Perioral dermatitis is a common inflammatory skin condition that causes small red bumps, sometimes with mild scaling, typically around the mouth, and occasionally around the nose or eyes.
Classic (steroid-induced) perioral dermatitis — the most common form, typically linked to topical steroid use on the face, either from treating another condition or from steroid-containing creams. Small red, sometimes scaly bumps cluster around the mouth, and occasionally the nose or eyes.
Granulomatous perioral dermatitis — a less common variant, presenting as firmer, skin-coloured to yellow-brown bumps. This form is more frequently seen in children and can take longer to resolve.
Perioral dermatitis with a bacterial component — in some cases, bacterial overgrowth (often Staphylococcus or similar) contributes to or worsens the flare, presenting as more inflamed, sometimes pustular bumps. This type typically doesn't respond to gentle skincare alone and often requires a course of oral or topical antibiotics prescribed by a doctor, alongside barrier-supportive skincare.
It's more common in women, and often flares up in cycles.
While the exact cause isn't fully understood, it's frequently linked to a compromised skin barrier and can be triggered or worsened by things like:
- Topical steroid use on the face, including for other conditions
- Heavy, fragranced, or irritating skincare and makeup
- Fluoridated toothpaste, in some people
- Hormonal changes
Because the skin barrier is often already compromised, the goal with perioral dermatitis is to keep things simple — gentle cleansing, lightweight hydration, and barrier support, while avoiding active ingredients like exfoliants, retinoids, and Vitamin C, which can aggravate the area further.
This page is intended as general skincare guidance to support your skin alongside your doctor's or dermatologist's advice, not as a replacement for it. If you have persistent redness, bumps, or irritation, please see a healthcare professional for a proper diagnosis and tailored treatment plan.