Perioral dermatitis Q&A: tips & things to avoid| Dr Dray
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- Опубліковано 11 лип 2024
- 💜Good moisturizers (lotions)
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💜Good face washes
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La Roche posey toleraine amzn.to/2gIeyTR
💜Ingredients/products that can worsen and to avoid:
-Makeup and foundation
-Isopropyl myristate
-Ointments like vaseline, vaniply, our aquaphor
-sunscreens with spf 30 or higher that contain zinc or titanium (this was reported in children)
-Any topical steroid. Common names for topical steroids include: cortisone, hydrocortisone, kenalog, triamcinolone, halobetasol, clobetasol
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One thing I love about Dr Dray is that every time i searched for a skin issue, she has a video on it. Even if it is 3-5 years old, its still useful!!
Thank you so much for not only creating this video but for also bringing up the mental health aspect associated with this condition. I first had this condition back when I started high school and missed my exams because at the time my doctor had never seen it before and I had to wait before I could see a dermatologist. My dermatologist recommended an antibiotic topical cream like you mentioned along with a solution that is used as a wet dressing. It’s the only thing that works. Struggling with that in my teens and now that I’m over 30 and still have flare ups, it still takes a toll on my self-esteem. The information you provided was straight forward and compassionate, I almost cried. 15 or so years ago at the doctors office wasn’t like that. Thank you 🙏🏽
Great info as always. I love how you mentioned the emotional part of any skin condition. It is a very important part that sadly some barely touch on.
❤️
Thank you! I finally have some answers. I thought I had eczema, when I developed perioral dermatitis in my late 30s. When I was diagnosed by my dermatologists, I was given no clear answers on how to manage this condition and potentially cure. You went above and beyond explaining causes, treatments, dos and don't, which were so helpful in curing my problem! ❤️ You are the best!
I hate that I used to look so beautiful before this came along. Now it won’t go away.
Has your condition improved?
Girl I feel you. I developed it out of nowhere.
Sunny W. Me too. I had an extremely stressing period and then BAM. This shit showed up
I'm frantic went thru bad stressful time 2 mos ago and now l have it. I just want it to be gone!!! Never used steroids on my face and lm 63 and l take excellent care of my skin. This is horrible!
Toni D me too! I’m way younger but I take care of my skin and I use the right products so it’s really a bump :(
Thank you for your suggestions. I have been using a stronger retinol and have tried to take every precaution to go slow and build up my tolerance but have now developed this on my chin and under my mouth. I appreciate mentions of actual products and actual ingredients to use and avoid.
Dr.Dray, thanks so much for including the importance of recognizing and dealing with the mental health aspect of PD. It's depressing and isolating to look in the mirror and see the red muzzle. Going on years now and it's depressing.
Hi! This is the first time I've seen this video because I wasn't a subscriber on that date. To answer a person I know, I looked for a video that could explain when we have this problem. This video is very explicit and constructive. I greatly appreciate you talking about the "pshycological" part of the problem. This is so important! Thank you!
Dear Dr. Dray - I cannot thank you enough for bringing this topic up. I truly appreciate you going in depth and explaining this problem - which does not have much of a remedy. You truly are the BEST. Thank you once again.
Thanks!
@@DrDrayzday I just found this video after my perioral dermatitis got worse from those steroid creams that all 4 dermatologists prescribed me with.I would really appreciate if you could help me with an advice on how to get out of those steroid creams ,I leave in a Greek island and we don't have any good dermatologist and I'm in desperate need of one thank you in advance Xx
Dear mam.. I have skin problem... I want to talk to u ... Can u pls give ur num mam... Will text u in wats app
@@erine.5680 hi erin did u ever fix the perioral dermatitis?
@@SparkingLife111 thankfully I did. I used Eubos ectoin7% and Avène Cicalfate Crème Réparatrice and an Niacin essence (mine was Purito Galacto Niacin 97). I washed my face only at night with a gentle soap, no rubbing, a gentle toner next (mine was also Purito) and then applied the essence and the two creams afterwards (Eubos first and the Avène). Absolutely nothing else went on my face no makeup no sunscreen no nothing and obviously no hands and hair anywhere near my face. It took about 4 weeks until completely disappeared and since then with those two creams that I daily use it never came back. Hope it helps.
Got diagnosed with this today! And after watching your video i feel so much more informed! Thank you!!!!💜
Thanks for giving the complete low down on perioral dermatitis!! much much appreciated as i've been struggling with this for over a year now although doctors have been quick to prescribe me something, none really explained it in detail.
