Your Product Guide to Perioral Dermatitis | As Seen in E! News

Perioral dermatitis commonly shows up through frustrating flare-ups, often resembling acne or rosacea. Dr. Mona Foad, as seen in E! News, further identifies the triggers, treatments, and specific product recommendations when struggling with perioral dermatitis.

What is perioral dermatitis? 

Perioral dermatitis is a common inflammatory skin condition that typically appears as small red bumps or patches around the mouth, nose, or eyes. It often looks like acne or a rash, but the causes are different. While the exact reason it develops isn’t always clear, it is often a variant of rosacea and can be treated in the same ways. Sometimes, it can be linked to a disrupted skin barrier and inflammation triggered by factors such as topical steroid use, fluoride toothpaste, certain cosmetics, or harsh skincare products. Hormonal changes, stress, and even overuse of heavy creams or moisturizers can also contribute. Anytime your skin’s protective barrier becomes compromised, it can open the door for irritation and inflammation to take hold.

Are there over-the-counter treatment options?

While prescription treatments are sometimes necessary, several over-the-counter options can help calm the skin and reduce inflammation. Look for soothing, fragrance-free products with ingredients like niacinamide and ceramides or squalene oil. These support the barrier and reduce redness without irritation.  Azelaic acid is a product that has been shown to help rosacea so this may be another option. A mild 1% hydrocortisone cream can temporarily reduce inflammation, but it should be used sparingly and under your dermatologist’s guidance, as topical steroids can sometimes worsen perioral dermatitis if overused. Switching to a fluoride-free toothpaste can also help minimize irritation in some individuals.

What are safe cleansers and moisturizers to use with perioral dermatitis?

When dealing with perioral dermatitis, simplicity is key. Choose a non-foaming, fragrance-free, creamy cleanser such as Avène Xeracalm Oil Cleanser, CeraVe Hydrating Cleanser or Vanicream Gentle Facial Cleanser, all of which cleanse without stripping the skin. For moisturizers, look for lightweight, non-comedogenic, and barrier-supporting formulas like Avène Tolerance for drier skin, Avène Cleanance Hydra for a lighter moisturizer or La Roche-Posay Toleriane Double Repair Face Moisturizer. These hydrate and calm inflammation without occluding the pores or triggering flare-ups. Avoid heavy ointments or thick creams during active breakouts, as they can clog your pores.

What ingredients could help prevent flare-ups and strengthen the skin?

To prevent perioral dermatitis flare-ups, stick to products that are free of fragrance or alcohol, which can irritate already-sensitive skin. Avoid topical steroids, heavy occlusive moisturizers like petrolatum and coconut oil, and fluorinated toothpaste if you’ve noticed a connection with your breakouts.

On the other hand, ingredients that help strengthen and soothe the skin, such as ceramides, hyaluronic acid, glycerin, squalane, and niacinamide, can be very beneficial. Keeping your routine minimal with just a gentle cleanser, moisturizer, and mineral sunscreen helps the skin reset and heal naturally.

Are there any makeup-safe drugstore products for redness?

If you prefer to wear makeup, choose products labeled non-comedogenic, fragrance-free, and for sensitive skin. Mineral-based foundations such as Neutrogena Mineral Sheers, bareMinerals Original Foundation, or Physicians Formula Mineral Wear Talc-Free Powder are good choices. They allow the skin to breathe while providing natural coverage. Avoid heavy liquid foundations, primers, or products with silicones and alcohol, which can trap bacteria and worsen inflammation. Always remove makeup thoroughly with a gentle cleanser at the end of the day to get rid of the day’s pollution and prevent further irritation.

Are there any post flare-up product reccomendations to maintain the skin barrier? 

Maintaining a healthy skin barrier is an important step in preventing perioral dermatitis from returning. Incorporate a gentle sulfate-free cleanser and a daily fragrance free moisturizer suitable for your skin such as those mentioned above. Use a mineral sunscreen like EltaMD UV Clear Broad-Spectrum SPF 46, which also contains niacinamide to soothe inflammation. Keeping your skincare routine simple, avoiding over-exfoliation, and minimizing product switching. Making an appointment with your dermatologist can be very helpful, especially if you need more direction on your skin care or you just can’t get things under control.