Thursday, 13 December 2018
What is Perioral Dermatitis?
Problematic skin is something we are used to dealing with in clinic, but sometimes, challenging conditions are a struggle for even the most advanced skin practitioners. In today's blog, we are talking all about Perioral Dermatitis
Perioral DermatitisUnless you've had it, you've probably never heard of it. Perioral dermatitis presents itself as increased sensitivity around the mouth area that often becomes red and irritated. It's usually an onset from contact with certain foods or skincare, which results in an over reactive inflammation of the skin and the formation of tiny little bumps.Unfortunately, the frustration for patients is that the ideal treatment is minimal invasion. In other words, very little can be used to treat the condition and a zero therapy approach is recommended. This means ceasing the use of cosmeceutical products and any skincare treatments, which can leave the skin feeling particularly dehydrated, tight and uncomfortable.In order to take control of the inflammation, corticosteroids (Steroid Hormones) are often prescribed by GPs. Although they may guarantee momentary relief, they tend to trigger a boomerang effect in the long run and can exacerbate sensitive skin symptoms, despite the initial relief they may deliver.In the case of Perioral Dermatitis, skin's barrier has become impaired and until it's restored, irritating substances and pathogenic germs still can penetrate from outside. The problem intensifies with every relapse.
What to avoid and why?
- Emulsifying products should be avoided due to the water phase of preparation which can be drying and further damage skin's barrier.
- Fat and oil products can encourage the spread of anaerobic bacteria associated with the condition. This houses the perfect breeding ground for it to flourish and runs on the same theory as Rosacea and P-acne bacteria.
- Makeup has an occlusive effect on the skin and can contribute to additional irritation.
- All skin treatments including: Chemical peels, Laser therapy, Microneedling, all of which are not suitable for an impaired skin barrier.