Multiple Remedies for Perioral Dermatitis

I am in my early 30's, and have had basal cell carcinoma on my face (on my temple and my forhead both along the hairline). Both times the dermatologist said "oh it doesn't look like anything to be concerned about but we can biopsy it if you want", both times it was something that needed removal. The third time I went in for a suspicious spot, she froze it and then said, oh and let's treat your dermatitis. My what?!!!

I knew I was having some crazy redness that seemed to be worse in the cold and was spreading with some flaky/dry skin and my pores had become insanely HUGE on my nose and it was spreading to my cheeks and forhead. She said that was just age, but then pointed out these flat slightly raised bumps sprinkled in the redness that was along the laugh lines lip and side of my nose and cheeks right next to the nose. I hadn't really noticed them, they didn't hurt or itch or burn. At this point if I could get the redness to go away, and the bumps that were now glaring at me in the mirror as I sat there I was all for it.

She prescribed antibiotics and a cream, I filled them and almost cried when it was $134. 00 after insurance for just a 30 day supply of both, since she said it would take possibly 3-4 months to clear! I started them that night and the cream was burning as in my face just felt incredibly hot. I used it again the next morning with the same result and decided to really read the side effects sheet as opposed to just scanning it. I was shocked to see it say that it has the possibility to cause skin cancer and lymphoma!! No way was I going to continue using this, on my face where I have had skin cancer and right next to a spot I had frozen because of being possible skin cancer!!! I knew there had to be a better, healthier way to combate this, and that is how I found this site.

I have to say that over the last year I have been under incredible stress and my body is telling me that through the skin cancer, this PD, and a myriad of other health issues that have sprung up in the last few months. Apparently my body cannot handle the stress any longer. I have lost about 20 pounds and a bajillion hours of slept due to horrific anxiety, and when I do eat it isn't always the healthiest and I can't function even slightly without a cup of coffee in the morning.

I decided if I can spend ridiculous amounts on meds from a doctor who couldn't even diagnose my skin cancer correctly and I had to point it out to her and insist it was serious, that why should I follow her on this PD aspect. Which also had me researching other things such as rosecea and discoid lupus (my mother has been told she may have lupus, but refuses to follow up with that) as well as other types of dermatitis and even frost bite ( I say this because after a night out in negative temps two years ago I woke up with a crazy deep red/purple triangle on my nose, the skin peeled multiple layers and ever since the redness has been there when exposed to the cold for any length of time and has spread from that little triagle section to the rest of my face). At this point I am not confident this is the right diagnosis, but many of the remedies cross translate, so I will stick with it for now and figure out what works.

I started out with straight hydrogen peroxide. I put it on a cotton pad and swooped it along my face and then used a cotten tip and put it directly on the round raised bumps. Within seconds while I watched the bumbs were gone, it was insane! I continued to coat my face and let it dry which is why my face became angry red on my nose and it stung incredibly badly bringing tears to my eyes. I stuck it out thinking it must be cleaning something and went to bed. Woke up the next morning and the redness was practically gone, all the bumps were still gone, and my pores had shrunk back to almost normal! (I should add I have never had more than a pimple here or there and never a visable pore on my body prior to the last few months). I decided to use it again, but it didn't seem to have the same effect; however, I figure if this was working I would go to my local organic store and pick up a few things.

I currently have zinc oxide tabs 5mg, as I noticed that pretty much everything with zinc I'm not eating lately. I don't plan to be on this for long as I have read it could have some negative affects and in the past zinc used for colds has made me very ill. I also am using a 40% zinc diaper cream as a topical as I speak to hopefully tone down some of the angry red that seems to be spreading even more since I started with the peroxide and is even darker since I started with the apple cider vinegar! I also added a probiotic, am taking APV orally, and coconut oil orally (it's a nice replacement for sugar in my coffee).

My questions are these:

1. How long before the redness goes away?

2. Is it normal for the redness to spread when using these topical treatments? (it has followed my cheek bones on both sides and moving up my temples and has also moved up my nose to between my eyebrows and right above one eye brow where I put some peroxide hoping to shrink some pores)

3. I feel like yeast may be a culprit here and am curious if things such as, change in breath or foamy mucus are a reaction of the yeast being eliminated from the body (ie the internal things like probiotic and ACV doing their job)

4. When does the stinging and burning stop from the ACV topical treatment, and what is the best kind of soap to use to rinse after? I have stopped using all my "harsher" scrubs and face washes and am using a gentle cleanser and very little lotion, my face is actually less flakey and dry and feels pretty good except for right after the ACV so I follow it with the gentle cleanser and the hydrogen peroxide, and tonight with the zinc diaper cream (in hopes of lessening the redness since I Know as soon as I go outside in the morning my nose is going to shine like rudolf anyways it would be nice to see how much the cold effects it, by having a nice clear non-red or simply pink nose to start with)

Any thoughts, opinions, answers on any aspect of this whole thing are greatly appreciated! Thank you!!

The perioral dermatitis reappeared three months ago (could have been a variety of triggers--dietary changes, season, cosmetics, hormonal) and I've been using natural methods to treat it--and nothing has worked. I stopped eating dairy, eggs, soy and wheat. I switched back to a natural toothpaste, and I switched to a dermatologist-recommended mineral makeup (and only use it to cover the rash on occasion!). I took ACV and applied it topically. I used tea tree oil, too. Nothing worked and the rash has gotten much worse.

I finally gave up and went back to the derm for topical and oral antibiotics--that was four days ago and I'm hoping it will clear up!