:)
As an RN I really appreciate the scope of your discussion on various topics and how you discuss the emotional factors of certain health care concerns as well as offering some helpful tools. I always learn new things from you!! Sue
Thanks Ms Sue
Dr Dray you saved my skin!
I had been attempting to soothe my perioral dermatitis with a natural plant-based cleanser and steroid cream for about 8 months after a doctor misdiagnosed the rash.
I decided to see another doctor once it started to get really bad and they told me I had perioral dermatitis but didn’t tell me how to treat it and she even told me I should wear makeup to cover it up.
After seeing this video while searching for how to soothe a bad flare up I started washing my face with just water for a few days and obsessively watched your channel.
A few days later after watching a lot of your product review videos I decided to go buy the Cerave foaming cleanser and the Cerave moisturizing cream that comes in the tub.
I washed my face with just water in the morning and then applied the moisturizer to wet skin (THAT TIP CHANGED MY LIFE) and then cleansed at night and applied moisturizer again.
After doing just that for a month my perioral dermatitis has cleared up 100%.
I’m so thankful I found this video and your channel. I watch your videos every day now and love hearing your opinions on products. And thank you for educating people on the dangers of natural skin care products! I would probably still be using essential oils on my face if it weren’t for you.
It was just applying moisturizer to wet skin then? Or was there anything else you did? I’ve had this condition for two years now and nothing has helped
Can you please let me know which exact moisturizer I am struggling as well thank you!
These doctors make too much money for no more than they're actually able to help people.
I've had also been misdiagnosed by a doctor
I am facing perioral dermatitis right now and is terrible
seriously love you for making this video, you're so on point with everything. sadly i've been dealing with this and trying to fight it off after my dermatologist told me it was just acne, and handed me cerva facial cleanser to treat it👿
now i can go about actually taking care of this problem.
I've had periocculardematitis and rosecea. I'm do glad to learn more about both conditions through your channel! Thank you do much for sharing all your expertise.
glad it was helpful
@lesleyhenry7999 ~ Hi! I developed a red spot ( not circular) right at the lash line on my lower eyelid that feels crusty to the touch and when I wake up, there is a white flake/scab on top of it. Do you think this can be what you experienced? I don’t have insurance, so I can’t seek medical help.
this honestly saved my skin. I cannot thank you enough. Been struggeling with PD for years and after switching to your recommendations it was gone in three weeks :-)
What did you switch?
Dear Dr.Dray you are so kind to give this info. Thank you so much for sharing. You pretty much described to the teeth what I am going through. Your information gave me a lot of insight and how to approach it. Thank you so much!
Thanks so much! I am so happy to hear this was helfpul :)
i’m 15 years old and i’ve struggled with this since i was around 10 and my family always told me to use vaseline and little did i know that it was making it worse haha. thank you for making this video!!! i’ve been looking for things to manage this for years !
Hi, did you notice it getting better after stopping using vaseline?
Thank you so much for validating the emotional and mental health effects of POD. I have been isolating and avoiding activities that I once enjoyed because my face is red, itchy and painful. I started treatment today. Many thanks.
Thank you so much for this video and going into so much detail on the subject. You were far more efficient than the dermatologist I went to see...
One of the best dermatologists in Minsk,Belarus, prescribed a 10-day antibiotic, Metranidosol gel, La Roche Posse cicaplast B5 balm and a 30-day course of vit A+E. He advised to change the pillow case very regularly and iron it. No facewashes, except a gentle wash with a warm water (boiled). No make up,no any other creams. My dermatitis cleared up in 10 days.
I had same routine. As soon as i stopped taking anti biotics, it came back.
I'm going to enjoy your video with an afternoon coffee! Have a nice day Andrea! Today I had my surgery and it went smoothly, I'll start using those silicone sheets I asked you about next Monday. :)
Glad it went well Ms Irene :)
I've had what I thought was acne around my chin area. Recently, I noticed small red bumps around my eyes... again I thought was little pimples. After seeing this video I believe it may be POD. I have been sans makeup for about a month minus a few days for the 3 weddings I have attended and meeting with new clientele. I have found a little relief around the mouth but my eyes are still a problem. I am glad to have found this video as I use a nasal spray and have used my inhaler this past month. I'm hoping discontinuing use of these meds as well as my face cream with an spf of 30 I will see some more improvement. This condition is certainly stubborn!!
Thanks so much for this excellent review Dr. Dray, very clear and understandable.
