r/perioraldermatitis

▲ 2 r/perioraldermatitis+1 crossposts

Zoryve for perioral dermatitis?

I just been prescribed Zoryve for my perioral dermatitis. anyone had good results with this? My pd is mostly redness, super micro texture skin and mostly burning. I tried metrogel and finacea and both did not work.

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u/Beautiful_Rain216 — 3 days ago

Discovering I have PD and how I was able to treat it

Long story short, after starting tretinoin to initially treat my acne and acne scars, what I thought was a purging phase after upping the frequency was actually perioral dermatitis!

The skin around my mouth, chin, and nose was the WORSE it’s ever been. It was so BAD. Everything was inflamed and angry. I had pustules popping up everyday and developing within hours and was absolutely distraught and the state of my skin.

I immediately stopped using tret and went down the rabbit hole in this sub to figure out how to recover. I’m happy to report that it’s under control and I’m just dealing with the PIE marks left behind.

I’m making this post because this sub was so helpful and wanted to give back to anyone going through the same thing. Below I outlined what I tried out when it was the most severe to what I’m doing now.

What’s listed isn’t necessarily a routine but products and steps that worked for me over time when my PD was at its worst:

  • Spray face with Hypochlorous acid spray
  • De La Cruz Sulfur Face Mask for 10 minutes
  • Inkey list 10% Azelaic acid twice a day. This made the most difference for me with calming my skin.
  • Bourdreaux’s Butt paste overnight. This brought a lot of my pustules to a head where I could apply a pimple patch to absorb it. Also helped with how dry my skin got.
  • Only rinsed face with water in the morning
  • ProActiv clean mineral sulfur face wash in the evening.
  • Avoiding using any skincare products with niacinamide.

What was the most effective for me was Azelaic Acid. I used the Inkey list 10% AA before I was able to see a derm who gave me 15% gel AA.

I was already using an SLS-free toothpaste so that didn’t factor in.

Once I got it relatively under control (i.e. no new breakouts) I stopped using the butt paste and sulfur face mask.

Current routine AM:

  • Wash face with only water.
  • Spray Prequel Hypochlorous acid spray
  • Apply 15% gel Azelaic Acid
  • Moisturize with Purito Oat in Calming gel cream
  • I’m still looking for a good mineral sunscreen so I’m between SPFs.

Current Pm Routine:

  • Wash face with ProActiv clean mineral sulfur face wash.
  • Spray Prequel Hypochlorous acid spray
  • Apply 15% gel Azelaic Acid
  • Spot treatment with innbeauty pimple paste
  • Moisturize with Purito Oat in Calming gel cream (avoiding areas with the spot treatment)

Other things I did that could have helped but YMMV:

  • Didn’t wear makeup for 2 weeks (wfh).
  • Air dry my face instead of using towels
  • Slept on a silk pillowcase, changing it out every few days.
  • 20 minutes of red light therapy every other day

I hope this helps! My next steps will be to slowly integrate some actives back in to tackle the PIE/PIH marks left behind.

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u/adult_cool — 3 days ago

Doxycycline didn’t help - Stain?

I have had these persistent red/dark marks under my nose for years. A derm recently diagnosed me with perioral dermatitis and prescribed me doxycycline and metronidazole gel.

I don’t think there was any change during or after the doxycycline and not sure if the gel is working. It doesn’t burn or feel irritated. It looks more like a stain. Please help

u/taintgoblin420 — 4 days ago

Any help appreciated….

I feel so stuck…Has anybody been able to get rid of this with zero therapy WITHOUT eliminating their fluoride toothpaste? How long did it take for you to see change in a positive way with zero therapy? I’ve been struggling with this for three months and I’m not seeing any sort of positive light. I cannot tolerate any topical treatments, moisturizers, or oral antibiotics and eliminating fluoride really isn’t an option for me right now, so please don’t make any other alternative recommendations for toothpaste. Even distilled water is unbearable for me. Red light therapy made this worse because of the heat being off put by it and I had to discontinue and return my device. First picture is when this started and didn’t have it around my nose yet and second picture is current. This was all brought on by overuse of retinol. It hurts worse now than it did in the beginning.

u/Unusual-Relative4932 — 4 days ago

Does anyone else’s POD just form a ring around their lips?

I have recently randomly flared up with what I can only assume is POD. It primarily manifests in a bright red ring around my lips that is super dry and sometimes flaky. It’s been going on for about 6 weeks. I have reduced my skincare to gentle basics. This hasn’t seemed to help much.

Today I tried De La Cruz sulfur cream for the first time, washing after 10 minutes. I generally only use hypoallergenic lip balm (Dr. Dan’s) or aquaphor on my lips. I am also going to switch my toothpaste, though I’ve used the same one for years and never had issues until now. Any advice? Does this seem like the right “diagnosis?” Does anyone else’s appear this way?

u/sleepybean21 — 4 days ago

perioral dermatitis getting worse?

i’ve had this on my chin for about a month now. i’m not able to see a dermatologist. i was being consistent with the de la cruz sulfur cream and then using cicaplast gel. it looked so much better (picture 1) but then yesterday i washed my face and it looked like this (picture 2). i’m wondering if me washing the area is making it irritated? i do use a gentle cleanser. i just want it gone!!! i’ve never had any problems with acne or anything before this and it’s making me go insane.

u/Complete-Mortgage168 — 5 days ago

Perioral dermatitis Avene cicalfate

Has anyone here tried Avène Cicalfate+ for perioral dermatitis?

