Perioral Dermatitis - Eczema, Meet Acne

By Sarah Villafranco, MD
Posted in Blog, on April 18, 2014

I have a lot of medical words in my brain, but few have been on my mind as consistently over the last several years as perioral dermatitis. Having suffered with it myself, I have done extensive research, both didactic and practical, often with myself as the guinea pig, and I am happy to share what I have learned.

What is it?

Perioral dermatitis (PD) is a very common condition of the facial skin (perioral = around the mouth), especially in women of menstruating age. It is frequently undiagnosed or misdiagnosed, and acts like a cross between acne and eczema. The fact that these two diseases behave very differently may, in part, explain why it is so poorly understood, and so troublesome to treat.  With continued research, and after talking to many people who suffer with the condition, I actually believe that PD is an endpoint that arises from a unique, fluctuating set of circumstances and predispositions in each patient.   As with a mathematical equation, different numerical combinations can add up to the same sum.  This is true of PD as well.  In some cases, it is clear cut, and directly linked to a particular cause.  But in most patients, the causes are multiple, uniquely combined,  and ever-changing  (making it even more difficult to treat!).

It varies in severity. In mild cases, it consists of patches of slightly bumpy, red or irritated looking skin, often with some mild flaking of the skin around the mouth, chin, and nose. (Some women experience symptoms near the outer corners of the eyes as well, though this is a less common location.) In more severe cases, the skin becomes very inflamed and angry looking in those areas, with flakes or scabs that can bleed or become infected.

Why does it happen?

There are many theories about the cause of perioral dermatitis, none of which are definitive. The most commonly proposed cause is the use of steroid facial creams, which are prescribed ubiquitously by western dermatologists. Other possible causes include fluoride toothpaste and sodium laureth sulfate. Exacerbating factors may include heavy creams or oils, cinnamon flavor/scent, and exposure to cold and sun.  I think we will probably learn in the future that there is a large hormonal component to the condition, as well.  It tends to resolve on its own as we age; it is fairly rare to see it over age 50, when our hormones simmer down and even out a bit.

My Story

I began having trouble with PD at age 36, a fairly typical age for women to have symptoms (generally age 20 to 45). My symptoms were also typical, and included redness, small bumps, and flaking of the skin around the chin, mouth, and nose.

When I first started studying natural skincare, especially with regard to this issue, I experimented a LOT on my own face. From yogurt masks to apple cider vinegar to nourishing oils to heavy creams, I explored options. None seemed to help consistently, and some (oils and heavy creams) made things worse. Hormone fluctuation definitely affected my symptoms, which were unfailingly worse in the days before my period.

I went to a local dermatologist after about 4 months. I told her I had perioral dermatitis. She agreed, and prescribed a topical antibiotic. As she wrote the prescription, I asked her if she had any experience with natural remedies, such as green tea extract, probiotics, and apple cider vinegar. She told me she was unfamiliar with homeopathy.  

I tried the antibiotic lotion for four days, and my symptoms got so much worse that I decided to be a bad patient and stop the medication. That’s when I got serious about figuring out a plan. Granted, this was not a randomized, controlled experiment. I made a bunch of changes at once, and could not tell you which one made the difference in my skin.

But here are the things I changed:


  • I stopped fluoride toothpaste (I switched to this one, which is also free of sodium laureth sulfate- Seafresh Toothpaste by Jason)
  • I stopped using sodium laureth sulfate in my hair care products.
  • I started evening primrose oil supplements (I like these - Barlean's Evening Primrose Oil. They also helped moderate my PMS symptoms, and who can complain about that?)
  • I took a less-is-more approach with my skin, which I continue to follow. I use this soap once or twice a day - Osmia Organics Black Clay Facial Soap - and I limit exfoliation in the perioral region (counter-intuitive, I know). After cleansing, I follow with this water-based serum -Osmia Organics Active Gel Toner. I leave the serum on for 30 seconds, and then follow with this cream - Osmia Organics Purely Simple Face Cream - applied sparingly around the mouth and chin.