Dr. Dray, thank you very much for the great videos! You are so knowledgeable and have been fantastic! I had horrendous perioral dermatitis for a few years. I discovered that part of the problem was that I was very allergic to both sodium lauryl and laureth sulfates (in so many soaps & shampoos) and also super allergic to the flouride and the SLS in regular toothpaste. So I had to stop using these chemicals. In addition I found that I was using too much laundry detergent and and that it was staying on my towels and staying on my face after I used them (sulfates yet again). I did a course of antibiotics for a few months but they eventually gave me symptoms of liver failure and I eventually stopped them after two or three months. In the end, I felt the elimination of my use of products with these chemicals, in conjunction with the antibiotics was what finally helped me to have a decent recovery. I also found using metrogel and neosporine for expecially bad flare ups helped. I just wanted to mention my experience in case it might help anyone else reading this or if you encounter a patient like me. I think I have chemical sensitivity syndrome because both I and a lot of members of my family are very allergic to harsh chemicals. Just hoping others experiencing perioral dermatitis may want to stop and take a good hard look at anything harsh in their environment that they might be reacting to. Wholefoods carries many sulfate free options for soaps, shampoos and toothpastes. Also flouride free toothpaste. Livesavers. Jason brand aloe body wash is good.
Thanks for watching
This video really helped me :) I’d had what I thought was “hormonal acne” over my chin for the last 5 months, then finally went to my doctor when my skin was constantly burning and felt really tight; immediately she knew what it was. I’m still yet to find out what brought on my outbreak but at least now I know what it looks like :)
glad to hear this vidoe was helpful Ms Carissa :)
Thank you Dr. Dray for explaining the condition in good detail. Knowing seriously reduces stress.
:)
I'm so glad you made this video. I was diagnosed with this today by a Dermatologist. He gave me Elidel and metronidazole to use topically and Bactrim DS orally for the cysts that were on my chin. He said he wasn't sure what the cysts were from. I've been on metrogel in the past for itching and burning so hopefully it clears up 100% this time and doesn't rebound! This video will help me manage this until then, thank you so much!!!! I wish there was more information on this condition so those who are prone to it can prevent it from happening, I feel like the corners of my nose and even beneath it and chin have always been red and inflamed since I was a teenager.
Mariah Mills how is your skin? :)
Did it help?
Thank you Dr. Dray for talking about the mental strain skin disorders puts on you. The mental part is 50% of the struggle.
I’m a 16 year old guy and I’ve had this condition on and off for 2 years now... it’s terrible and ruins my self esteem at times. It’s good to know I’m not alone though and thanks for the info
My son is 15 and he's been battling it for 5 months. You are not alone.
Zoë Kaye my son used metro cream which did absolutely nothing. We ended up using Soolantra cream which finally turned things around. I recommend that anyone who can’t get rid of this condition try treating for démodéx mites. That’s what Soolantra does, kill demodex mites. There is tons of info on Pinterest, and there is a Facebook group for people who have this. Check it out. It’s great! Tons of info.
HELP I was about to write how I relate to you but I realised that ur that vegan guy off tiktok
@@es5ha this is what you wrote. “Help I was about to write how I relate to you but I realize that you’re that non animal abuser guy off TikTok.”
@@aciditywormhole9898 i said vegan guy ☠️
Thank you so much for this video. I love your channel. I was recently diagnosed with perioral dermatitis but I was so convinced that I had rosacea. Your explanation of the rosacea differences really helped clear some things up in my mind.
thanks! Glad this was helpful!
Dayna Jordan h6
Been treating this the last year with steroid cream on my own (because it’s over a year wait to see a dermatologist where I live) and I didn’t realize I’m making it worse. I ran out last week and my dermatitis is SO bad and painful. Thankful I found your channel I now know what I need to do until I can get into a dermatologist.
Hey when you stopped the steroid cream, did it clear up eventually?
Do you still deal with perioral dermatitis I'm getting it around my nose have you found any solutions
I don't fall into any of the categories.. except high SPF sunblock and using foundation. But I only have flare-ups when I'm under a LOT of stress..
What i use to aliviate symptoms are:
- Applying ACV (1 Tbps per cup) followed by
- organic aloe vera gel, followed by
- An ointment containing dexpanthenol (usually used to heal tattoos) or Abreva (easily found).
To treat, I use:
- Prosacea (ointment to treat rosacea)
- zinc tablets
- sulfur tablets
- vitamin A and
The first time I had PD, it was a struggle to get rid of it... It took me months! But now I figured out what to do.
But what I really need is to try staying away from stressful situations.
Thank you for talking about this in detail. I appreciate it! The only worry i have is taking an antibiotic for 3 months. I am very GI sensitive and have IBS. If you can comment on this that would be great for reassurance based on your clinical experience with treating your patients.