Did it help your skin or make it worse?

My skin is sensitive and a bit sunburned right now. I also have combination/oily skin in the T-zone, so I’m worried it might be too heavy or occlusive.

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u/Fit-Customer-7412 — 6 days ago

Went to doctor, was prescribed steroid cream and now my face is ruined, I can’t anymore

“Yeah looks like eczema to me, try bethamethasone”

I wish i never went to him hoping it can be better. I trusted doctors again and again ended up only worse. It was so much better before fuckass steroid cream. The man didn’t even tell me it was steroids. Im just crying right now, I want to glue a mask to my face and never take it off again, i just want to stop looking ugly

I used vinegar solution and ketoconazole previously and my skin looked smooth for the first time after few years. But no I believed it could be even better and went to “specialist” who decided I don’t need to see proper dermatologist and he knows better. I hate myself so much

What do i even do, how do i revert it. I used the cream multiple times yesterday and one time today. Now ALL my face is red dry and itchy and previously it was just pigmentation/dry skin around my mouth. Im so tired

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u/ratxowar — 9 days ago

Has anyone found a sunscreen that doesn’t irritate?

My pd has calmed down lots recently but still there in areas so I’m having to be very very careful with my skin. I have a festival in 2 weeks and I need suncream and make up wipes that aren’t going to set me back 6 months! Does anyone have any recs?

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u/InternationalBat2564 — 10 days ago

De La Cruz Sulfur Mask

used the de la cruz sulfur mask for the first time last night. i let it sit for about 10 minutes and then washed it off. i could not fall asleep last night because of the lingering smell and ended up feeling so nauseas! i even woke up queasy from the smell. i felt like throwing up this morning. anything i can do to help combat this smell?

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u/mspence17 — 9 days ago

Accutane for perioral dermatitis or possibly rosacea? your experiences please

Well as the tittle says I'm probably going to start accutane soon for perioral dermatitis. Could also be rosacea it's a bit uncertain at the moment as these both condition look similar and behave in a similar manner.

I'm well aware of the typical side effects, dryness etc but I'm mostly scared it might actually worsen the condition as I've seen people getting perioral from accutane.

Please share your experiences positive or negative treating this terrible condition with accutane. Would like to have some more info before I start treatment as I understand it could be something I regret.

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u/Queasy_Battle_7658 — 11 days ago

Finally some relief.

I’ve been struggling with perioral dermatitis for years- tried so many products and treatments from the dermatologist. Well guess what… my DENTIST prescribed Metronidazole and wow. Skin has been clear for nearly 3 months. Can’t suggest it enough.

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u/princess_peach1313 — 9 days ago
▲ 6 r/perioraldermatitis+1 crossposts

Lip issues!! Dermatologist and I are stumped. Please help!

I've been dealing with lip issues since December. I was using Aquaphor in December and nothing was getting better, lips were still tight and dry. My friend recommended lanolin and I used it for 2 months before realizing it was doing more harm than good. I stopped everything and started just using vaseline. Still no help. Went to the dermatologist in March and she gave me a steroid cream, cleared up for 2 weeks, but came back with vengeance. She then put me on methylprednisolone. Cleared up for a week or two and came back pissed. I've only been using vaseline and cerave healing ointment, but things aren't getting any better and they still feel super dry and tight. They itch, weep fluid sometimes, they HURT. NO IT IS NOT HSV, I've been tested twice and both were negative. I am currently on doxycycline but I'm not feeling very hopeful. I'll attach photos in order.

u/Affectionate-Mix637 — 12 days ago

Does POD never have actual pustules?

Does anyone else get actual pustules with their Perioral Dermatitis (POD)? My dermatologist told me that POD and pustules (pus-filled bumps) never go together, but I’ve read online that they can be a symptom. I’m curious to hear if any of you have experienced this or if your doctor told you something different.

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u/One-Organization-822 — 10 days ago

ITS GONE!!! it only took 1 product!

hi guys!! a little context, i had my first ever experience with pd for about 2 months, and finally resolved it a couple weeks ago. it wasn’t a horrible case, just the visible rash at the base of my nose, though it had begun to spread down my smiles lines as well. i tried 4 different products; 3 were prescribed to me (topicals) and 1 was boudreaux’s baby butt paste (which worked for 2 days, but the rash came back soon after). nothing worked, incredibly frustrating.

OKAY. here’s what did it. the entire time i’ve been using vanicream gentle cleanser and daily facial moisturizer, which i’ve been doing for a long time and is the only combo that keeps my skin clear. i continued using that combination twice a day, AND THEN, once a day i began using base laboratories hypochlorous acid spray($12 on amazon) recommended to me by my sister. at night before bed id just wash/moisturize like normal, let my face dry, and spray a coating of the hypochlorous acid onto my fingers before rubbing it onto the rash and heading to sleep.

within 3 days it had completed receded… its now been about 2 weeks and it hasn’t returned! it’s irritating how simple it turned out to be for my case… i had begun losing faith. i know that everyone’s skin is different, and that this may not be the route for everybody, but if you’re really struggling and nothing seems to be working, id recommend giving it a shot as it worked for me! :)

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u/Maleficent_Use149 — 12 days ago