Perioral dermatitis - causes, symptoms and 7 tips on what you can do about it

October 08, 2020

Perioral dermatitis - causes, symptoms and 7 tips on what you can do about it

Marie Prötzsch

Every day we Moisturize our skin, use various serums, creams and oils. We cream, cream, cream. But sometimes we mean it a little too well. Because too much of the wrong skincare can no longer be nourishing at all. This is precisely why perioral dermatitis can develop. Excessive use of certain skincare products can make the skin intolerant to certain ingredients and a promising product can quickly become the enemy of your own skin. Instead of well-moisturized skin, red, itchy and burning areas develop around the mouth. This is why the skin condition is also known as oral rosacea.

In this article you will learn... 

  1. What is perioral dermatitis?
  2. What are the symptoms?
  3. Excessive skin care as a trigger for perioral dermatitis - a "vicious circle"
  4. Zero therapy for perioral dermatitis
  5. Dos and donts for zero therapy
  6. What skin care helps if the cause is over-care of the skin?
  7. Nutrition for perioral dermatitis

 

1 What is perioral dermatitis?


Perioral dermatitis is a chronic inflammatory skin condition. As the name suggests, the condition occurs in the perioral area. In other words, around the mouth. Young women between the ages of 20 and 30 are most commonly affected. The fact that it mainly affects women also suggests a hormonal cause, although this has not yet been proven. Even though perioral dermatitis is a rather stubborn condition, it is not contagious. This does not mean that it is not stressful for those affected. This makes it all the more important for me to provide information about correct and, above all, supportive skin care.

perioral dermatitis

2 What are the symptoms?

Classically, small inflammatory papules and pustules or pink scaly patches form around the mouth (perioral). However, the symptoms can also become more widespread and affect the eyelids, chin, forehead and cheeks. Due to the disruption of the skin barrier, the skin dries out and there is a burning sensation and a feeling of tightness. The areas can itch quite unpleasantly and it is not uncommon for the condition to worsen before menstruation. The skin condition is often confused with acne or rosacea, as the symptoms are very similar. Rosacea is characterized by fleeting and persistent facial redness, usually in the cheek and face area. There are also small vascular dilatations. Acne is typically manifested by so-called comedones - these are skin-colored papules, which can also have a small dark spot. There are also pustules, lumps and abscesses. In addition to the face, the shoulders, chest and back are particularly affected.


3. excessive skin care as a trigger for perioral dermatitis - a "vicious circle"

In addition to other possible but as yet unconfirmed causes, perioral dermatitis is usually due to over-care of the skin. The skin is then usually caught in a "vicious circle". It looks and usually feels dry and flaky. As a supposedly logical consequence, we use even more products - in the hope of doing something good for our skin! We believe that the solution can only be even richer skin care. A classic fallacy! Because this is where over-care of the skin comes into play. Our skin becomes dependent on the products and then reacts in exactly the opposite way. It becomes intolerant to certain ingredients. The high moisture content of the products causes the stratum corneum to swell and damages the skin barrier - a perfect breeding ground for further inflammatory processes.

So: Skin Moisturize is great, but it has to be the right skin care. Over-care can impair the protective skin barrier and trigger a bacterial infection, which in turn is associated with a shift in the pH value. This only makes bacteria feel all the more at home.

Perioral dermatitis can then run its course for months, with the severity worsening from day to day.


4. zero therapy against perioral dermatitis

As annoying as this skin disease is, it doesn't just have its downsides. It is not contagious and therefore does not spread like wildfire. It is not chronic and can usually be cured with consistent treatment. What do you need for this? Nothing, except a lot of patience.
Your skin reacts irritably to this
Erysipelas is not an allergy to individual substances, but a general hypersensitivity caused by using too many cosmetics. Most products today easily contain up to 30 ingredients. Added to this is a propagated complex care routine. This means that AM can easily add up to over 100 ingredients. A veritable sensory overload that simply overwhelms your skin. In the end, it resists everything and goes on strike.