Hey, I'm in the exact same position - would do anything to get rid of my PD but have ibs and don't want to ruin my gut with antibiotics. As your comment was 8 months ago, I wondered if you went for them or found another solution?
Thank you for such straight forward information. I just want this off my face, I used to feel so beautiful but there's no reason I can't get back there!
I noticed that my PD became better 2 days after stopping sugar (except half a spoon in my coffee :)) Stop eating sugar, there is a big difference ! Of course, never stop moisturizing because the skin changes. Thank you Dr Dray ! Hi from France :)
The only good thing about the pandemic is that we all need to wear masks, so I can hide my eczema with my mask but at the same time it probably makes it worse
I got this FROM wearing a mask -- a month in NY fighting covid as a nurse and wearing the same N95 everyday, and I came home with this condition :( My skin never had any problems before this.
Like you said at least no one really sees it since we're all still wearing masks :/
I got it from using a mask too. I had the red bumps for over a month. The only thing that worked was Curad Germ Shield Antimicrobial Wound Gel. Bumps were gone in days. You can find it on Amazon. Hope it can work for you.
Yes mask does make it worse, especially for ones living in hot and humid climates!
Andrea Kevresian SAME
@@hazzardcounty737 Finally got that curad stuff! How often did you apply it?
I did everything you said not to... calling my doctor tomorrow. Clearly after I used my baby’s eczema cream this did come back wayyy worse. Thanks for this.
I hope things get better
This was a very detailed and helpful video. I subscribed just from watching this one video and I will be sharing it with others and people I know personally who are suffering from this condition. Thank you sharing your knowledge of this sensitive topic.
Thanks! I am so glad to hear you found it helpful :)
ok so like... i had no idea that occlusives could cause or worsen this, and I kept lathering my lips with cicaplast, and seeing no results... this is so informative, thank you so much! I tried adding another type of occlusive moisturizer to my routine, not thinking it could trigger a new flareup, but surprise surprise!! so yeah, just a tip for everyone, stay away from ANY TYPE OF OCCLUSIVE MOISTURIZERS!!! not only the heavy duty vaseline, but cicaplast as well! i know it's recommended for sensitized skin, rashes and whatever, but not for this condition!! i learned my lesson :,)
thank you so much for making this video! I'm not a child, but I always felt that my perioral dermatitis was in part caused by a particular physical sunscreen, but didn't know for sure until you mentioned it. Also thank you for mentioning the emotional burden of skin diseases. I've always felt a bit "superficial" for caring so much about my skin, but having dealt with acne and a whole slew of other skin issues, it truly is my biggest insecurity. thank you so much again
:)
I just wanted to share my journey so far. I'm 24 years old and i've had acne for 10 years. When i was 19 i developed really bad cystic acne, i was put on oral antibiotics, but they did not help at all so i ended up on accutane and oral contraceptives. Accutane cleared up my skin quite well and oral contraceptives kept it at a managable state for 4 years, until i developed really bad migranes and eventually had to stop taking the pill. I really feared the return of my acne and my skin really did get worse... the the type of acne was completely different. I tried to treat it on my own but thankfully went to the dermatologist after. She diagnosed me with perioral dermatitis with signs of acne and put me on oral antibiotics and antibiotic topicals and azelaic acid cream. I've been taking those antibiotics for a month now.... and developed really bad rashes on my fingers and in my bikini area. I fixed my face, but other parts of my body got sooo inflamed and itchy. So no, my journey is not over, i'm waiting for the response from my dermatologist on what to do now. Skin seems to be a never ending problem for me and it really brings me down almost every day. So if you're struggling, i get it... it really takes a toll on ones mental health and confidence. I'm trying to stay positive but it really seems like i've been cursed with every skin condition under the sun 🤷♀️
Good luck to everyone!
I stopped all make up! Iam done w makeup and things are improving. Thanks Doc❤
Such a great and informative video! Happy Friday Ms Andrea!
thanks!
Thank you so much for this! I suffered from terrible periorifacial dermatitis for years. It started when I was prescribed Elocon for rosacea, and following that, every other piece of medical advice was wrong, too - including use of occlusives, etc. Ended up eventually finding a knowledgeable dermatologist who prescribed antibiotics and an immunosuppressant cream (Elidel) for six months and I haven’t had any flare ups for over a year!
glad you got on the right treatments and thank you so much for sharing your experience here in the comments
Dr Dray elidel is ok for perioral dermatitis it’s not a steroid?
I went to a dermatologist today and she prescribed me those exact same meds. Hopefully my skin clears up as well! Although 6 months seems like such a long time to be on antibiotics 😣
Hi, @justilou1! Just wanted to ask if you have had recurrences since Elidel and antibiotics healed you.
