Causes and Triggers of Perioral Dermatitis
Perioral (around the mouth) dermatitis often occurs when the skin’s natural barrier is compromised by fatty and moisturizing substances or irritating agents.
Typical triggers include:
- Excessive skincare: Using too many products, aggressive surfactants, or certain moisturizing and fatty ingredients.
- Corticosteroid creams: Frequent use can, after an initial calming effect, worsen the condition—especially when used long term or in high doses.
- Hormonal changes: Pregnancy, menstrual cycles, or hormonal contraceptives can predispose to the condition.
- Stress and environmental factors: Internal stress and external irritants such as cold or dry air can exacerbate inflammatory symptoms.
- Fluoride-containing toothpaste: In some cases, high levels of fluoride may contribute.
Symptoms
Perioral dermatitis manifests as:
- Red papules that may burn or feel tight.
- Flaky skin around the mouth and, occasionally, along the nasolabial folds.
- Itching and a sensation of tightness.
- Worsening after using cosmetic and skincare products.
- A distinctly “sharply demarcated” area around the lips.
Your Treatment at the Swiss Derma Clinic in Zurich
Perioral dermatitis requires targeted, individualized treatment. Our aim is to soothe the skin long term and restore its natural protective barrier. Our treatment approach typically includes the following steps:
Diagnostics and Skin Analysis
Our dermatologists carefully examine your skin to rule out other conditions such as rosacea or eczema. A detailed review of your current skincare products helps identify potential triggers.
Zero Therapy: Restoring Skin Balance
The cornerstone of treatment is the so-called zero therapy, during which all irritating and overly rich products are temporarily discontinued, allowing the skin to regenerate. An initial worsening may occur—a common sign that healing has begun.
Gentle Dermatological Care
To prevent future flare-ups, we recommend a minimalist skincare routine featuring gentle ingredients. For example:
- Mild, soap-free cleansing
- Light, moisture-retaining creams free of fragrances and preservatives
- Thermal water sprays for soothing the skin
Medical Treatment
When necessary, we supplement the therapy with specific dermatological agents:
- Antibiotic creams containing metronidazole or erythromycin to reduce inflammation.
- Pimecrolimus or azelaic acid to promote healing without the use of corticosteroids.
- Light therapy and laser resurfacing to aid in skin regeneration.
- Probiotic skincare to support the natural skin microbiome and enhance resilience.
Nutritional and Lifestyle Counseling
Since stress often plays a key role in the development of perioral dermatitis, we offer guidance on:
- A skin-friendly diet rich in anti-inflammatory foods
- Stress reduction techniques and avoidance of potential triggers, including certain ingredients or active substances
Our Advantage: Cosmetic Ultrasound Treatment
Our cosmetic ultrasound treatment further enhances skin soothing by efficiently delivering active ingredients into the skin barrier. This method leaves the skin feeling firmer, smoother, and more relaxed—and is especially suitable for inflammatory skin conditions like perioral dermatitis.
When to Seek Medical Help
Perioral dermatitis can be persistent. An early consultation at our clinic can help prevent further aggravation. It is advisable to book an appointment if:
- The symptoms persist without improvement.
- The skin becomes severely itchy, burns, or deteriorates.
- You are unsure whether your condition is perioral dermatitis or another skin disorder.
Why Choose the Swiss Derma Clinic in Zurich?
✓ Specialists with extensive dermatological experience
✓ Individualized treatment plans tailored to your needs
✓ A holistic approach that integrates skincare, medical therapies, and lifestyle factors
✓ Modern dermatological techniques, including innovative laser resurfacing and anti-aging treatments
Book your appointment today and let our expert dermatologists guide you toward healthier, balanced skin.
