Perioral Dermatitis is a common inflammatory rash and it can be a frustrating and confusing skin condition.
One day your skin may feel completely normal, and the next you may notice redness, small bumps, irritation or sensitivity around your mouth and nose. Periorificial dermatitis occurs around the eyes.
Many people with perioral dermatitis find themselves searching for answers, trying multiple products and wondering what they should stop using—or what they should add into their routine.
The truth is, when your skin barrier is compromised, adding more products is often not the answer.
Perioral dermatitis-prone skin often benefits from a simpler approach focused on:
- Supporting the skin barrier
- Reducing potential triggers
- Avoiding unnecessary irritation
- Maintaining a gentle skincare routine
At AMPERNA®, we believe understanding your skin and identifying your personal triggers is an important part of creating a routine that supports healthy-looking skin.
In this guide, we’ll cover the perioral dermatitis dos and don’ts, including what to do during a flare-up, ingredients to be mindful of and how to support your skin long-term.
What Is Perioral Dermatitis?
Perioral dermatitis is an inflammatory skin condition that commonly appears around the mouth.
It may also occur around the nose and eyes, which is sometimes referred to as periorificial dermatitis.
Common signs of perioral dermatitis include:
- Small red bumps
- Redness around the mouth
- Dry or flaky skin
- Burning or stinging sensations
- Increased sensitivity
- A rash-like appearance
Perioral dermatitis can sometimes look similar to acne, eczema or an allergic reaction, which is why it can be difficult to identify.
Understanding what may trigger your skin can help you create a more supportive routine.
What Causes Perioral Dermatitis?
There is no single cause of perioral dermatitis.
It is often linked to a combination of factors that may contribute to skin barrier disruption.
Possible triggers include:
- Over-cleansing
- Over-exfoliating
- Harsh skincare ingredients
- Fragrance in products
- Environmental stressors
- Hormonal changes
- Stress
- Topical steroid use
- Changes to the skin microbiome
When the skin barrier becomes compromised, the skin may become more vulnerable to irritation.
Think of your skin barrier as your protective shield.
When it is weakened, your skin may become more reactive and uncomfortable.
So how can you repair your skin barrier and prevent perioral dermatitis from forming again?
This is a two-stage process.
First is a repair stage.
Second is a gentle and simple skincare mindset with avoiding your suspected triggers.
Below is a general list of Do’s and Don’ts that help with nourishing your skin whilst keeping perioral dermatitis at bay.
*NOTE: Everyone’s skin is different, and each individual skin needs and reactions will be different. Please consult with your doctor or skin expert if your PD persists.
Stage 1: Repairing Your Skin During A Perioral Dermatitis Flare Up
When your skin is actively flaring, the goal is not to do more.
The goal is to reduce irritation and give your skin space to recover.
Perioral Dermatitis Dos During A Flare-Up
DO: Simplify Your Skincare Routine
One of the most important steps during a flare-up is simplifying your routine.
Many people instinctively add more products when their skin becomes irritated, but this can sometimes overwhelm already sensitive skin.
During an active flare, consider reducing your routine to the basics:
- Gentle cleansing
- Skin barrier support
- Sun protection
AMPERNA® recommends focusing on the Soothing Duo during this stage.
The Pro+ DS Soothing Serum [RESCUE] and Lightweight Soothing+ Emulsion [HYDRATE] were designed to support sensitive, reactive skin.
DO: Be Gentle With Your Skin
When your skin is inflamed:
Avoid:
- Scrubbing
- Picking
- Rubbing
- Over-cleansing
Treat your skin gently.
Even small amounts of friction can increase irritation when your skin barrier is compromised.
DO: Wear SPF Every Day
Sun exposure can place additional stress on sensitive skin.
Using a gentle SPF during the day helps protect your skin from environmental stressors.
The AMPERNA® Pro+ Bio Soothing Day Mineral CC SPF15 [HYDRAPROTECT] contains zinc oxide and skin-supporting ingredients designed to provide lightweight protection while maintaining skin comfort.
DO: Protect Your Skin From Excess Sun Exposure
Along with SPF, consider additional protection such as:
- Wearing a hat
- Seeking shade
- Avoiding prolonged direct sunlight
This can help minimise additional environmental stress on reactive skin.
DO: Avoid Makeup During Active Flares
While makeup can help cover redness, applying multiple products over irritated skin may increase sensitivity.
Allowing your skin time to settle can be beneficial during the flare stage.
Dos (once inflammation has calmed)
Use gentle, non-irritating, and fragrance-free skincare products ongoing. Our Ultra Gentle Soothing Cleanser [BALANCE] is perfect to add into your routine alongside the Soothing Duo.
Perioral Dermatitis Don’ts During A Flare-Up
DON’T: Use Harsh Products
Avoid products that may further irritate your skin.
Be mindful of:
- Strong exfoliants
- Physical scrubs
- Fragranced products
- Harsh cleansers
- Overly complicated routines
Your skin does not need to be stripped to become healthier.
DON’T: Use Topical Steroids Without Professional Guidance
Avoid using topical steroids. Long-term or frequent use of topical steroids can lead to the rebound effect, where symptoms worsen after discontinuation.
DON’T: Over-Moisturise The Area
While hydration is important, some people find that applying too many layers of heavy products can contribute to discomfort during an active flare.
Finding the right balance is key.
DON’T: Use Physical Exfoliants
Physical exfoliants can create friction on the skin surface.
When your barrier is already compromised, this may increase irritation.