perioral dermatitis


What's good for your skin now - The comfort of nothingness

Everything is just too much for your skin right now and it wants nothing but peace and quiet. This is why the dermatologist usually prescribes so-called zero therapy. What's behind it? Quite simply: cosmetic abstinence. However, just like a relaxing beach vacation, recovery only sets in once all the stress is out of your system. At first, your skin will probably feel worse - a dermatitis jet lag, so to speak. Due to the lack of moisturizer it will start to tighten, flake and feel extremely dry. During this phase, the over-nourished and swollen horny layer dries out. This deprives harmful bacteria of any breeding ground and prepares the skin to heal. Depending on the severity, the aggravation can last around two weeks. This may be unpleasant, but perseverance pays off. As soon as the first symptoms subside, you can breathe a sigh of relief. Your skin will regenerate and will be completely recovered after around 6 weeks.
You are now welcome to start taking care of your skin again. But be careful and be very piano. You can find out what minimalist skin care looks like below.


5. dos and donts for zero therapy

Even if a cosmetic diet is no walk in the park, it is the only way to get your skin back into balance. The Dos & Don'ts will give you a little help so that you don't go down this path in vain and your patience pays off.

perioral dermatitis


DO

Reduce your routine to a very mild minimum. Mild products, e.g. based on aloe vera, should be used here. 

  • Opt for a mild cleanser e.g. with our Cleansing Gel with mild plant-based surfactants and organic chamomile extract.

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  • Envelopes with black tea: The tannins contained in the tea help with their astringent effect, especially in the initial phase. To do this, briefly soak the tea bag in hot water, allow to cool completely and apply to the irritated area for 10 minutes. However, make sure that the tea is organically grown and not flavored.
  • Talk openly: Your self-confidence will suffer along with your skin. Hiding and withdrawing will not improve your mental state during this phase. For many people, it is therefore helpful to deal with the issue openly. Simply tell friends and colleagues what is going on with you. That way, the issue is off the table and nothing stands in the way of your social distraction.
  • Discipline: Keep your goal in mind, this will motivate you. Perhaps you have a picture of yourself where you are really happy with your skin. Especially during the corrosive phase, it will give you hope that with a little patience you can get back to a healthy skin feeling.
  • Distraction: Look for tasks that you have been putting off for a long time. This way you can distract yourself from waiting and enjoy small success stories. As long as you don't get stressed, you can enjoy the feeling of having achieved something to the full and forget about waiting for things to get better.

DON'T

  • Avoid experimenting: Don't try to discover the ultimate new miracle cure. Too many testimonials have shown that endless trial and error will only make your skin look worse.
  • Peelings: Even if your skin flakes and scabs as it heals, do not exfoliate it with a peeling. They are absolutely not suitable for your sensitive skin , neither mechanically nor chemically.
  • Sunlight: UV light means additional stress. It provokes your skin and worsens the symptoms. In addition, your skin is completely exposed to sunlight during zero therapy. Therefore, avoid direct sunlight and enjoy it with caution.
  • Cortisone ointments: What helps with other inflammatory skin conditions is not automatically suitable for your skin problems. Don't try it yourself and trust your dermatologist instead.


6 Which skin care helps if the cause is over-care of the skin?

In any case, you should contact your dermatologist for a diagnosis and professional advice. If zero therapy is not an option for you or if you could do with a slightly lighter switch to a reduced skincare routine, then you need a new routine with products that are gentle on your skin and avoid unnecessary substances. I have created a sample routine for you here. I recommend testing one product at a time. You should definitely give your skin time, as it needs an average of 28 days to renew itself.

perioral dermatitis


Aloe vera as the basis of your reduced skin care

It all depends on the right skin care. Hydrophilic care products, for example, can help with a strong feeling of tightness. In other words, light textures with a moisturizing base - such as aloe vera. In general, you should look for mild, non-irritating care products without additives or preservatives. Less is definitely more in this case! Because your skin is simply very sensitive due to perioral dermatitis. After all, the skin's protective barrier is damaged and therefore the composition of fats and proteins is imbalanced. As a result, the skin continues to lose water, collagen and elastin. The cells can therefore only regenerate slowly and are even more exposed to all the external influences that sensitive skin in particular has to contend with.

