Perioral dermatitis or inflammation in the area around the mouth is one condition that is very hard to treat.
It is hard to treat since it can persist for a few years despite therapy. It is very common and mostly affects women although men and children can be affected as well. Typically it appears due to application of corticosteroids on your face, certain tooth pastes which irritate the skin and oftentimes due to heavy make up and in people who change their make up often. It is also called the flight attendant disease because they use heavy make up in their workplace. Actresses and tv presenters are oftentimes affected. We still do not know the exact cause for this ailment but some factors and substances which can provoke it are known. It appears that the change of microorganisms on your skin plays an important part as well. The problem is that heavy make up and cosmetics clog the pores and cause the inflammation to develop. The disease looks like a redness in the chin area which can then spread all over the face.
Usually small pimples are created. Tingling, itching and a burning sensation follow. The disease disappears by itself but never completely and it always returns. It takes a long time to cure and is resilient to most therapies, which presents a big problem in its treatment. Initially any cream, no matter how neutral it is, does not suit the skin because the skin's protective barrier has been compromised. Therapy includes anti-inflammatory creams and local antibiotics and unfortunately loads of antibiotics which are to be taken for months. I myself do not agree with this therapy because I believe it has more cons because of the use of antibiotics which compromise the digestive system followed by frequent yeast infections. Different therapy oftentimes causes irritation. Apart from the mentioned flaws, you have to go through a lot and wait for a long time period to see some results. Applying local anti-inflammatory creams, the so called immunosuppressants, after a month or two of therapy is a novelty. Therefor it is really difficult to provide any real help. In my everyday work, if I have to I give antibiotics only 1 pill a week 2.4x which is a minimum. Application of adequate cosmetics and proper care is of uttermost importance. Normal pipe water is harmful for your already irritated skin because it contains chlorine, therefor silverex douche which removes chlorine ions is of great help. Generally I advise avoidance of water contact except when you are showering and so forth. Facial cleansing is very important and I found that micellar solutions which do not need water help. In later stages cleansing gels from companies skincode and minogenesis help extremely well because they have an anti-inflammatory effect. Preparations based on silver also show good results, as do sprays containing mineral water. Neutral creams like bepanten also help but I find that for everyday care amniogenesis and skincode creams help best because they have a soothing and anti-inflammatory effect. Probably other dermatologists have good experiences with other companies from which I would mention skinceuticals, but unfortunately it cannot be bought in our country. In any case, creams for sensitive and damaged skin help, especially the one from la roche posay. This skin care treatment is definitely my choice because most people can see improvements within the next 2-4 weeks.
With some patients, the disease disappears with the mentioned regime within a few months while classic therapy needs 6-12 months to show any results. Unfortunately sometimes the treatment can last longer. Recently maybe the best solution is a mask from zeolit mineral with propolis and royal jelly. Also a mask from beta-glucan made by skincode helps. Also the so called LED technology can be of some use. I hope that I have helped some with my knowledge of this disease and that I have helped to prevent it. Just by paying attention to your skin care and use of facial powder can save you from later inconvenience.