While I make no claims about whether these steps will work for a person with PD, these minimally invasive changes have improved my symptoms dramatically. It took about 6 months (less invasive measures often require more patience), and I occasionally have symptoms around my cycle, when the dermatitis is visible up close in a mirror. Most of the time, people squint and stare when I tell them I have the condition, which tells me it is not usually noticeable. Wearing makeup (even a dab of powder, as I don’t wear any foundation) will make the dermatitis more visible, as well. 

With any of the lifestyle changes or products mentioned above, results may not be visible for 3-6 weeks - it is a condition that takes a long time to change, and requires patience and commitment on your part.  

How should I treat?

Dermatologists will treat this condition with topical or systemic (oral) antibiotics, over a course of 6-12 weeks. There is a moderate success rate with this course, as well as a relatively high relapse rate.   Avoid steroid creams at all cost, as they are suspected of having a causative relationship to PD. I have found, whether antibiotics are involved or not, that relapse is very likely without lifestyle modifications.

The first two changes I suggest are eliminating fluoride in toothpaste, and sodium laureth sulfate (SLS) in oral, facial, and hair care products. A healthy, plant-based diet, with appropriate supplements, such as evening primrose oil, and attention to beneficial fats and grain or legume-based proteins will make a positive change in almost any skin type. And, sufficient water intake (spring water is the best) will help maintain intracellular water levels in the skin, as well.

As for skin care, I choose my products because I love my products, and I know who made them and with what ingredients. But, the point is that you need to RESIST the urge to scrub your face and heap products on it. Perioral dermatitis wants to be left ALONE. It does not like heavy creams or oil-based serums. It wants water-based, simple products, and some peace and quiet.  

I can't promise you our products will work for you!  But, we have had a LOT of people say their symptoms have decreased substantially (if not dramatically).  Whether you purchase product from us or not, I am available by email for questions any time, and will do my best to respond to them within a week or so.  And, if you've purchased our products and want to touch base about how they're working for you, we are here to listen, and help you make adjustments if necessary.

Remember, above all – do less.  And, for your own sanity, keep track of the things you do, and try to think of them as pieces of a management strategy for PD, rather than looking for one "miracle cure".  It will likely be a condition that does not fully go away until it is good and ready, so it can feel more frustrating than it needs to if you are out to CURE it, rather than decrease the symptoms and render them manageable.  Make sense?

And, now that you've read the basics, maybe our blog post about PD Frequently Asked Questions will help with any other questions you may have - thanks for reading!


Related Products:


I’m 36 years old and I’ve had severe PD for the past two years. It kinda got better when I stopped using fluoride toothpaste, make up, sulfates, moisturizers, etc. but never went away completely. 30 days ago(in the middle of a bad breakout – I had scaley, itchy, painful red blotches over and under my eyes and around my mouth) I started the Whole30 diet. I KID YOU NOT – by day four, there was not a TRACE of PD on my face!!! And now 30 days later, my skin hasn’t looked this good in years! If all else has failed you, please, please, please try Whole30 and see if it changes your life like it changed mine. PD is so debilitating and depressing, and I really hope this helps y’all too! I am a happy girl again, praise the Lord!

Elizabeth on May 10, 2016

I started symptoms about 4 months ago. I am 58 so doubt this is hormonal and I have had a hysterectomy. I quit facial soaps ( burst bees) and my face creams. Heading to a dermatologist in a couple weeks but read it may be related to my steroid nasal spray for allergies. Any thoughts?

Nell McPhillips on April 30, 2016

I forgot to ask something in my last post! My face wash has a very similar sounding ingredient to SLS: disodium laureth sulfosuccinate. Is that the same as SLS re: PD? Should I stay away from products with this ingredient, too? Thank you!!! I have so much hope after finding your site!

