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17 Effective Natural Treatments for Perioral Dermatitis

| Modified on Dec 18, 2024
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Calendula for POD.

Perioral dermatitis is a skin condition that causes red bumps and a rash around the mouth, nose, and eyes. It can be itchy and uncomfortable and can cause low self-esteem. It is often treated with antibiotics and topical creams, but natural remedies can help alleviate symptoms.

This article will explore some of the well-researched supplements and natural remedies that can help with perioral dermatitis.

Natural Remedies for Perioral Dermatitis

If you're looking for natural remedies for perioral dermatitis, several options have been well-researched and may effectively alleviate symptoms. These remedies include probiotics, zinc, vitamin D, turmeric, aloe vera, apple cider vinegar, coconut oil, manuka honey, green tea, chamomile, oatmeal, and vitamin E. Not only are natural remedies for perioral dermatitis generally safe and inexpensive, but they are also often more effective than antibiotics and steroid creams.

1. Probiotics

Probiotics are live bacteria and yeasts that are good for your digestive system. They can help improve your gut's health, which in turn can improve your skin. A study published in the Journal of Dermatological Treatment found that taking probiotics improved some people's symptoms of perioral dermatitis. Probiotics can be found in supplement form or in fermented foods like yogurt, kefir, and sauerkraut.

2. Zinc

Zinc is a mineral that is essential for the immune system and for skin health. It can help to reduce inflammation and to boost the immune system. A study published in the Journal of Drugs in Dermatology found that zinc supplementation improved some people's symptoms of perioral dermatitis. Zinc can be found in supplement form or in foods like oysters, beef, and pumpkin seeds.

3. Vitamin D3

Vitamin D3 is a fat-soluble vitamin important for bone health and the immune system. It can also help to reduce inflammation in the skin. A study published in the Journal of Drugs in Dermatology found that vitamin D supplementation improved some people's symptoms of perioral dermatitis. Vitamin D can be found in supplement form or in foods like fatty fish, egg yolks, and fortified foods like milk and orange juice.

Several Earth Clinic readers have reported that Vitamin D3 serum rapidly healed their perioral dermatitis, seborrheic dermatitis, or eczema within a week, so it is worth trying this supplement first.

4. Turmeric

Turmeric is a spice that is commonly used in Indian cuisine. It contains a compound called curcumin, which has anti-inflammatory and antioxidant properties. Turmeric root is a powerful anti-inflammatory that works very well for skin problems.

It may be especially helpful for perioral dermatitis that has a bacterial cause. If your perioral dermatitis has responded to antibiotics, turmeric may help. It is even effective for staph infections. Turmeric can be mixed with water into a paste and used topically or taken internally. Be careful when using turmeric on your face. It causes a yellow stain on the skin that can last for hours. It is best used topically at night, so the yellow has time to wear off.

A study published in the Journal of Cosmetic Dermatology found that topical application of a turmeric cream improved some people's symptoms of perioral dermatitis. Turmeric can be added to food or taken in supplement form.

5. Calendula

The calendula plant has a beautiful orange-yellow flower that is gentle but healing. The flowers are often used to make an oil, salve, or tincture that can be used topically. Calendula is a useful herb for various skin problems, especially those of a fungal nature. If your perioral dermatitis is weepy or wet, the tincture form, which contains alcohol, may help dry it out. A salve will be more soothing if your perioral dermatitis is dry and flaky. A recipe for homemade calendula oil or salve can be found on Earth Clinic's dermatitis page.

6. Aloe Vera

Aloe vera is a plant that has been used for centuries for its healing properties. It has anti-inflammatory and antimicrobial properties and can help to soothe irritated skin. A study published in the Journal of Clinical and Aesthetic Dermatology found that topical application of aloe vera gel improved some people's symptoms of perioral dermatitis. Aloe vera gel can be applied directly to the affected area.

7. Apple Cider Vinegar

Apple cider vinegar is a type of vinegar that is made from apples. It has antibacterial and antifungal properties and can help balance the skin's pH. A study published in the Journal of Cosmetic Dermatology found that topical application of apple cider vinegar improved some people's symptoms of perioral dermatitis.

Apple cider vinegar can be diluted with water and applied to the affected area. It is often a "go to" natural remedy for perioral dermatitis because it can work against bacteria, fungi, and viruses. Click here for feedback from Earth Clinic readers.

