Why do I always break out around the mouth? Perioral Dermatitis

Image By Johannes Köhler - selbst erstellt durch Autor, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=81638241

Perioral dermatitis is a common skin condition characterized by red, inflamed rashes or bumps that primarily appear around the mouth and nose. 

The exact cause is unknown, but factors like hormonal imbalances, over-exfoliation, and certain products like long-term application of cortisone-containing creams, can contribute to its development. The condition presents as small, red papules or pustules clustered together, forming a bumpy or scaly rash. It can be itchy, dry, and sometimes painful. Links have been made to various factors such as increased sebum production, bacterial or fungal infections, and gastrointestinal disorders. Allergies can also be a cause – you may be allergic to your toothpaste for example, or something similar that has regular contact with your skin such as cosmetics. Excessive and incorrect skincare can also be a factor. Some evidence has also shown that a dysfunctional epidermal barrier is an underlying factor – if this is impaired, it can make you more susceptible to various irritants that contribute to the development of the 

Though it carries the name ‘dermatitis’ it is not a form of eczema and instead, is thought to be a type of rosacea; a common, long-lasting skin condition that causes persistent redness, bumps, and spots on the forehead, cheeks, nose, and chin.

Bacteria and yeast that live on the skin and in the hair are a potential cause of perioral dermatitis.

Perioral dermatitis predominantly affects women aged 16 to 45 but can also occur in men and children.

There are many lifestyle factors and ingredients that can trigger perioral dermatitis! These can include fluoride, petroleum, nasal sprays, topical steroids, nasal sprays

Oral contraceptives

Hormonal changes in the body stress pregnancy, and menstrual cycles)

How is perioral dermatitis treated?

Remove skincare products with oils, creams, balms, really anything. ... 

Wash your skin with an extremely gentle cleanser.

Limit makeup at the beginning.

Remove fluoride toothpaste 

Manage your stress.

Avoid or discontinue the use of topical steroids

Discontinue the use of occlusive facial creams, sunscreens, and cosmetic products (until the condition is cured completely)

Use mild, fragrance-free facial cleansers and moisturizers (Dove and Cetaphil)

Wash the face often to remove dirt and oil and pat dry gently

Adopt an anti-inflammatory diet to improve gut health (rich in fiber and complex carbs, and proteins)

Avoid prolonged exposure to the sun and extreme temperatures

Limit intake of coffee

Avoid alcohol consumption

Use water-based skincare creams and lotions

Cinnamon can be a triggering factor (although not proven)

Avoid spicy and salty foods that may irritate the skin around the mouth

Use topical antibiotics 

Protect your skin from the sun with hats, scarves and shades as sunscreen can also cause problems.

My Ayurvedic tip: Eating cooling foods that can cause a cooling effect on the body and practicing calming habits such as yoga or meditation can also help.

Include probiotics in your diet and do away with the heavy creams and oils to prevent symptoms from getting worse.

If you have Perioral Dermatitis, you should not over-exfoliate your face. It aggravates the problem and makes it worse.

Adding zinc to your diet is quite helpful. 

Frequently wash your pillowcases and towels in hot water.

Limit salty or spicy foods that can irritate the skin around the mouth.

When settled, look for gentle, non-irritating ingredients in your skincare that can help with inflammation; Panthenol (B5), Sodium Hyaluronate, Helianthus Annuus (Sunflower), Niacinamide and Boswellic Acids all have significant anti-inflammatory effects on the skin and boost hydration to strengthen skin barrier function.  

Make sure to use only very mild skincare until the symptoms subside.

The best thing you can do to prevent perioral dermatitis is to be gentle with your skin and seek professional advice. Treating your skin well by eating well is always a first choice! This includes drinking plenty of water and using quality products with no harsh chemicals.