A red, burning rash around your mouth that just won’t go away? Chances are you’re dealing with perioral dermatitis. This common skin condition, especially amongst women between the ages of 16-45, is often mistaken for acne or eczema but requires a completely different approach. In this article, we’ll explain what perioral dermatitis is, what causes it, and (perhaps most importantly) how to treat it gently and naturally.
What is Perioral Dermatitis?
Perioral dermatitis (also known as “perioral rash”) is a red, flaky, and often itchy or burning irritation around the mouth. In some cases, the rash can spread to the nose or even around the eyes. The skin may feel tight and develop small bumps or pustules, which makes it easy to confuse with acne. However, unlike acne, perioral dermatitis does not include blackheads or deep inflammations.
While it’s most common among women between the ages of 16 and 45, men, children, and older adults can also experience it.
What Causes Perioral Dermatitis?
The exact cause isn’t fully understood, but three major triggers stand out:
+ Corticosteroid creams
Many people use steroid creams to treat the condition (often prescribed for other skin issues like eczema). These creams may seem to help at first, but over time they tend to make the condition worse. Often, symptoms return as soon as you stop using the cream, a rebound effect that’s frustratingly common.
+ Fluoride toothpaste
A case study found that high-fluoride toothpaste can trigger or worsen perioral dermatitis. In one patient, switching to a fluoride-free toothpaste led to improvement, while resuming fluoride use brought symptoms back. If you're struggling with this condition, it’s worth trying a natural toothpaste, and preferably a fluoride-free one like Weleda Plant Toothpaste.
+ Overuse of cosmetic, skincare, and cleansing products
Perioral dermatitis can be triggered by the occlusive effect of certain products. But what many people don’t know is that over-cleansing the skin can also cause irritation. A disrupted skin barrier plays a major role. Once compromised, the skin becomes more vulnerable to internal and external irritants, increasing the risk of inflammation and perioral dermatitis.
The Key to Recovery: Do Less and Let Your Skin Rest
Here are 5 gentle steps to help support healing:
+ Stop using corticosteroid creams
Be mindful of the rebound effect—your skin may get worse before it gets better. Always consult your doctor if you're unsure.
+ Leave your skin alone
Avoid touching, scratching, or picking. Your hands carry bacteria, and touching irritated skin can worsen the condition.
+ Use mild, skin-friendly products
Choose soothing ingredients and lightweight formulas. Avoid fragrance, alcohol, and harsh cleansers.
Recommended products:
+ Biologi – Bc Refresh Cleanser
+ Retreatment Botanics – Collagen Calm Activated Mist
+ Wildcrafted Organics – Wild Rose Mist
+ Nourished Daily – Daily Moisturizer
+ Avoid occlusive makeup and sunscreen
Opt for breathable, non-comedogenic alternatives.
Lighter options:
+ Ere Perez – Moringa All Beauty Cream
+ INIKA Organic – Serum Foundation
+ Nourished Daily – Face + Body Sunscreen SPF50
+ Focus on restoring your skin barrier
A strong barrier is key to calm, healthy skin.
Try:
+ Sans [Ceuticals] – Barrier Restore Butter
+ Sans [Ceuticals] – Cellular Repair Lotion
How long does healing take?
Unfortunately, perioral dermatitis doesn’t clear up overnight. Expect a few weeks to several months for noticeable improvement. Patience is key. With the right approach and a little kindness to your skin, you can make real progress.
Remember: every skin is different. What works for one person might not work for another. Start slowly, listen to your skin, and consult a doctor if symptoms persist or worsen. Perioral dermatitis is more common than you might think and absolutely treatable.
