r/Perioral_Dermatitis_

I had these bumps on my face for 5 days but each day they get worse and worse and I need to go to work but I can’t look like this. Everything I put on my face triggers it. My doctor gave me IVERMECTIN 1% CREAM and DOXYCYCLINE HYC 100 MG
CAP. She also told me to use winlevi in the morning. She said it’s dermatitis and she sees white heads but I don’t. My face is getting puffy and they bumps and getting more red and spreading. I change my laundry detergent I stopped wearing makeup. I just don’t know what to do.

What started as the tiniest bit resulted in it spreading down onto my chin around my nose and it’s spreading around my eye
I don’t use anything on my face I have no idea what is triggering this
I’ve been using Rozex for 5 weeks now it clears under my eye for a day but then spreads again.
I use high fluoride toothpaste because I’ve had dental work done but I’ve used it for years could this be the cause ?
The only thing I’ve done differently in the past couple of months was started using shampoo and conditioner to try clear dandruff on my scalp
I’ve eliminated that recently to see if that’s what’s causing it
What help cleared your pd up ?
I have 2 weddings I’m a bridesmaid in this year and now my skin wants to play up 😭

current routine:
- dermatica balancing gel cleanser (1x/day)
- dr g red blemish cream (2x/day)

literally clear skin everywhere except around my mouth, been going on for a year now, i get a flare up once every 1-2 weeks and my skin right now is peeling like crazy after cleansing

things ive tried that didnt work:
- sls free toothpaste
- doxycycline

What's happened??"It's been almost a year, and these still haven't gotten better."

I am using now

skin 1004 ampoule foam cleanser

Skin 1004 shoothing cream as moisturizer

Skin 1004 light oil cleanser

Boj sunscreen

Azelaic acid from skinoren( recently added)

Avene cicalfate at night not everyday

These completely go away, but then they come back again. I haven't noticed much improvement with azelaic acid. They haven't increased recently, but they also haven't gone away completely. What can I do now? They don't itch, but they tend to get worse in hot weather and when I sweat.

I've also tried stopping all of my skincare products, but there was no improvement.

I've had this rash since the beginning of April and I have no idea what it is and dont know how to fix it. I'm wondering if its fungal or perioral dermatitis. Ive never used anything that could have "broken" my skin barrier so I'm not sure how I could have developed perioral dermatitis. the rash feels rough and dry, and it sometimes flakes. it also sometimes gets a 'crust' on the edges.

im only using Cetaphil Gentle foaming cleanser( a pharmacist gave this to me) and Cosrx The Ceramide Skin Barrier Moisturizer.

any help would be very appreciated as ive tried zero therapy, hydrocortisone, colloidal silver and Vaseline. doctors appointment is still ages away, and im unable to see a dermatologist bc I live in Canada and the waitlists are years.

Hi there. Does this pic look like PD? I don’t have bumps or pustules, just swollen, red, painful burning itchy lips and around the lips. My derm prescribed doxycycline but I refused. TIA!

Was told at the start of this year that I have perioral dermatitis and not acne, which is all new to me. In my mid 20s and dealt with this skin issue for yearssssss, anything I do doesn’t help it. I’ve even spent a ridiculous amount of money on laser treatments, for me to currently look like this. Please anyone that’s had the same skin issue, what did you do to finally get rid of it? Will I ever be rid of this for good???? Any tips will be much appreciated!

First picture is today, the second one is yesterday night, so a progressions of 12-ish hours. What is this? 🥹🥹

I’ve been suffering with this for about 2.5 3 years, bloods are normal, supplementing for hormonal support, zinc vit d, berberine, inositol, omega 3. I stopped eating dairy and anything with refined sugar I focus on protein and fiber. Low alchohol intake and I also take probiotics. I use alumier sensi calm cleanser, alumier clarifying serum (salicylic acid) and lactic acid.
Nothing seems to be working, I am at my wits end.
I hate looking in the mirror, I feel like my confidence is at an all time low and I’m just looking for help.

If anyone has any tips and or suggestions? If it’s both how can you heal it?

Hi everyone,
I’m looking for some reassurance and to hear about other people’s experiences with steroid-induced perioral dermatitis.
I accidentally used a topical steroid (betamethasone) on my face for just over 3 months because I thought I was treating facial psoriasis. My doctor diagnosed it as steroid-induced perioral dermatitis and told me to stop the steroid completely, warning me that it would likely get worse before it got better.