Caroline on April 24, 2016

Hi Dr. Sarah,
Thank you so much for sharing this information. I’ve been dealing with what I now know (thanks to you) is PD for a year, almost non-stop. While I’ve tried to refrain and instead use natural products, I’ve gotten desperate enough to use a topical steroid cream to treat it. A doctor told me it was eczema and the steroid seems to help (though it always comes back right away). I have always had eczema on my hands, but never had any skin problems on my face. I’m curious about your products— I see that you’ve noticed coconut oil exacerbates PD. I have also noticed that coconut oil bothers mine. I noticed, however, that coconut is an ingredient in the black clay soap. I’m curious— are different types of coconut OK for it? Is it just pure coconut oil that seems to bother it? I would really appreciate it if you could touch on this. Also, I’m concerned about the mango ingredient in one since mango seems to bother my PD, and I’m wondering if it’s a similar situation as the coconut oil (i.e. certain forms of the ingredient are worse than others). Any information you could give about this would be great! Thank you so much.

Caroline on April 24, 2016

@Stephanie – so sorry you are dealing with this during pregnancy – it’s hard enough!! Evening primrose is not recommended during pregnancy, but you can start taking it once you’ve delivered as long as your health practitioner is in agreement. Double check all toothpaste for SLS – sometimes it hides! I would avoid any synthetic fragrance, and make sure your laundry detergent meets all these standards, too. As for the diet, I would suggest staying away from dairy, refined sugar, and gluten for a bit? If you’re interested in a plant-based diet, but worried about not feeling full enough while you’re preggo, just make sure you’re eating enough plant-based fats and proteins – you can definitely get enough nutrition! It’s when people eat only carbs that a vegetarian diet does not work. As a mama of two and a serious athlete, I can tell you that I’ve been a-okay without meat for 20 years! But start with dairy, sugar, and gluten for now – those are the most inflammatory groups. Hope that helps! All the best – Sarah.

@Tany and @Colette – Thanks for sharing your tips!

@Elaine – So glad the soap seems to be helping you a bit. I hope the toner and the cream continue to help heal your skin. As for makeup, try to avoid anything with bismuth or beeswax – they can cause PD to flare up, I have found. You might check out Alima Pure and W3LL PEOPLE brands. For sunscreen, I’ve been using iS Clinical Eclipse, SPF 50, with good results. Not perfectly green, but no fragrance or parabens, and the active ingredients are zinc and titanium. And our Black Clay Facial Soap travels beautifully – check out our soap travel bags on the site. It’s also great for backpacking, where you need to consider that the products you’re using are more likely to end up in streams or rivers, and our soap is very planet-safe!! Finally, my advice about alcohol is this: moderate yourself. No need to abstain completely, but keep it to a glass or two here and there instead of a daily thing. Hope that helps, and I hope you have an amazing trip, wherever you’re headed! Best – Sarah.

@Terri – It sounds like you’re doing lots of good homework about PD, and you’ll get it under control with patience and time! Be sure to eliminate SLS and fluoride in all hair care and toothpaste, as well as laundry detergent. Avoid synthetic fragrance when possible. Coconut oil is fine if it helps, but it seems to exacerbate most cases of PD according to my experience. And, unfortunately, if you’re going to try antibiotics, I would suggest oral over topical – the creams seem to irritate PD terribly, whereas the pills, while more invasive, can sometimes break the cycle for people. But, the lifestyle stuff still has to be in place for any improvement to be long-term. Hope that helps, and thanks for sharing your experience here! All the best – Sarah.

@Leslie – First of all, congratulations on your pregnancy!! That’s awesome, and I’m not surprised that your skin decided to misbehave. I’m thrilled to hear that the soap and Purely Simple are working for you, and that your skin has found its happy place again! Sending much love to you and the peanut inside… :) Sarah.

Sarah Villafranco, MD on April 04, 2016

Mild-moderate PD popped up for me during my current (second) pregnancy, around my mouth/chin and nose. Preferring natural products, I avoided going to the dermatologist for an Rx and tried coconut oil (cleansing and moisturizing), yogurt as a topical skin soother, homeopathic eczema oil, argan oil…nothing worked to provide complete relief. I heard about OSMIA through a friend and ordered the Black Clay Soap, Active Gel Toner, and Simple Moisturizer. I had a reaction to the Toner (not surprising, my skin was in a very sensitive state) but the Soap and Moisturizer has been a complete game changer – not only is my PD completely gone, but my skin has never looked or felt better, at the age of 43! These products have become my holy grail and I just want to say thank you so much!!!

