What it is

What is perioral dermatitis?

Perioral dermatitis is an inflammatory skin condition that shows up as tiny red bumps, small blisters and flaking around the mouth, nose or eyes. A telltale sign is a band of clear, healthy skin right next to the lips. It most often affects women aged 20-45 and, while it isn't dangerous, without proper treatment it can persist for months and keep coming back.

Severe perioral dermatitis with redness and peeling around the mouth and nose
Perioral dermatitis (more severe form): redness and flaking around the mouth and nose.

Common signs

Tiny red bumps around the mouth
Flaking and dry skin
A burning or stinging sensation
A band of clear skin right next to the lips
A rash around the nose or eyes
Recurring flare-ups
Causes

Common causes and factors

Perioral dermatitis often flares up because of what we put on our skin. Pinpointing the exact cause is the most important step, which is why we always start treatment with a proper assessment rather than guesswork.

Steroid creams

Steroid creams

Topical steroid creams are the most common cause; they help temporarily but make the condition worse once you stop using them.

Cosmetics and skincare

Cosmetics and skincare

Thick, greasy creams, foundations and occlusive products clog the skin and fuel inflammation.

Toothpaste and fluoride

Toothpaste and fluoride

Toothpastes containing fluoride or SLS can irritate the sensitive skin around the mouth.

Hormonal and environmental changes

Hormonal and environmental changes

Fluctuations in the menstrual cycle, stress, sun and wind can all trigger flare-ups.

"Our dermatologists first help you safely stop the products that irritate the skin, then select an effective, skin-protecting treatment - with no blind trial and error."

Treatment

How we treat perioral dermatitis

A personalised plan for every patient, based on your photos and symptoms. First we help you safely stop whatever is feeding the rash, and only then do we choose the treatment.

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Treatment begins with "zero therapy" - safely stopping the products that irritate the skin. This is the most important step in letting the skin calm down.

Dermatologist remotely assessing a perioral dermatitis case
How treatment works
"Zero therapy"

We help you safely stop steroid creams and irritating cosmetics that keep the rash going.

Topical treatment

We prescribe topical treatments to reduce inflammation in the skin.

Oral treatment

For moderate to severe cases, a short course of prescription oral treatment.

Gentle skincare

We recommend a suitable cleanser, moisturiser and sun protection so your skin can recover.

Monitoring and adjustment

We track your progress and adjust the treatment if needed until your skin has fully calmed.

iThe iDerma advantage

Experienced facial skin specialists

Experienced facial skin specialists

Our team is made up of doctors who treat inflammatory facial skin conditions every day.

A fast assessment

A fast assessment

You receive a reply and a treatment plan within 24 hours, with no long waits to see a specialist.

A prescription if needed

A prescription if needed

If needed, the dermatologist issues a prescription treatment directly and remotely.

Confidential and secure

Confidential and secure

Your photos and personal data are handled securely and confidentially.

Money-back guarantee

Money-back guarantee

If we are unable to provide the consultation remotely, we refund you 100%.

Everything from home

Everything from home

You fill in a form, attach your photos and get treated without leaving home.

Our doctors

Doctors, treating perioral dermatitis

"Professionalism, clear communication and attention to every detail - exactly what we expect from every consultation."

About us
Price

Service pricing

Initial dermatologist consultation

49,00 €

Follow-up consultation

A later visit for the same condition
35,00 €
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Any follow-up questions straight after your consultation are free. A repeat consultation is only needed when your condition is being reassessed.

With a 100% money-back guarantee if we are unable to provide the consultation remotely.

Helpful information

Frequently asked questions

  • 1. Does perioral dermatitis go away on its own?

    Usually not. Without treatment it can persist for weeks or months and keep recurring. The right treatment speeds up recovery and lowers the risk of relapse.

  • 2. Can perioral dermatitis be treated remotely?

    Yes. A dermatologist can assess the condition from good-quality photos and a description of your symptoms, and prescribe treatment.

  • 3. Why shouldn't I use a steroid cream?

    Topical steroid creams temporarily reduce redness, but once you stop the condition flares up sharply - they are one of the main causes.

  • 4. How long until my skin improves?

    The first improvements are usually visible within 3-6 weeks, while full recovery can take up to a few months.

  • 5. Is perioral dermatitis contagious?

    No, it is a non-contagious inflammatory condition.

  • 6. How much does a consultation cost?

    An iDerma initial dermatologist consultation is an affordable fixed price, with a lower-priced follow-up, all backed by a 100% money-back guarantee.

Related conditions

Other conditions we treat online

Start your journey to clear skin around the mouth