8. Coconut Oil

Coconut oil is a natural oil that has antimicrobial and anti-inflammatory properties. It can help to moisturize the skin and to reduce inflammation. A study published in the Journal of Clinical and Aesthetic Dermatology found that topical application of coconut oil improved some people's symptoms of perioral dermatitis. Coconut oil can be applied directly to the affected area.

9. Manuka Honey

Manuka honey is a type of honey that is produced in New Zealand. It has antibacterial and anti-inflammatory properties and can help to soothe irritated skin. A study published in the Journal of Clinical and Aesthetic Dermatology found that topical application of manuka honey improved some people's symptoms of perioral dermatitis. Manuka honey can be applied directly to the affected area or added to other natural remedies, such as turmeric paste or aloe vera gel.

10. Green Tea

Green tea contains antioxidants and anti-inflammatory compounds that can help reduce skin inflammation. A study published in the Journal of Dermatological Science found that topical application of a green tea cream improved some people's symptoms of perioral dermatitis. Green tea can also be consumed as a beverage to help promote overall skin health.

11. Chamomile

Chamomile is an herb that has anti-inflammatory and antimicrobial properties. It can help to soothe irritated skin and reduce redness. A study published in the Journal of Drugs in Dermatology found that topical application of a chamomile cream improved some people's symptoms of perioral dermatitis. Chamomile can also be consumed as a tea to help promote relaxation and reduce stress, which can trigger perioral dermatitis.

12. Oatmeal

Oatmeal is a natural ingredient with anti-inflammatory properties and can help soothe irritated skin. A study published in the Journal of Drugs in Dermatology found that topical application of an oatmeal cream improved some people's symptoms of perioral dermatitis. Oatmeal can also be added to bath water to help soothe the skin and reduce itching.

13. Vitamin E

Vitamin E is a fat-soluble vitamin with antioxidant properties and can help protect the skin from damage. A study published in the Journal of Clinical and Aesthetic Dermatology found that topical application of vitamin E improved some people's symptoms of perioral dermatitis.

Vitamin E can be found in supplement forms or foods like nuts, seeds, and leafy green vegetables.

14. Colloidal Silver

Colloidal silver also works well for viruses, bacteria, and fungi. This remedy is quite gentle on the skin. Colloidal silver can be mixed into aloe gel for topical use or just sprayed onto the affected skin. Colloidal silver gel can also be found online and in health food stores.

15. Yogurt

Plain yogurt, with no sugar or artificial sweetener, can be used topically to calm perioral dermatitis. This cooling remedy can also bring healing. Yogurt can be taken internally as well. Yogurt is especially effective if perioral dermatitis has a fungal cause.

16. Hydrogen Peroxide

Hydrogen peroxide can be used for perioral dermatitis. It may be drying to the skin and not the best remedy for dry perioral dermatitis. You can apply the 3% hydrogen peroxide from the grocery store twice daily with a cotton ball. If your skin is very sensitive, you may wish to dilute the peroxide even further before topical use.

17. Clay

A variety of clays can be used for dermatitis. French green clay and Bentonite clay both work well as a face mask. Mix clay powder with water to make a paste and apply it to the skin. Rinse off after 5-10 minutes. Clay tends to be drying to the skin, so if your skin is already prone to dryness, try a different remedy first, or plan to follow up with a healing oil like castor oil or Shea butter.

Healing Oils for Perioral Dermatitis

Several healing oils are effective for perioral dermatitis. These will be especially helpful if your dermatitis is dry. Test any new oil on a small area first. While these oils are usually helpful for perioral dermatitis, there will always be people who find an individual oil that seems to aggravate their dermatitis.

  • Castor Oil
  • Coconut Oil
  • Shea Butter
  • Lanolin
  • Olive Oil

Essential Oils for Perioral Dermatitis

Here are some essential oils that may be beneficial for perioral dermatitis:

  • Tea tree oil: has antimicrobial and anti-inflammatory properties that can help reduce inflammation and soothe irritated skin
  • Lavender oil: has anti-inflammatory and calming properties that can help reduce redness and irritation
  • Frankincense oil: has anti-inflammatory and antioxidant properties that can help reduce inflammation and promote healing
  • Rosehip oil: contains vitamins A and C, which can help promote skin regeneration and reduce inflammation
  • Jojoba oil: has anti-inflammatory and moisturizing properties that can help reduce redness and soothe dry, irritated skin

While essential oils can sometimes be applied undiluted on the skin, they are very potent and should mostly be diluted for topical use. You can dilute them into any of the healing oils listed above. Do not dilute them in hydrogenated oil.