Leslie Hedman on April 01, 2016

We recently spent four months in Arizona. After the first month I noticed red spots around my eyes and saw an ophthalmologist who gave me medication for perioral dermatitis. It did get better. Upon returning home, three months later, my face broke out on both sides of my nose and my chin. I’m now dealing with that,. I saw a dermatologist who wanted to put me on antibiotics but I refused after reading they are often not effective and opted for an antibiotic cream which really flared the condition. I’m now trying Lotrimin which I’ve read has helped some. The products I find soothing are Aloe Vera Gel, Organic Virgin Coconut Oil and Vitamin E.

I am in my 70’s and have never had any skin problems. As I review the Arizona winter I have come up with a list of things, in the environment, that perhaps could have been triggers. The very dry weather causing dry skin. We realized our water, both hot and cold, was soft water and we were drinking it. We ate lots of fresh citrus.

Our food and personal products are organic for the most part. I make organic soap so we try, as much as we can, to avoid toxic chemicals of any kind.
We take probiotics and vitamins.

I am looking forward to the Osmia Organic products and appreciate all the information I’ve gleaned through this website.

Terri E on March 31, 2016

Hi Sarah- I have had PD for six years on and off. I initially got it at the age of 24 during a 3 month backpacking trip where I used heavy suncream daily. I believe this may have triggered the PD in the first place because it gets worse every time I have backpacked since. I have used SLS and Fluoride free products for the past two years. I also don’t use any creams or oils on my face.

I bought your Black Clay Soap and it is the first thing that has really had a positive effect on my skin that is not prescription only (had good success with Zineryt previously). I plan to begin using your gel toner and moisturizer once my skin is completely clear. Also after reading your blog post I started taking evening primrose oil and stopped all make-up (I used to use a tiny dab of bare minerals matte powder to cover the redness). Thank you so much for your blog post and your products, they have really made an impact on me.

I am going backpacking again later this year and wonder if you have any recommendations on how to continue a good skincare regime while travelling. Specifically regarding suncream and soap (the bar of soap isn’t ideal when moving from place to place). Separately, it seems that alcohol may also be a trigger. I do not drink much but would prefer not to have to avoid alcohol altogether, if you have any experience or recommendations I would be grateful.

Thanks again!


Elaine on March 23, 2016

Mine was in my T-zone (between eye brows, around nose and sides of mouth). For 2-3 years I have not been able to figure it out, I didn’t know about the coffee, cinnamon of fluoride, but one day, experimenting, I put manuka honey ointment (the actual medihoney cream, not honey from the jar), and then I applied a few drops of organic apricot oil. After 2 days, the redness disappeared and I could not believe it! If I do get an eruption, I do it again, but it’s been 6 months and only had to treat it twice. I do notice it flairs up with certain bread products, so I think it’s yeast – the person who mentioned candida is on to something.

Colette on March 18, 2016

I had this once many years ago and it cropped up again. It’s not debilitating like some of the commenters are describing but my treatment worked like a charm for me both times. Tea tree oil and calendula. The tea tree oil may sting, depending on severity, but if you use it, then follow up with pure calendula ointment, it may help. It will seem to dry out and then disappear. May take a few weeks. As with all skin issues, you need to be patient.

Hope this helps someone.

