addressed. Without treatment, the rash can last weeks to months.

• Use of topical steroid creams or inhaled corticosteroids
• Certain cosmetic or skincare products
• Oral contraceptive pills
• Fluoride-based toothpaste or dental care products
• History of eczema or sensitive skin

• Topical prescriptions such as antibiotic or anti-inflammatory creams
• Oral prescriptions (often antibiotics) for moderate or persistent cases
• Lifestyle adjustments such as discontinuing topical steroids, modifying cosmetic routines, or changing dental products

With appropriate management, perioral dermatitis typically improves significantly. Contact ProDerm Skin & Surgery to take the first step towards diagnosis and treatment for your perioral dermatitis.