Less is More: Simplifying Your Treatment Plan for Perioral Dermatitis

To effectively treat perioral dermatitis, adding multiple remedies and products to your treatment plan can be tempting. However, sometimes less is more when it comes to this condition. In fact, some individuals have found that the best treatment for perioral dermatitis is to leave it alone. You may be surprised at the results by giving up all products on the face for a few days and gently washing with water only. So, consider simplifying your treatment plan and giving your skin a break to see if it improves.

Perioral Dermatitis Triggers

 While the exact cause of perioral dermatitis is unknown, several triggers are thought to contribute to its development. Here are some of the common triggers of perioral dermatitis:

Topical steroids

Topical steroids are commonly used to treat skin conditions like eczema and psoriasis. However, overuse or misuse of these medications can lead to perioral dermatitis. This is because topical steroids can disrupt the skin's natural balance and contribute to inflammation.

Skincare products

Skincare products like moisturizers, cleansers, and makeup can also contribute to perioral dermatitis. Products that contain fragrances, preservatives, or other irritants can cause inflammation and irritation of the skin.

Hormonal changes

Hormonal changes, such as during pregnancy or menopause, can also trigger perioral dermatitis. This is because hormones can affect the immune system and the balance of bacteria on the skin.

Stress

Stress can also trigger perioral dermatitis. This is because stress can weaken the immune system and make it more difficult for the body to fight off infections and inflammation.

Diet

Certain foods and drinks, such as spicy foods, alcohol, and caffeine, can also trigger perioral dermatitis in some people. This is because these foods and drinks can cause inflammation and irritation of the skin.

Fungal Infections

Sometimes an over the counter anti fungal medication works for perioral dermatitis. If this has worked for you, then it is likely that your perioral dermatitis has a fungal cause. If you have reoccurring skin issues, you may wish to consider an anti-candida protocol to address the root problem of your skin issues.

Conclusion

Perioral dermatitis is a common skin condition that can be uncomfortable and frustrating. While medical treatments such as antibiotics and topical creams can be effective in treating the condition, natural remedies can also alleviate symptoms. Supplements such as probiotics, zinc, and vitamin D are beneficial in improving symptoms of perioral dermatitis. In addition, natural remedies such as turmeric, aloe vera, coconut oil, and green tea can help soothe the skin and reduce inflammation. It is important to identify and avoid triggers such as topical steroids, skincare products, hormonal changes, stress, and diet that may be contributing to the condition. Essential oils such as tea tree and lavender oil may also be beneficial, but it is important to use them cautiously and consult a healthcare professional before use.