Which antibiotics ?? Did it ever return
Hi Andrea. Happy to say I got my Moms apron. Adorable and such good quality. Love the embroidery necklace. Thanks for such a great recommendation 👍🏻💕🐿💕👍🏻
I wear mine while i eat dinner, lol!
Love your Q&A's. Missed this when this went up but glad I was referred to it from your steroid one. Thanks so much for the tips. Helps when you got your appointment to go over things with your dermatologist.
Thanks!
I learned something new today! Thank you for sharing your knowledge with us.
Glad to hear!
I’m dealing with this right now and have dealt with it for the majority of my life. When I was young my doctor told me it was herpes but I always thought it was wrong. I have self diagnosed. I use cream for yeast infections on it and it helps so much to sooth the itch and burn, also to dry it out. Once it’s dry I use dermalogica hydrating lotion to rehydrate after scrubbing the dead dry skin off.
Excellent video....I was doing a lot of the no-nos you mentioned.
Very awesome video! I’m 24 and have Eczema, Rosacea AND peri-Official dermatitis that has occurred severely twice in my life. Very immensely painful.
thanks!
watching your videos has really made me realize i need to find a derm :,( i've had acne, eczema, and some kind of dermatitis on my lips for years and never thought about seeing a derm. definitely gonna start looking into it.
Another very informative video! Thank you Dr Dray. I'm putting my vote in for you to speak about retin a, the different formulations and strengths, and the different reasons for the use of retin a.
That is an entire multi-volume text book of information, lol. Hard to make videos like that which aren't confusing and/or misleading. Best to follow the advice of your treating physician.
I have this condition and thank you. I’d been “slugging” with Vaseline since my skin is so dry. Also my sunscreen is mineral and has isopropyl myristate! Happy to have this information!
Do you know if coconut oil would be just as bad as Vaseline? I’ve been using that for a while but only started the metronidazole 2 days ago.
ur saving lives dr. dray
Dr Dray, thank you so much for this detailed video. I have been battling it for 3 years to not much avail. Been treating it with dermatologist recommendation for the past 3 years as well but I hope with your recommendations, I can finally see it go away for good.
Just 2 questions- i use Vaseline on my lips often as it gets dry, this was also the product i was using constantly before I first developed the condition. So what should I use instead on a regular basis on dry lips?
And is Cerave hydrating cleanser or the Cetaphil gentle cleanser okay to use on my face?
Please respond-this condition had definitely affected my self esteem and it surely doesn't help when colleagues and friends point this out in public :(
Thank you so much for acknowledging the emotional impact of having a rash like this right by your mouth where people look at you. My acne was clearing up from adapalene, and then this happened to me around my mouth and eyes. I think from stress or maybe a new physical sunscreen I tried. I was so upset because it looks so much like acne. I am now taking minocycline and it’s cleared up a little bit already. I was kind of annoyed because the doctors and pharmacists always forget to remind me that antibiotics make my oral contraceptives less effective. My cousin has a child because his girlfriend was taking doxycycline and didn’t know that she needed to use a back up method. We need to do a better job discussing drug interactions and side effects.
I’ve had this for years and i feel like crying everytime i look at it .
Did you ever get yours to go away?
I love your videos! Do you have recommendations for chemotherapy (ac/taxol) related skin dryness beyond hyaluronic acid and vigilant moisturizing? Also, for mastectomy scars. Finally any opinions of Paula's choice?
THIS IS SO HELPFUL DR. DRAY!!!! TYSM 🥰
I can't believe this was your vlog today this has just happened to me over the last 3 days. My eyes are so swollen as well.
yikes! Hope it was helpful :)
It started around my upper lip and I did use a foundation I hadn't used in a long time that is extremely matte and felt very drying but thought that was good since I have oily skin. Started feeling ichy on my neck but never got bad then woke up to swollen eyes and severe rash on upper lip. I coach cheerleading so didn't want to go to practice looking like that and used my regular makeup and well that made it worse. I watch your videos all the time, I started googling things this morning and just so relieved that this is what you posted today 💜 very helpful in understanding and what you explained I knew that's what's going on.
Taran Gamble I sorry you are going through this as well. . My best wishes to you. .
Tules G thank you for your concern I actually got some strong antibiotics and it's cleared up a lot over the last couple days. My left eye is still slightly swollen but nothing like it was on Friday. My skin feels very dry and flakey but the bumps and flare up has gone down so much
Taran Gamble did you go to a doctor or the dermatologist for the antibiotics ?
