Skin condition

Perioral dermatitis

Perioral dermatitis often looks like acne, irritation, or a rash that just will not behave. Treating it like acne usually makes it angrier.

What's actually going on

Perioral dermatitis is an inflammatory rash that clusters around the mouth, nose, or sometimes the eyes. It is commonly triggered or worsened by topical steroids, heavy creams, occlusive products, fluorinated toothpaste, or an overloaded routine.

What tends to help

  • Stopping the products that are feeding the cycle
  • A very bland routine while the skin settles
  • Prescription treatment when the rash is persistent or spreading
  • Patience — it can flare before it quiets down

What I'd skip

  • Topical steroid creams unless a physician specifically tells you to use them
  • Heavy occlusive balms over the bumps
  • Acne spot treatments layered onto irritated skin

When to get in-person or urgent care

  • Rash involving the eye itself, eye pain, or vision changes
  • Rapid swelling, fever, or severe pain
Talk to a dermatologist

Bumps around the mouth or nose?

Start a visit and Dr. Eckert can help sort perioral dermatitis from acne, rosacea, contact dermatitis, and other lookalikes before building a plan.

Start a visit

Supportive basics

These are supportive products and categories that may fit a simple routine. They are not a substitute for medical evaluation and are not intended to diagnose, treat, cure, or prevent this condition.

Gentle Cleanser

Fragrance-free and non-stripping. Cleanses without the tight, squeaky feeling.

$24Supportive
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Daily Moisturizer

Quiet, comfortable hydration made for sensitive, reactive skin.

$30Supportive
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Prescription options require a visit. Treatment may include prescription medication only when medically appropriate. Some prescriptions may be sent to a licensed third-party compounding pharmacy for patient-specific preparation.