The good thing is that our care products make it very easy for you with the skin condition. We do not use any fragrances, essential oils, preservatives or monohydric alcohols. Most of our products are based on the aloe vera plant, which is very gentle on the skin and strengthens the acid mantle. For example, you can start with our aloe vera gel, Aloe Vera Spray or Cleansing Gel .

An exemplary care routine could look like this:

  • Gently cleanse your skin AM with lukewarm water (not too hot, not too cold) and dab it with the Towel instead of rubbing.

  • For an extra portion of moisture, apply the aloe vera gel very gently and thinly apply and allow to absorb well.
  • You can then visit to find the right hyaluron cream apply.
  • PM is suitable for our Cleansing Gelto remove "everyday dirt" from your face. Apply this with little friction, pay attention to the temperature of the water again and simply pat your face dry.
  • Then use the Aloe Vera Spray or the Aloe Vera gel for the moisturizer . Depending on what is good for your skin.

You should stay away from active ingredients such as Vitamin C, retinal or fruit acids for the time being. Once your skin has recovered and you get the feeling that it is "stable", you can slowly integrate them back into your routine in consultation with your doctor. The rule here is: observe carefully. It's best to try out the products one or two days a week first and see how your skin copes with them. This will allow your skin to slowly get used to the care products. What you should definitely not miss is sun screen the next morning, as your skin is more sensitive to light.


7. nutrition for perioral dermatitis

What and how we eat has a significant impact on the health of our skin. Skin diseases are often directly linked to food intolerances or food allergies. It is therefore worth taking a critical look at our previous. Eating habits. If foods that cause or worsen complaints are specifically identified, an improvement in the appearance of the skin can be achieved in the long term. A food and symptoms diary can help you to find out which foods have a negative impact on your dermatitis. At the same time, you can also find out whether certain nutrients are particularly good for you and promote your skin health.

perioral dermatitis nutrition

 

The extent to which a change in diet can cure or alleviate the disease has not been scientifically proven, nor is there a special diet for POD sufferers. Nevertheless, a diet that is as natural as possible is a guideline. Avoiding colorants, preservatives, emulsifiers and other additives promotes a healthy immune system. At the same time, it is important to consume fermented dairy products or fermented vegetable products. The bacteria Lactobacillus bulgaricus and Streptococcus thermophilus they contain provide the basis for a healthy balance of intestinal flora, which is essential for our immune system.

Experience has shown that Treat black tea and coffee as well as spicy food and alcohol have a negative effect on the skin of patients with erysipelas.
A sufficient intake of vitamins (especially vitamins of the B group, vitamin D and K play a major role) and trace elements, on the other hand, favor the course of the disease and prevent flare-ups.


Guide to a wholesome and anti-inflammatory diet

  • Vegetables and fruit as the basis of every meal
  • Secondary plant substances have an anti-inflammatory effect
  • Prefer antioxidants such as Vitamin C and vitamin E
  • Omega-3 fatty acids have a positive effect on inflammation (fish, plant-based foods, hemp seeds)
  • Adequate fluid intake
  • Consumables such as alcohol and smoking in moderation

At this point I would like to point out that these are all tips for self-help. :-) If you have any doubts or if the condition worsens, I would also advise you to consult a dermatologist.

Hopefully this post has helped you to understand your perioral dermatitis and the causes. By the way, have you already seen our #skintalk on Instagram? Take a look at the IGTV with dermatologist Felix von Krogh.

Your Marie 

Sources:

https://www.amboss.com/de/wissen/Sammelsurium_der_Dermatologie

Tolaymat L, Hall MR. Perioral dermatitis. 2020 Sep 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. PMID: 30247843.

#skintalk IGTV - Perioral dermatitis