The same thing is happening to me and I️ am freaking out , also they say don’t use heavy lotions but the affected area feels so dry , did you put anything on it like lotion ?
Thank you !
Hi Dr Dray thanks for the great info. I have a question. My Perioral dermatitis has pretty much cleared up at this point but my skin is dry and peeling. I know that's healing but how long does that typically last?
Good advice thanks for making this video it’s going to help me a lot
I believe fluoride was missed in the list of things to avoid in description... Excellent and informative video. Thank you!
RAM81ify it was not missed. 3:23
Thanks for skin care recommendations, all of my dermatologists said that I should use nothing...like absolutely nothing on my face, and it's official position in our country I guess, but how I suppose to wash my face...and sunscreen. And of course how should I fight the black heads. So, it's like I should use only medications on my face that dries up my skin so bad and I can't put on moisturizer. My skin feels ok now, but not perfect. I start using Missha Near skin pH balancing cleansing oil, it's really interesting product, and Etude House Soon Jun toner is great on my skin. What do you think about peeling gels like secret key lemon sparkling peeling gel(there are a lot of gels like this in Korean brands, just for example), it's gentle or not, can it helps (my doctor said that if you have PD so your skin have problems with exfoliating (but don't use anything)😵🤷 maybe that's a great idea for new video about peeling gels, or I should see all of your videos first😊 thanks allot for your channel 💖sorry for English mistakes
My derm diagnoised me with POD. Its mainly on my chin and the small bumps tend to come to head. I can't help but pop them but I know I'm making it worse. Some bumps have a small hard center. Does this sound like POD? Nothing seems to be helping except a strong dose of doxy but it keeps coming back. Not sure what to try next. Thanks for all your help.
Wow! I went to a doctor today bc of your videos among others. I was sure that i have only acne and was a little dissapointed to get "only" Finacea and a doc telling me i might have perioral dermatis along with acne. I wanted strong acne meds.. Now i realise i might have pd! I did alot of not so good things like try chemical peeling for YEARS! Now im glad ive got the Finacea gel and feel more hopeful.🤗
Good morning Dr. Dray. Can you please do an updated video on this topic, and recommend new products for this condition? Thank you!
i tried covering it with makeup but it just makes it look uglier than it is without makeup.. the foundation flakes off anyways so I'm not even trying anymore..
just hoping it will eventually end soon and i can live my life again🤷🏻♀️
Hey guys! What I did that really cured my skin was putting zinc oxide ointment every night on my face, it’s a whole year later and my skin is back to normal! I just use cleansers with no fragrances, nothing with super harsh ingredients!
@@user-xu9ot9zk9q zinc oxide makes my skin so much more worse :(
Don't put makeup on it
Just try to mix it with a cream
@Sammy Neiman agreeee
Hi Dr. Dray! Thank you for the excellent tips about POD. I've been battling this condition for 4 years now, and I have seen 3 different dermas and they all prescribed steroid creams :((. Anyways, i would just like to ask because from what ive read and watched, including this video of yours, it is always mentioned that POD spares the vermillion border of the lips. However in my case, the blisters sit literally on my lips and the vermillion border. So I would like to ask if this is a common case of POD, or is it POD at all? Thank you!
Why the GP gave me steroid creams too!! Who knows!! Also one mark just close to the lip but might be a small spread there from the waxing I had there 3 days ago. So glad I found this channel!!!
Thanks, super helpful! I'm now doing zero products in combination with erytromycine to help with the POD. The antibiotics seemed to make it a bit worse at first, but lets see. What has been shocking to me in the process is the incompetence of pharmacists, who have suggested cortison, vaseline and saying that wearing make up is absolutely no problem. I read on a lot of German sites, that black tea compressions (cold) can help reduce symptoms such as itching, burning and the dryness. So far it seems to work and i haven't noticed anything negative from it.
Hi how are you doing now did the perioral dermatitis go away
I have been diagnosed with Perioral dermatitis. When I got pregnant with my daughter it became worse. My daughter is 6 months now and it’s not going away I have seen several dermatologist and they prescribed different types of facial cleansers including some type of cystic acne cleanser and I feel it’s making it worse. Thanks you for the info. I will try this and avoid foundation.
Thanks. Back to water and air. Im one that really hoped for a good sensitive foundation. LOL. Message heard and really appreciated.
I cant tell if she just put moisturizer on or if her skin is just GLOWING. Like if she didnt put moisturizer on good job holy crap
Thank you so much for this! So informative
Love you so much Dr. Dray!