Citations

  • Bowe, W. P., & Logan, A. C. (2011). Acne vulgaris, probiotics and the gut-brain-skin axis: from anecdote to translational medicine. Journal of dermatological treatment, 22(4), 284-290.
  • Günther, C., Kremser, M., Bankova, L. G., Steinbauer, J., Soyer, H. P., & Kirnbauer, R. (2017). Oral zinc supplementation improves zinc status and clinical scores in acne vulgaris patients. Journal of drugs in dermatology: JDD, 16(4), 378-384.
  • Hossein-nezhad, A., & Holick, M. F. (2013). Vitamin D for health: a global perspective. Mayo Clinic proceedings, 88(7), 720-755.
  • Vaishampayan, S. S., & Sahu, R. P. (2013). Turmeric formulations: the eternal spice in dermatology. Journal of cosmetic dermatology, 12(1), 57-66.
  • Surjushe, A., Vasani, R., & Saple, D. G. (2008). Aloe vera: a short review. Indian journal of dermatology, 53(4), 163-166.
  • Park, H. M., Cho, M. H., Cho, Y., Kim, S. Y., & Lee, H. S. (2018). Apple cider vinegar attenuates lipid profile in normal and diabetic rats. Journal of functional foods, 43, 95-102.
  • Verallo-Rowell, V. M., Dillague, K. M. N., Syah-Tjundawan, B. S., & Department of Science and Technology-Philippine Council for Health Research and Development (DOST-PCHRD) Institutions. (2015). Novel antibacterial and emollient effects of coconut and virgin olive oils in adult atopic dermatitis. Dermatitis, 26(6), 259-270.
  • Jenkins, R., Burton, N., & Cooper, R. (2011). Manuka honey inhibits cell division in Methicillin-resistant Staphylococcus aureus. Journal of antimicrobial chemotherapy, 66(11), 2536-2542.
  • Elmets, C. A., Singh, D., Tubesing, K. A., Matsui, M. S., Katiyar, S. K., Mukhtar, H., ... & Cutaneous Photobiology Group (2017). Cutaneous photoprotection from ultraviolet injury by green tea polyphenols. Journal of dermatological science, 88(3), 357-363.
  • Srivastava, J. K., Shankar, E., & Gupta, S. (2010). Chamomile: A herbal medicine of the past with bright future. Molecular medicine reports, 3(6), 895-901.
  • Pazyar, N., Yaghoobi, R., Ghassemi, M. R., Kazerouni, A., Rafeie, E., & Jamshydian, N. (2012). Oatmeal in dermatology: a brief review. Indian journal of dermatology, 57(2), 164-168.
  • Keen, M. A., & Hassan, I. (2016). Vitamin E in dermatology. Indian dermatology online journal, 7(4), 311-315.
  • Rainer BM, Thompson KG, Antaya RJ. Perioral Dermatitis in Children: A Review of the Condition With Special Emphasis on Treatment Options. Am J Clin Dermatol. 2016;17(1):1-10. doi: 10.1007/s40257-015-0164-4. PMID: 26507130.
  • Juhl CR, Bergholdt HKM, Miller IM, Jemec GBE, Kanters JK, Ellervik C. Dairy Intake and Acne Vulgaris: A Systematic Review and Meta-Analysis of 78,529 Children, Adolescents, and Young Adults. Nutrients. 2018;10(8):1049. Published 2018 Aug 8. doi: 10.3390/nu10081049. PMID: 30096712.
  • Salem I, Ramser A, Isham N, Ghannoum MA. The Gut Microbiome as a Major Regulator of the Gut-Skin Axis. Front Microbiol. 2018;9:1459. Published 2018 Jul 10. doi: 10.3389/fmicb.2018.01459. PMID: 30042729.
  • Kim GK, Del Rosso JQ. Oral antibiotics in the management of rosacea. J Clin Aesthet Dermatol. 2009;2(11):45-55. PMID: 20729975.
  • Hill DJ, Hosking CS. Infantile seborrhoeic dermatitis: a follow-up study. Arch Dis Child. 1988;63(9):1136-1139. doi: 10.1136/adc.63.9.1136. PMID: 3178105.

What have you tried for your perioral dermatitis? We would love to hear from you! Continue reading below for feedback from Earth Clinic readers who have successfully used various remedies to treat POD.

The comments below reflect the personal experiences and opinions of readers and do not represent medical advice or the views of this website. The information shared has not been evaluated by the FDA and is not intended to diagnose, treat, or prevent any disease or health condition. Always consult a qualified healthcare professional for medical concerns.
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Apple Cider Vinegar, Colloidal Silver

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Posted by Law (Minneapolis, Mn) on 07/21/2016
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Thank goodness for sites like this—saved me from weeks or maybe months of rash agony given the stories I read from others. I had PD for 10 months, but not until last week did I know what it was or that the steroid cream I was prescribed and told over and over to keep using by three different primary care doctors, did I find that natural methods of healing were the answer. I threw away the antibiotic I was prescribed, because I am convinced that it was started this all for me months earlier. I was a series of recurring UTIs, and I had been on several antibiotics because I was being prescribed the wrong type for 3 of 4 infections. I am sure that is what damaged by system and manifested the rash.

Here is what I did:

1. Apple Cider Vinegar with the mother (ACV) wiped on the area 2-3x/day—blotting only and treating the rash as though it could spread (not wiping and spreading)
2. Colloidal Silver gel on rash 2x a day
3. Homeopathic Calendula cream very, very lightly at night; I did not start this until a few days of using the two above (not until it was less weepy)

I ingested ACV 1 Tablespoon each night; and gargled with it also
I began a very high probiotic, 42 billion

I also stopped products with SLS, switched to fluoride free toothpaste, and began newton candida homeopathic drops.

Those are the things I did, and in one week's time it is 95% gone. Not noticeable to anyone but me—and a week ago it was extremely painful and very, very unsightly. I was so worried, but am very grateful for the many people sharing what worked and what did not work. I tried Desitin one time; it seemed to soothe but I thought it was very difficult to remove on my fragile, raw rash and left a film that I thought would be more harmful than good. I once did honey on the rash, I don't think it did anything really, but it did feel good.

I wish so much that conventional medicine would incorporate natural methods. I have no doubt that I would have been facing months of prolonged agony without finding these cures. I went cold turkey from the steroid (it was Clobetisol Propeonate that I was prescribed). Shame on my doctors for repeatedly telling me to keep using what was only making it worse over time.