DON’T: Overuse Strong Acids
Ingredients such as:
- Glycolic acid
- Salicylic acid
- Other exfoliating acids
may not be suitable when your skin is actively irritated.
Always consider your skin’s current condition before introducing active ingredients.
Stage 2: Maintaining Healthy-Looking Skin & Identifying Triggers
Once your skin has calmed, the next step is maintenance.
This means continuing with a gentle routine and identifying what may contribute to future flare-ups.
Everyone’s triggers are different.
What affects one person’s skin may not affect another person’s.
Possible Perioral Dermatitis Triggers
Skincare Triggers
Some potential triggers may include:
- Man-Made Fragrance
- Neat & High Percentages of Essential oils
- Harsh cleansers
- Strong exfoliants
- Heavy skincare routines
- Certain active ingredients
Oral Care Triggers
Some people find that ingredients in toothpaste and oral care products may irritate the skin around the mouth.
Potential triggers may include:
- SLS
- Fluoride
- Menthol
- Strong flavouring agents
Lifestyle Triggers
Other possible contributors may include:
- Stress
- Lack of sleep
- Hormonal changes
- Environmental changes
- Diet changes
Foods And Beverages Some People Associate With Perioral Dermatitis Flares
Everyone’s skin responds differently, but some people choose to monitor whether certain foods influence their skin.
Possible triggers people report include:
- Alcohol
- Coffee
- Dairy
- Sugar
- Spicy foods
- Fermented foods
- High-histamine foods
Rather than removing large groups of foods immediately, consider tracking your own patterns and discussing concerns with a qualified healthcare professional.
Ingredients To Be Mindful Of With Perioral Dermatitis
During periods of sensitivity, some people choose to avoid or limit:
- Artificial fragrance
- Neat & High Percentages of Essential oils
- Strong acids
- Physical exfoliants
- Retinoids
- Harsh cleansing ingredients
Remember that the overall formulation matters - not just one individual ingredient.
Halogens to avoid
- Fluorides in some toothpastes and oral care products
- Chlorides in swimming pool water and some mouthwashes
- Bromides found in some cough syrups, asthma medication and sleeping pills
- Iodides in salt, seafood, B12 vitamins, processed foods
At-home triggers
- Not regularly cleaning or changing bedsheets/pillows
- Perfumes in candles, air fresheners and laundry detergents
- SLS & fragranced home cleaning products
- Central heating or blow heaters
- Essential oil burners or diffusers
- Intensive use of hot water/steam on face
- Exposure to allergens (e.g. dust)
- Waxing or harsh facial hair removal
Possible Ingredient Triggers:
- Topical Steroids
- Toothpaste with SLS
- Hair or Body wash with SLS
- Skin Peels
- Alpha hydroxy and beta hydroxy acids
- Salicylic Acid
- Glycolic Acid
- Topical Vitamin C
- Essential Oils
- Perfumes and scented Products
- Vitamin b12 Supplements
- Some types of SPF
- Retinoids (including Tretinoin and Adapalene)
Supporting Your Skin Barrier With Perioral Dermatitis
A healthy skin barrier is an important foundation for comfortable-looking skin.
Your skin barrier helps:
- Maintain hydration
- Protect against environmental stressors
- Support skin resilience
- Maintain microbiome balance
This is why a barrier-focused approach is central to AMPERNA®.
Rather than constantly fighting your skin, focus on supporting it.
A Gentle Perioral Dermatitis Skincare Routine
When your skin feels sensitive, a simple routine can help.
Step 1: Gentle Cleanse
Clease with cool water
Once your skin has settled, a cleanser can be introduced as part of a gentle ongoing routine - Ultra Gentle Soothing Cleanser [BALANCE].
It helps remove impurities while supporting skin comfort.
Step 2: Support Your Skin
Pro+ DS Soothing Serum [RESCUE]
A lightweight serum designed to support sensitive, reactive skin.
Step 3: Hydrate
Lightweight Soothing+ Emulsion [HYDRATE]
A lightweight moisturiser designed to support hydration and skin barrier function.
Step 4: Refresh
Pro+ SOS Daily Facial Spray [SUPACALM]
A convenient facial spray designed to refresh and comfort skin throughout the day. This can also be used after cleansing.
Step 5: Protect
Pro+ Bio Soothing Day Mineral CC SPF15 [HYDRAPROTECT]
Daily sun protection (that is flare safe) helps protect your skin from environmental stress.
Can Medications Help Perioral Dermatitis?
The AMPERNA® philosophy is to take a holistic approach to skincare. Caring for your overall health is first and foremost the best step in setting the foundation in achieving healthy skin.
Don’t Forget Your Whole Personal Care Routine
When dealing with perioral dermatitis, it is important to think beyond just facial skincare.
Your:
- Shampoo
- Conditioner
- Body wash
- Toothpaste
- Laundry products
can all come into contact with your facial skin.
A gentle skincare routine can be affected by irritating products used elsewhere.
This is why we believe your entire personal care routine should support your skin.
Final Thoughts
Perioral dermatitis can be challenging, but understanding your skin and reducing potential triggers can make a significant difference.
The most important things to remember are:
✓ Keep your routine simple
✓ Avoid unnecessary irritation
✓ Support your skin barrier
✓ Identify your personal triggers
✓ Be patient and consistent
A gentle, consistent approach can help your skin feel more balanced, comfortable and resilient.
We have helped thousands of people heal and prevent their perioral dermatitis from reappearing by using AMPERNA® products and the above stage 1 and stage 2 methods. Please do your research before taking any medications prescribed or recommended to help your PD.
Again, we are always here to help you on your skin journey.