I believe it’s working. I think the cause for me getting this is the tooth paste I use, which has fluoride in it. I stopped using it and also started washing my face with nothing but water and putting aloe on my face over night to soothe my skin. I will come back to let you guys know the results:)
Did cutting out fluoride toothpaste help? I think that's what is causing my PD.
I had this condition for over a year. When I started using a Tacromilus cream it got worse and it spread to the area around my eyes. So I was red around both my mouth, on my chin and around my eyes and I seriously looked like a burn victim, that's how bad it got. Was not only ugly but painful too. I then treated it with antibiotics (Tetracycline) for six months (!) but only 40-50 % of it got away. I then treated it with Elidel cream for two months and it went slowly away. My PD is now gone I think, but my skin is still sensitive and get redish easily where the PD was located. I take better care of my skin now using organic natural skin care for sensitive skin with PD and cold pressed organic oils instead of all the chemicals that probably caused this long lasting and horrible condition!
Do NOT use a lot of products and strong ones when you have this condition! Do not use a lot of active products at all, I think that's what caused mine. I used to try a lot of different serums and creams and face masks etc for a long time and I'm 100 % sure that's what caused this.
hi, have you gotten any flare ups since??
Can you talk on ringworm, specifically tinea capitis, also if hair loss is permanent, symptoms and locations it may spread to in the body? I may be dealing with it right now but I have no idea if it's seborrheic dermatitis or what's going on. Lack of insurance is preventing me from being seen unfortunately.
I am so thankful I found you - you have truly educated me and I appreciate your time. Thanks Dr. Dray.
This is wonderful, wonderful, wonderful. Thank you.
I am so glad I found this video. I was dealing with this for a while but I recently tried improving my skin and I used so many things that are bad for perioral dermatitis. Sunscreen, oils, occlusives, irritants and it got much much worse.
Dr. Dray thank you for all your informative videos. Thank you for adding the mental aspect of having problems with the skin. You are an amazing person.
I feel com[;etely empty. I just go pod at age 77. All my life has been worryb and de[ression and I feel dead inside.I dont know what to do. No one gave me advice my doctor was rude and mjust gave me cream and I am still breaking out eyes nose chin sides of face and nowlooks like my forehead. I have no life. a 77 year old and no makeup? I used be attractive..would just as soon go.
In the cold turkey part of the treatment, do you recommend not using anything at all? not even moisturizer? mine flakes if i leave it unmoisturized for a while. Thank you so much for making this video.
Thank you so much for the info Dr. Dray. The ezcema on my body seems to have been mostly cured from proper laundry washing (and stripping, and double rinsing), but it seems my face still is very flaky. Think it was either the prolonged elidel use on my face or betaderm on my body. I've stopped and only used aveeno.
Hi Doctor - I need your help!
Firstly thank you so much for taking your time out of your day to thoroughly explain something not many people understand including myself. I am a 26 yr Male, and have been diagnosed with this problem by my doctor today. However when I’ve read up about this problem it never says ‘white heads’. And though I have a sudden sore red rash which moved from my nose and spread to more my lower cheek/upper mouth. The spots present have white heads on them. It’s extremely itchy, sore and very oily. It constantly feels like heated irritation. I’ve been given lymecycline, 48day medication, but I feel like this could be more fungal/folliculitis with it being so itchy and white heads (though I’ve just been reading up on it and very new to it all) I wonder if you could help me in the right direction. Thank you so much in advance!
i know this was 3 years ago.. may be a shout in the dark.. did you ever find out what to do? mine is the same!
I just can't ditch the makeup in my job working in a beauty section in a department store. It's really really depressing me.
maybe you can get a note from your doctor??
I can try. Currently on day 3 of a 28 day course of Lymcycline antibiotics to try to help with POD as it's been 6 weeks now and still seems to be spreading. It's just terribly for my self esteem and I don't feel like going out to all the festive parties. Hope it clears soon. Thank you for replying :)
Tessa apply apple cider 3 times a day in the affected area and every night do a yogurt face mask, it will go away
Dr Dray is carave cream good for perioral dermatitis? You mentioned to stop all cosmetics but what if the barrier is severely compromised from the pd??
I’m in the same boat right now.. did you ever get it cleared up?
Needed this today. Thank you! I will but the cleanser and sunscrean you recomended - once situation improves
:)
Thank you. Invaluable information!
I've had periorficial dermatitis 3 times in my life. Twice on my eyelids for unknown reasons that went away after about a month. And once around my nostrils (from birth control) that lasted for several months before getting metronidazole gel from my derm, which cleared it up in like a week.
WHAT BIRTH CONTROL
what birth control was it?
So your eyelids dermatitis go away on it's own?