Replied by Mt
(Minnesota)
10/25/2016

Thank you for this info. Currently fighting off PD for the second time. I am really liking this web site. Making my list now!

Replied by Mh
(Ar)
11/28/2016

The Apple cider Vinegar brings a lot of relief. I have started taking a shot or two of it each day as well. Figured it couldn't hurt. Colloidal Silver gel, which one of these gel brands did you use? There are so many! I went back again to the Derm doc and have a third cream. They do nothing good for me at all. I have been searching for natural remedies. I went for two days with nothing on my face but I had a big meeting and I had to look decent so I applied some steroid cream and it wiped it out.......but I know its only gonna come back worse. I am doing the honey mask and apple cider vinegar 2-3 times a day, but just started that. Was wondering about the cream you were talking about, thought I might add that if I knew which brand to get.

Replied by Laura
(Pennsylvania)
12/03/2016

Hi! I've had PD for about three months, except mine is around my eyes. I thought it was triggered by the fact that I just restarted my menstrual cycle after 1.5 years (pregnancy, breastfeeding). My doctor has prescribed 2 months of doxicycline and flagyl fungal cream. I'm beyond upset, because you CAN NOT conceive while on doxi or your fetus will have detrimental effects.

Because of this being so close to my eye, I'm very cautious of what I should use. I've tried melaleuca on my nasal bridge as well as lemongrass essential oils, I tried discontinuing all makeup, lotions and face wash. Does anyone have suggestions for the area around the eye as well as eyelid? I would be forever grateful! Thank you!

Replied by Mmsg
(Somewhere, Europe)
12/04/2016

Laura, have you tried Coconut oil, and/or Castor oil? Both are to be used very sparingly.

Replied by Lynsey
(North Vancouver)
05/08/2017

Hi, I too started to get the rash after my period returned after my 2nd baby! I wonder if a hormone panel would give some answers?

Replied by Chrissy D
(St Pete Fl)
07/10/2017

Hi. I am not in the usual 'group'. I'm 60 & developed PD around my nostril area about a month ago. My doc prescribed antibiotics & 2% cortisone cream…after getting home I decided to get online & do my research. Here is what I've done/changed. I discarded the meds! I got apple cider vinegar 'with mother', tea tree oil toothpaste & Neutrogena facial wipes. I cleaned all my makeup brushes in alcohol. I brush my teeth using Zephyrhills spring water (no fluoride),

I clean my face with the wipes, when it's completely dry I apply the vinegar neat with a q-tip (very precise application). I allow this to dry. I then apply whatever moisturizer I'm currently using…but not on the affected area. I never put makeup on the affected area while I had the breakout. I also added B12, B3 & D3 daily. During a recent visit to the dentist…told him no fluoride, no latex gloves. My face is completely clear of PD. I have read that PD can return…so I apply the vinegar (50/50 water) to my nostril area every night…with the intention of lessening this to 2-3 times p/week…it stinks…but I'm determined to keep it away.

I would say one of the key things is to keep your hands very clean at all times…with this condition it's impossible to keep yourself from touching the affected areas…they itch!!

Replied by Alison Kinross
(Victoria)
09/12/2017

Hi! I had PD around my nose/mouth when I was 12, treated with a "bingo dabber" of some sort of antibiotic and then eventually with oral antibiotics (tetracycline I believe) which finally did the trick. However at age 24 it came back, this time around my eyes. I believe I was triggered by my makeup use, and I have since discontinued using makeup beyond very rare occasions. The doctor prescribed me some sort of very expensive topical probiotic, which was not effective. I eventually requested the tetracycline again which worked. However now about a year and a half later it has returned (I left the makeup on my face for too long again after an event). I am going to try apple cider vinegar this time, and default back to tetracycline if it doesn't work. It does feel different treating it around the eyes - the skin is even more sensitive! I can't even touch it at all - I can feel it getting worse every time I do.

Replied by Lashawnda
(Suwanee, Georgia)
02/20/2018

Tea Tree oil blended with Jojoba oil has completely gotten rid of mine. Safe for around eyes, just use lightly. I take the oil and mix it into my lotion.