Tany on March 09, 2016

30 years old- have had PD for the last few years on and off. Doxycycline usually works but I’m pregnant and can no longer take the oral antibiotic. Topical clyndamycin isn’t working anymore and I just want it to go away! Tried changing toothpaste and shampoo for 6 months nothing happened. Mine seems to go away when I’m in the sun/tan. I have always had amazing skin and now I feel so frustrated that I can’t even help myself! Is primrose safe while pregnant? I can’t really eat a plant based diet bc I’m way too hungry for that but I do it tons of salad and vegetables. HELP! :-)

Stephanie on March 01, 2016

I’ve been suffering from perioral dermatitis around my nose, mouth and eyes for years. And am now symptom free. The triggers for each person are different but for me the combination of the following resulted in an almost immediate and complete improvement:

- 100% natural cleanser
- no moisturizer at night
- sterile, paraben-free, fragrance free moisturizer during the day like Avène Skin Recovery Cream
- fluoride and SLS-free toothpaste
- no washing dishes in traditional dish soap for long periods without gloves
- no contact lenses

The contact lenses made up the final piece of the puzzle for me. Symptoms were much improved around the mouth and nose with all of the other changes but it was not until I took my contacts out one day that the bumps around my eyes disappeared . I hope this helps someone.

Heather on February 29, 2016

It’s back. Had this skin condition in my 40’s. It was severe and nothing seemed to work I was on doxycycline for nearly 2 years. Improvement was gradual and now 25 years later, it’s back. Going to doctor today. Thanks for all the comments and suggestions.

Sandy Olsen on February 23, 2016

Hi Sarah.

I have been using the Black Clay soap (once a day), the Toner Gel and Simple moisturizer for about 2 1/2 months. I have also changed my toothpaste, shampoo and conditioner as well. I cannot NOT use make-up; as I am 60, but have switched to Well People products. I l am happy with all the changes; they are great products. However, recently I became very frustrated with the PD areas ( chin, nose and right between my brows). I was getting quite a bit of dry flakiness especially around my nose area. I did email and Monika responded to stop the Toner Gel all together and just use the Simple Moisturizer. Is there anything else I could be doing; as I am VERY frustrated.

Thank you so much for your time!

Christine Stubbs

Christine Stubbs on February 08, 2016

@April – That’s a tricky one! Could it be the products or toothpaste your dates are using? If you’re really sensitive to fluoride, for example, you might even get bumps after kissing someone who just brushed? Or is he using a skin or beard product that is heavy or irritating to your skin? Also, new relationships can probably elevate your stress level, even if it’s in a mostly good way – could that be playing a role? Sending hugs! -SV

@Emma – When I hear that people’s eyelids are affected, it makes me very suspicious of sodium laureth sulfate, which is a leading cause of eyelid dermatitis. Have you made sure that you’ve eliminated it in all hair care and toothpaste? Cetraben is quite packed with parabens and ethoxylated ingredients, so I have never tried it on my skin for those reasons. In general, I would say that a cleansing gel is probably going to be very drying to your skin. You might order a sample of our Black Clay Facial Soap and Purely Simple Face Cream (so you can test them for a bit), and we do ship to the UK! Wishing all the best – SV

@Cyndi – I hope you and your naturopath have found some solutions by now. PD does not spread to the fingers, but that does not mean that all of your skin conditions are totally separate. Once your skin is in a state of distress, it seems more likely for other skin conditions to flare as well. It could be stress, hormones, or some autoimmune conditions. You can certainly get checked for pyrrole disorder (a simple urine test) to determine whether this is playing a role. KP is a different skin condition, and we’ve had some folks report that using our Oh So Soap and either the Unscented or Night Body Oil can be helpful. Sending lots of support! -SV

@Rayray – Have you made sure to eliminate sodium laureth sulfate in all hair care and toothpaste, and fluoride in toothpaste? These are the most likely things to keep your skin in an irritated state. While Elidel is not a steroid, you can still have a mild flare up when you stop using it. It sounds like you’re doing an amazing job taking care of yourself and contributing to your own health. I’d say keep doing what you’re doing, double check for SLS and fluoride, and maybe decrease sugar/gluten in your diet for a bit to see if you notice a difference? And remember that your beauty is WAY more than skin deep! XO – SV

@Jamie – so sorry for your struggle! It’s just so frustrating, and can be so uncomfortable. Topical antibiotics irritated my PD, and I have found that to be true for many. I usually recommend using only the oral antibiotics if you’re going to treat with antibiotics. As for skin care, I hope our Soothing Starter Set helps – be sure to use the kit as directed on our website, to increase your chances of calming your skin. And email us on the site if you need any help. Above all, remember that the more you stress about your skin, the worse your skin will behave – it’s a certainty. Just breathe, have faith, and take slow steps to heal yourself, as you’re doing. Sending support your way – SV.

