Perioral Dermatitis Treatment

Perioral dermatitis is a common inflammatory skin condition that affects many people across Falmouth and Cornwall, particularly women aged 20-45. It often presents as a red, bumpy rash around the mouth and nose and is frequently mistaken for acne or rosacea – which can delay effective treatment.

If you’re searching for perioral dermatitis treatment in Falmouth or advice from a qualified skin professional in Cornwall, this guide explains what the condition is, what causes it, and how it can be safely managed.

What Is Perioral Dermatitis?

Perioral dermatitis is an inflammatory facial rash characterised by:

• Small red or flesh-coloured bumps
• Dry, flaky skin
• Burning or stinging sensations
• A clear area immediately around the lips (a key diagnostic sign)

Despite its acne-like appearance, perioral dermatitis does not respond well to acne treatments and often worsens with incorrect skincare.

Symptoms of Perioral Dermatitis

Common symptoms seen in patients across Cornwall include:

• Red bumps around the mouth and sides of the nose
• Skin tightness or sensitivity
• Dryness and irritation
• Flare-ups that worsen with skincare products or makeup

Because the condition can resemble other skin concerns, professional assessment is important.

What Causes Perioral Dermatitis?

There is no single cause, but several well-established triggers are commonly seen:

1. Topical steroid creams

Steroid creams – even mild hydrocortisone – are one of the most common causes. While steroids may temporarily reduce redness, they often cause significant rebound flares when stopped.

The British Association of Dermatologists identifies topical steroids as a major trigger:
👉 https://www.bad.org.uk/patient-information-leaflets/perioral-dermatitis/

2. Overuse of skincare products

Heavy moisturisers, fragranced creams, and multiple active ingredients can damage the skin barrier, making inflammation worse.

3. Fluoridated toothpaste

Some patients experience improvement when switching toothpaste, particularly if fluoride or foaming agents are contributing factors.

4. Hormonal influences

Perioral dermatitis is more common in women and may flare around menstrual cycles or during periods of hormonal change.

How Is Perioral Dermatitis Diagnosed?

Diagnosis is usually based on:

• Clinical appearance and distribution
• History of steroid or skincare use
• Failure to respond to acne or rosacea treatments

In Cornwall, many patients initially present to their GP before seeking specialist skin advice for persistent symptoms.

Perioral Dermatitis Treatment Options in Falmouth

1. Reducing and stopping steroid creams

Steroids should not be stopped abruptly without guidance, as rebound flares are common. Gradual withdrawal under professional supervision is often recommended.

2. Simplified skincare (“zero therapy”)

The NHS recognises conservative skincare as an important part of management:
👉 https://www.nhs.uk/conditions/perioral-dermatitis/

This may involve:

• Stopping unnecessary products
• Avoiding actives and exfoliants
• Using minimal, gentle skincare only

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3. Prescription treatments

For moderate to severe cases, medical treatment may include:

• Topical antibiotics
• Oral antibiotics

A Cochrane review supports antibiotic therapy for effective symptom control:
👉 https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004684.pub2/full

4. Professional skin advice

Targeted guidance from an experienced skin professional can help identify triggers, tailor skincare, and reduce the risk of recurrence.

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What to Avoid If You Have Perioral Dermatitis

To prevent worsening symptoms, avoid:

• Steroid creams unless medically advised
• Heavy occlusive moisturisers
• Harsh exfoliants and acids
• Over-cleansing
• Thick makeup over inflamed skin

How Long Does Perioral Dermatitis Take to Improve?

With appropriate management:

• Mild cases often improve within 4-6 weeks
• Moderate cases may take 8-12 weeks
• Recurrence is possible if triggers return

Early treatment usually leads to better outcomes and less disruption to the skin barrier.

When Should You Seek Professional Advice in Cornwall?

Consider professional assessment if:

• The rash persists longer than a few weeks
• Symptoms worsen despite treatment
• You have used steroid creams on the face
• The condition is affecting your confidence

Local access to experienced skin professionals in Falmouth and the wider Cornwall area can make a significant difference to recovery.

Perioral Dermatitis Treatment in Falmouth – Final Thoughts

Perioral dermatitis is treatable, but incorrect treatment can prolong symptoms. Understanding triggers, simplifying skincare, and seeking appropriate professional advice are key to long-term control.