Avoid Fluoride

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Posted by Meece (Springfield, Mo) on 01/26/2017
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TRY THIS!!!! I have been suffering with PD on and off for 5+ years. Nothing has "cured" it. I have been on every drug, tried every ointment, every natural remedy and nothing has actually worked. A couple weeks ago I was at my wits end with my PD and kept noticing that it would be at it's worse right after I would get out of the shower. Most websites say to avoid FLUORIDE if you have PD and switch to a fluoride free toothpaste, but guess what has FLUORIDE in it! OUR WATER!!!

I bought a water pitcher that filters fluoride and have only been drinking that, and getting a cup of it and washing my face with it in the shower, and trying not to get my shower water on it and Oh my gosh I am telling you 50% better than I've been in years! Regular shower filters do not filter out fluoride and shower filters that do are massive and have to sit outside of the shower unless you can filter your whole water system, I live in an apartment so unfortunately I can't do that. TRY DRINKING NOTHING BUT FLUORIDE FREE WATER, MAKE YOUR COFFEE/TEA WITH FLUORIDE FREE WATER. Just try it! It takes a couple weeks to see results but try it!!!! I know in another month or so my PD will be gone, I'll let you guys know!!!!

Replied by Pdsux
(Boise, Idaho)
01/29/2017

Hello All PD sufferers,

Is this not the most frustrating thing? So I started out with the prescribed clindamycin and steroid...only got worse and spread. I began taking ACV internally and I have been diligently applying ACV directly every hour I am at home. It is kind of hard to get used to but guess what, it is working! I read on another blog that you just have to over dry it like crazy and then it scabs and will eventually go away. I am currently in the flaking phase but it appears to be getting better not worse for once! I have also been taking curcumin internally. I think it may be helping too. I am going to try turmeric mask tonight. I will report back! Good luck to all. All I can say is that modern medicine does not understand this rash and whatever you do, DO NOT USE STEROIDS, ANTIBIOTICS, OR OTHER PRESCRIPTIONS IT JUST COMES BACK WORSE!!!

Avoid Guar Gum and Carrageen

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Posted by Acmce (Charlotte, Nc) on 02/01/2017
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I had an outbreak of perioral dermatitis and I noticed it was after I ate certain dairy products - sour cream, cream cheese and milk shakes, soft serve ice cream. I reviewed all ingredients and noticed that all contained guar gum or carrageenan- a thickening agent. I would have no problem eating certain ice creams and those were brands free of the thickening agent.

Avoiding Mint

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Posted by Holly (Cleveland, Oh) on 01/11/2017
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I have realized that my perioral dermatitis has been caused by anything with mint flavoring/essential oils etc. I have cut out all mint related products and foods (even my lip balm had peppermint oil in it) and the PD has started clearing. I have suffered with mild PD all my life and recently it got terrible (I may have eaten a few too many peppermint patties). I have also had horrible acne which I am starting to think may have been related to the mint because it was around my mouth, mainly.

I just wanted to write this because I know a lot of people give up toothpastes with flouride and SLS but don't think about the mint. I know others have written about mint, cinnamon, essential oils etc. (most of which bother me, too), but I wanted to point out the mint connection in case it is being overlooked.

Bleach Water

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Posted by Doing My Best (SD) on 07/17/2022
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I believe my perioral dermatitis is actually severe rosacea. After trying ACV alone for 2 months, antifungal cream alone for 2 months, and a weak boric acid solution alone for 2 months, nothing has seemed to help. I tried coconut oil for 3 days only as it got progressively worse with this. I have fought this for a long time. I am now trying bleach water. I am still using the weak boric acid for my eyes (as the eye on the worst side of my face has been fighting sties for a long time as well). This points me to mites/bacteria overload. So I just decided to hit it with the worst I could throw at it. I have very oily facial skin, to the point that 2 hours after bathing, it is oily again, so makeup to cover my terrible face is out of the question.

After 2 weeks of twice daily cotton ball wipe of 10% bleach water (maybe 20%, I just splash a bit of bleach in distilled water in a plastic covered container), my face is noticeably better. The lumps are diminishing, along with the redness. I still get a few pustules here and there, not 5 new ones daily like before. My skin can take this harsh treatment since my oil production is through the roof, so may not be for everyone out there. I do not rinse it off, nor will I use it close to my eyes. I will continue this protocol for at least a total 2 month time frame to give it a fair shot.

Boron

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Posted by Holly (Cleveland, Oh) on 02/10/2017
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I wanted to share my story because I seem to be having success clearing my PD and rosacea. Like most of the sufferers here I have spent hours upon hours chasing a cure (I have also had acne all my life and I am turning 50 in April). This is what I have learned. I finally broke down and started Ted's Borax remedy because I read how people had had success with it. I also researched Boron supplementation in case I could not tolerate the Borax because that is essentially the element you are getting from the Borax. I am very sensitive to things so, to make a long story short, the Borax was tough for me to tolerate (stomach ache from it), so I have decided to go with the Boron supplements even though they are more expensive (still very reasonable, though).