I stopped the steroid last Thursday. By Sunday and Monday my face had become much redder, bumpier, and felt like sandpaper. It also burns and stings at times. I started a facial gel on Friday and the oral antibiotics today. Zinc oxide soothed the tightness and burning. So 5 days post last steroid use, day 3 of gel, day one of antibiotics.

A few questions for those who’ve been through this:
How much worse did your skin get after stopping the steroid?

What day was your worst flare?

When did you first notice improvement?

How long did it take for the burning and rough “sandpaper” feeling to go away?

Did the antibiotics seem to stop it from continuing to spread, or did it still get worse before they kicked in?

Anyone else having trouble doing things in public while have a flare? Worth it to use makeup sometimes or does it make it way worse?

Im trying to stay patient, but it’s hard watching my face change every day. I’d really appreciate hearing your timelines and any advice that helped you get through the withdrawal period.

Thanks so much!

Ps The photos are the difference from Aunday morning to Tuesday afternoon, hence the fear of how bad it’s going to get. Again, started the antibiotics today🙃

i’ve had perioral dermatitis for almost 7 months now, i’ve tried all the creams, all the recommendations, i’m on my 7th week of metrogel but every day I get new pustules throughout the day.

I have no idea what else to try. I haven’t done antibiotics yet but I’m a little scared to mess up my gut.

i’ve noticed it gets worse pretty much after anything I eat. I feel like it’s the best when I wake up.

A couple months ago I started waking up with these small clustered pustules around my mouth and on my forehead in between my brows. They pop easily, don’t itch, and are surface level. They also pop up by the end of the day when I’m taking my makeup off.

I noticed them after I switched to a richer moisturizer. About a month ago then I switched to a lighter moisturizer I had on hand (tatcha water cream) which also has fragrance so this week I switched the Vanicream daily moisturizer. I have been on tretinoin %0.025 for over a year now and my skin has been under control until this.

I went to the dermatologist this week and after telling the nurse my skin concerns (I told them I was getting white heads popping up, I didn’t know what PD was) and the dermatologist prescribed me Cabtreo gel without examining my skin at all. I’m hesitant to start Cabtreo because of all the actives and the fact that she didn’t examine my skin, and that I called them white heads.

Any suggestions or advice? TYSM

At first, there were small red areas on the lower eyelid. They were itchy. There were also red dots near the eyes.
I applied a topical steroid ointment for 1-2 days, and it would clear up. It helped. This went on for about two years.
But over the last month, it flared up severely. I started applying steroids, but they didn't help; it got worse.
The doctor prescribed Locoid for 5 days, followed by Elidel. At first, it helped, but when I switched to Elidel, it returned even worse.
The doctor prescribed Elidel again, but I’ve been applying it for 3-4 days now, and it’s getting worse.
What do you think?
The diagnosis is contact dermatitis.

I've been dealing with PD since March 2026. Been on doxycycline (just tapered off due to severe constipation)and elidel (also tapered off its a temporary bandaid effect). I must admit my face was very bad and has come a long way but I only started to see real results after introducing sulfur soap. I started slowing introducing skin1004 azelaic acid on my forhead only since the rest of my face seems to be more sensitive. I went from 1 time a day to 2 times a day over the course of 5 weeks but this texture is actually all over face and forhead it wont budge. I still do get daily tiny pustules mainly around my chin and apples of cheeks, but they go away fairly quickly. I feel so stuck. I wanted to introduce azelaic acid to the rest of the face but at this point seeing as how they both look very similar, I'm not sure it would make any difference. It was ichy in the very beginning back in March and April but now there's no iching, no burning, no stinging, and not dry either. These pictures are after applying my moisturizer. I wash with vanicream daily facial cleanser and just switched to this moisturizer the Vanicream daily facial moisturizer last one was leaving me feeling tight. This bumpy texture was so much worse before so it has gotten better but this past month it's been stuck here. I have clindamycin lotion, ivermectin cream, cleversoap 0.5% piroctone olamine cream. I dont know if its fungal becuase i though it would have to ich, same with demodex no ichying or crawling feeling and the pustules are tiny and not in crops they are individual and not painful. Just haven't used anything else outside if my moisturizer, cleanser, sulfur soap, and azelaic acid on forhead. Anyhelp on this? Anyone had it be fungal or demodex with no iching? Please I'm desperate!!!