Healing perioral dermatitis: what to know

Perioral dermatitis is an inflammatory rash with small bumps, redness, dryness, burning, or sensitivity around the mouth. It can also affect the nose or eye area. Heavy creams, fragranced products, irritation, or corticosteroids used without medical direction may prolong a flare. The appearance can resemble [Pimples](/symptoms/pimples/), but the treatment approach is different.

Use lukewarm water and a mild, fragrance-free cleanser; avoid scrubs, exfoliating acids, strong cosmetics, and thick occlusive products unless prescribed. Do not change a prescribed steroid without discussing it with the clinician who recommended it. A dermatologist may choose [Topical Antibiotic Therapy](/treatments/medical-dermatology/topical-antibiotic-therapy/) or [Oral Antibiotics For Acne](/treatments/medical-dermatology/oral-antibiotics-for-acne/), depending on the extent and your health history.

Arrange review when the rash persists, spreads toward the eyes, becomes painful, or interferes with eating. Seek prompt attention for eye pain, vision change, marked eyelid swelling, pus, fever, or rapidly worsening redness. A clinician can confirm the diagnosis and assess [Sensitive Skin](/symptoms/skin-sensitivity/).

Could any product or steroid be maintaining this rash? What should I use while my skin is sensitive? Which treatment fits the area and my medical history? How should I handle a flare?