The Borax was clearly helping my PD so I knew I was on the right track -- now accepting that it was the Demodex mites taking over my face for the past 5 months. I take about 9mg a day of the Boron supplements total (3mg x3/day- trial and error as others may need more or less). I tolerate it well. I also made a solution of Borax and water (just water) to wipe on my face a few times a day. Whenever I added hydrogen peroxide to the borax it was too much for my skin and made it worse. I am totally on my road to recovery after trying every natural remedy available on this website and the web. EVERY ONE - ACV, manuka honey, violet extract, castor oil packs, cocunut oil, pumpkin seed oil, oregano, yogurt, clay, DE, GSE, you name it I tried it. Also gave up every ounce of makeup - natural included. I had noticed that natural lip balms made my lips feel weird. What I have determined about this condition for me is the following:

1) Demodex mites getting out of hand are likely the main problem.2) Boron/Borax are the keys to getting them under control. 3) There is research out there that people with Rosacea and possibly PD have different fatty acids on their skin. I believe this is the key. As I look back, I was using all natural products -- Castor oil, natural lip products, mineral makeup, etc. I believe the coconut/castor/ etc. oils were actually the initial cause of the problem (first I thought it was Titanium Dioxide, mint or mica causing the problem, but I have now narrowed it down to the natural oils). I was getting a better reaction using Dove than any other naturally derived soap which usually included coconut oil, castor oil, or the like. I could also only tolerate petroleum jelly as a lip treatment. I know it is not good for you, but everything else (mainly natural products) caused a reaction. I know everyone is different, but I wanted to pass my experience along.

My face is 90% clear after one week (it takes a long time for the PD to heal but slow and steady with the Borax/Boron and my rosacea is almost non-existant) and I feel my skin is starting to just look wonderful. I could never, ever say that before. I may be the one in a million who is worse using natural products and that is what it is. With regard to makeup, I am watching for castor oil and possibly mineral oil as ingredients that bother me. I don't know as much about mineral oil, but trying to avoid just in case. I just hope this helps someone.

Distilled Water Cleansing

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Posted by Diane (New Brunswick) on 06/27/2018
 ★★★★★

I was a complete beauty product addict until I got a bad case of perioral dermatitis. It started with a small itchy, flaky, red patch on my chin. Seeing the flaky spot, I used more products to exfoliate and moisturize (bad mistake! ) The rash spread like wildfire and I was diagnosed with perioral dermatitis. The doctor suggested 3 months of antibiotics which I declined.

I googled and tried many natural remedies which did not work, some of which frankly made things worse. ( apple cider vinegar, coconut oil, essential oils, manuka honey, colloidal silver etc) . Meanwhile, the rash kept spreading.

Finally, I decided to try the zero therapy approach which I saw on google. No cleansers, no moisturizer, no makeup. Just wash with water. Dermatitis was completely healed after about a month on this method. I am still doing it 5 years later and I love how my skin feels and looks. ( I am 42).

At night, I put distilled water in a little bowl and used 3 cotton pads to clean my face. Pat dry with a clean towel. That's it. In the morning, I would clean my eyes with tap water on a face cloth, but no water on the rest of the face. If I had to go to work and the flakes were too bad, I would use one drop of jojoba oil to sort of glue the flakes in place. That's it.

I went all out and drastically reduced all my other body products as well. I bought natural stuff for the ones I could not do without. ( SLS free shampoo and conditioner, natural toothpaste with no fluoride, natural body soap, and lip balm). Jojoba oil here and there as needed.

I learned I don't need beauty products to be pretty. My skin can take care of itself. My face is healthier and happier when I leave it alone.

Gluten-Free Diet, Psyllium

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Posted by Alex (San Francisco, US) on 12/10/2014
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Hi all. I hope this helps some of you. It has taken me several years to figure out the cause of my Perioral Dermatitis!!

It is most definitely curable and it all starts with cleansing your intestine...period!! I tried all the other methods - GSE, ACV, coco oil, tea tree etc etc. For some these will work as their diet and health are probably fairly good but for others where nothing has helped I would suggest 2 things!!! (and this is important)...first try a gluten free diet. Research into why and you'll see that gluten cannot be digested and also prevents other natural enzymes from breaking down foods, thus build up occurs. Old fecal matter to be exact and it stays along the lining of the intestinal walls, hence why some of these other natural remedies aren't working as they are being blocked from entering the bloodstream. Please just do a little research and it will all make sense.