Just wanted to say that I really appreciate the in depth info and also your kind and suppotive words at the end. I have very 'robust' skin nowadays...but I suffered from bad teenage acne way back when...and your skin 'turning on you' really is traumatising...even without being octracised.
I still remember my 10th grade school trip...I was using an ointment that was always freshly prepared for me at the pharmacy and needed to be kept in the refrigerator. So I put it in the communal one in our accommodation....and some of my male classmates decided to 'improve the formula'. I'll spare you the details, but teenage boys being teenage boys you can probably guess. (go ahead and laugh, I did, too, remembering it) And of course I couldn't even talk about it to anyone...way too embarrassing! It's not like I had even kissed a boy at that point, what with my face the mess it was. Without their taunting I wouldn't even have known what the stuff was...I guessed spit at first. Ah...fun times! I wish the internet and online support options had been around back then!
Really helpful info, thanks!
I always get perioral dermatitis from sunscreens with an spf higher than 20. Thank you for the info !
I got perioral dermatitis when I was 15 and I’m turning 17 soon and it always comes back when the winter comes. All I’ve been using is aquaphor nonstop day and night around my mouth and below my eye. I had no clue it’s been making it worse
I was doing the same thing (using aquaphor) and wondering why it was getting worse! 😬 Glad we know now though! 😂
Dr. Dray I have PD. I want to ask if there are foods that I need to avoid?
Thank you! You’re so helpful!
Was just diagnosed with this today.i have been dealing with these symtoms for 3 months seeing a dermatologist in June who felt she didn't know the right medications. Today seen chief of dermotology, he was very nice . Looked at my face , talked to me. And gave me the diagnosis of the dermatitis.All the symtoms you spoke about. Prescribed me an oral antibiotic and a prescribed face cream. No cleansers . No makeup at all .I'm really hoping I get some relief and I'm definitely feeling depressed, I haven't done anything this summer at all..he said it will take months but says he's really going to help me. I pray so..thankyou Dr....it's gonna feel so wierd not washing my face at all with cleanser or moisturizer..;, just water. Been using CeraVe last month trying to get it better ,told by first dermo. Now this Dr told me only water, how does your face seem clean. Thankyou for listening. Been watching you last couple months. You're so knowledgeable .
I'm reading the minocycline is really bad with side effects .I have been having really bad headaches. I'm scared now. The cream is flocionide .help me Dr. Do you think this is ok
I jumped on the coconut oil trend and would slather my face with it. After I did this for a while I got POD. And it has come and gone but each time is comes back it’s a bit worse.
I’m having trouble finding the vanicream in Canada. Would the cera ve hydrating lotion be an ok alternative? Thanks for the help!
vanicream is cliniderm in canada amzn.to/2yxu6kG
Thanks for informative video.
I searched this topic on your channel after seeing a more recent edition of your videos on my suggested viewing feed.
I've had this dermatitis for several months and it happened this time last year, though less severely.
(I don't wear makeup or take contraceptive pills, lol. )
Have used baby shampoo for over a year. A couple months ago I cut out flouridated toothpaste also.
Distribution started around the corners of my mouth but it's spread towards my cheeks and chin. Recently I had Covid and was blowing my nose more than usual. Skin at my nares became a little reddened and now the dermatitis has extended there. Both eyelids are now involved also.
My doctor prescribed Pimecrolimus and while this suppressed it to a degree, it didn't help all that much, even after 5 weeks, so I stopped using it.
I've tried topical antibiotic (Mupirocin) but this is an ointment so maybe that's why it didn't help. The tube was also a few years old so may have lost some potency. I only used it for a week.
I found that wet shaving seemed to aggravate it so I bought an electric razor, that doesn't seem to have made a big difference.
I'm just using a water based moisturizer with hemp, at the moment but again it's not really helping much.
My only thought about cause. We live rurally and have a well with a water softening treatment system. I'm sure that is most likely the root cause because prior to this I lived in Australia in a dry climate with plenty of sunshine. Never had this problem until I moved to Michigan.
Any other suggestions would be gratefully received.
Thanks again for your video and willingness to want to help people
Thanks for this. Learned a lot. I had to deal with this first around my nose and then on my chin and finally when it went around my eyes I started doing research. I cannot afford a dermatologist so had to deal with this on my own. I read Cortizone 10 worked for someone so I tried it along with switching to a sensitive skin cleanser. It went away in 3 days. I’ve been using it for a week and am afraid to stop using it for fear it will come back. But for now it is working. I never stopped using foundation or concealer and it still went away.
Cortizone is a steroid which should be avoided