What to do when perioral dermatitis is getting worse

Perioral dermatitis often appears as small red bumps, dryness, burning, or sensitivity around the mouth, nose, or eyes. Skincare, cosmetics, toothpaste, masks, and topical steroid use can aggravate the area. A flare can also be confused with acne or another rash, so worsening [Pimples](/symptoms/pimples/) and [Sensitive Skin](/symptoms/skin-sensitivity/) do not establish the diagnosis by themselves. A clinician can check the distribution, scale, and any eye involvement.

Pause newly introduced cosmetics and fragranced products, cleanse gently, and avoid scrubbing, picking, or layering active ingredients. Do not restart or increase a steroid cream without medical advice; stopping one may also need guidance. Take a photo when the flare is most visible and list products used on the area. Depending on the examination, a clinician may discuss [Topical Antibiotic Therapy](/treatments/medical-dermatology/topical-antibiotic-therapy/) or [Oral Antibiotics For Acne](/treatments/medical-dermatology/oral-antibiotics-for-acne/).

Seek prompt review if redness is spreading, the skin is painful or oozing, or the eruption is not settling after a suspected trigger is removed. Get urgent help for eye pain, vision change, marked eyelid swelling, facial swelling, fever, or breathing difficulty. Mention any [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/) used, including strength and duration.

Ask whether the rash is perioral dermatitis or a look-alike, which products to stop, how to handle steroid withdrawal safely, and how long the treatment plan should be continued after improvement.