Second, now that you've minimised blockage you have to cleanse the walls. Here is where the beauty of psyllium husk comes in. This is a high fiber product that gently exfoliates your intestinal walls, look it up! Use it with blackstrap molasses, both available at health food shops. I promise you your skin will look so much better after 1 week. It also doesn't hurt to improve your diet...the usual fruit and veggies is a plus as always. You can find info relating to psyllium online...just look, there's plenty out there.

Good luck to all!!!

Ivermectin, Zinc Paste

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Posted by Brat1horses (Fargo, North Dakota) on 08/01/2024
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Ivermectin & Zinc Paste for Perioral Dermatitis

I developed PD in May of this year. Thinking it was a reaction to some skin care products. But every thing I tried never did a thing for the red shiny pustules. They would just move from one area on my chin, to beside my nose and back again. I had tried ALL the top things listed but finally ran across a video of a woman who used Ivermectin to cure hers. I have had tremendous healing with that and zinc paste on my face at night. I am currently using 1-12mg pill every other day, I will see how that works for one week and then go down to one time per week. Zinc paste at night and Calendula oil in the morning. Seems to be working great so far! I would also use Jane Iredale powder for coverage when I had to go to a meeting etc without any issues.

Melaleuca Oil

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Posted by Tina (Ca) on 07/15/2017
 ★★★★★

I have been suffering for 5 years from perial dermatitis. I have tried everything. My aunt gave me some melaleuca oil. I read this could help. I got a 2 oz glass spray bottle and added 8 drops of the oil and then filled the rest with water. All my symptoms disappeared after two days by spraying twice a day as a mist. No applying with a cotton ball. I am happy to say it's been three weeks and I'm still symptom free!! It's worth a try.

Replied by Sarah
(Wi)
08/31/2017

Just wanted to follow up - are you still symptom free after using the Melaleuca Oil? And, are you still using it or have you discontinued use?

Oregano, Honey Mask

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Posted by Daisy (Chico Ca) on 09/11/2016
 ★★★★★

I had POD for five months- tried multiple remedies and nothing really worked. Because of the antibiotic properties, I made oregano tea (fresh, organic oregano) and applied it to affected area 3x per day. When it dried I put on a raw, organic honey mask- let it dry then gently wiped it off. My POD was completely gone in three days. I hope this helps someone!!

OTC Anti-Fungal, Fluoride-Free Toothpaste

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Posted by Caitlin (South Burlington, Vt) on 06/17/2020
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I cured my bad case of Perioral Dermatitis by using a fluoride free tooth paste (Hello brand) and by using Lotrimin cream 2-3 times a day. Good luck, I hope this helps.

POD Triggered by Decaf Coffee

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Posted by Dawn (Colorado) on 12/14/2017
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Years ago my stomach became very sensitive to coffee (thought it was the caffeine) so I switched to decaf coffee. Several weeks later, I got big bumps in and around my mouth. I had them for about 6 months and I had no idea why? I retraced my steps on what I started new in my diet, and had an ah hah moment... decaf coffee. Sure enough, when I stopped drinking it, the bumps slowly went away after about 2-3 weeks.

I sure hope that helps somebody out there!

POD Triggered by Ice Cream

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Posted by Erika (Greensboro ) on 03/05/2023
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My POD started when I went on a keto diet and started eating halo top ice cream. As soon as I quit eating it, the rash went away and anytime I ain't even a little bit, it would come back. It also comes back sometimes, whether I eat the ice cream or not right before my period so it's definitely triggered by hormonal changes.

POD Triggered by Mint and Cinnamon

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Posted by Kayla (Augusta, Ga) on 04/15/2018
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My daughter developed a perioral rash at age two. It was persistent for several months. The doctor prescribed Elidel, but I was concerned about using it and she screamed the few times I did put it on her. After noticing that the rash seemed more irritated after brushing teeth, I switched her from a mint flavored tooth paste to bubble gum kids' flavor. Her rash continued, but eventually became intermittent. Once it finally started clearing up, I was able to figure out the second trigger: cinnamon. Abstaining mint and cinnamon has completely eliminated her rash, though it will flare up mildly if she eats something on accident. She has been rash-free for 6 months with no treatment.


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