Perioral dermatitis and peeling skin: what to know

Perioral dermatitis may produce tiny bumps, redness, dryness, tightness, burning and fine flakes around the mouth, nose or eyes. Peeling is often a sign of irritation rather than a need to scrub the area. Contact dermatitis, eczema, infection and overuse of active skincare can also cause scale. A clinician will consider the distribution, itch, pain, product history and whether the skin around the lips is spared. Bumps alongside flakes may be relevant to [Pimples](/symptoms/pimples/), while stinging with products may fit [Sensitive Skin](/symptoms/skin-sensitivity/).

Wash gently with lukewarm water and a mild fragrance-free cleanser. Pat dry, leave flakes alone and avoid scrubs, peeling acids, retinoids, fragranced balms and heavy occlusive products unless prescribed. Keep toothpaste and cosmetics from sitting on the irritated skin, and introduce replacements one at a time. Avoid self-starting a steroid cream, which may worsen perioral dermatitis in some people. If treatment is needed, a clinician may discuss [Topical Antibiotic Therapy](/treatments/medical-dermatology/topical-antibiotic-therapy/) or another tailored option.

Book an appointment when peeling persists, cracks, bleeds, spreads toward the eyes or makes eating uncomfortable. Get prompt medical help for marked swelling, fever, severe pain, pus, rapidly spreading redness or blisters.

Does the peeling pattern fit perioral dermatitis or contact dermatitis? Which cleanser and moisturiser are suitable for my skin? Should I stop a steroid, cosmetic or dental product, and what treatment can calm the inflammation?