Sarah Villafranco, MD on February 08, 2016

I have been struggling with perioral dermatitis for the last year. I work in a salon and are around sodium laurel sulfate products. I only work in the salon one day a week and when I do my dermatitis flairs up. I have been using steroid cream on th e flare up places and it seemed to help but not make anything better. I just went to a dermatologist this week and he put me on a oral antibiotic and antibiotic cream . It is now 10 times as bad, my face is so irritated and mad after only four treatments of the antibiotic cream. It is everywhere on my face except for my forehead. He said I was probably having withdrawal from the steroid cream and I probably am but also feel the antibiotic cream is making it worse. I have been using anti aging products as well as advanced acne treatments , glycolic peels for the past few years as after I got off the bc pill years and years ago, I stared having acne. It sounds as though after reading your site, many of the things to avoid for perioral dermatitis, I have managed to use all of them.
My face is swollen, red, itchy, blistery in places and feels like it’s on fire. I am embarrassed to leave my house as it seriously looks like I have a serious skin disease or almost disfigurement on my face.
If you have any immediate suggestions to help calm it down at this time I would greatly appreciate it! Also is there any makeup that you use that does not have the anti aging properties, As I’m concerned to continue to use the makeup I’m using now. I ordered your soothing sample set.
Thank you!

Jamie Jackson on February 06, 2016

Hi, I’m 16 and i’ve had PD for about 6 months. I have it around the corners of my nose and in my nostrils a little bit. I was prescribed ‘Elidel’ as well as 6 weeks of Doxycycline, which I finished roughly a week ago. However, I’ve noticed over the last few days that it is still sprouting up in random spots near my mouth (my doctor said it is possible for PD to spread by the touch). I have eaten a vegetarian diet for 5 months in the hopes that it will get better, but to no avail. I recently became vegan and have been for over a month, however I’m still having difficulty reducing my condition. Being a teenage girl, not only is it rare at my age but it’s also very embarrassing and makes me feel extremely self-concious! With my condition, I have not a clue what could’ve caused this. I know it wasn’t stress, and I don’t put heavy creams on my face in this area. This area however was the oiliest on my face, could that be a factor? I feel as though the consistent Elidel and Doxycycline has helped a lot, but its getting worse since my prescription ended? Just curious as to what anyone suggests. Thanks! x

Rayray on February 03, 2016

Hi! I think I have PD; going to ND in two hours. Mine is around my mouth, starting to show up on my nose, and it looks like the left side of my face is flaring up (cheek area). I also woke up today with rashes on some of my fingers between my knuckle and joint. Is it possible for PD to spread like this?

Also, I read a little about pyorre disorder and wonder if I could have that. I have pilaris ketosis on my upper arms and my ND is working on my thyroid. I’m also 9 months Post partum and am nursing so hormones could be a factor for me.

Do you think the same skin regime will work on my PK? My 4 year old has the bumps from KP as well. Will it help him? Any insight into KP?

Thank you – Cyndi

Cyndi on January 23, 2016

Hi I am 37 and have mild peri oral dermatitis. I also get it in the corners of my eyes sometimes. As I’ve got older and had a baby my skin has become thinner and I have fine lines round my eyes. I try not to use any products with fragrance or anti ageing chemicals or even essential oils as over a week or so the redness gets worse round my mouth. I’m presently using Cetraben cleansing gel and moisturiser. However my skin feels both tight and dry and greasy! I get blocked hard spots around my chin which seem to be solid blocked oil – yuck! Really confused how to proceed. I used nothing on my skin at all for three months a few years ago and I still had the red ring round my mouth. Any suggestions and do you ship to the uk?

Emma on January 21, 2016

Maybe someone could help me, but I only experience my PD when I have dated someone. The last time I had PD was about two years ago, but it came back recently when I got back together with one of them. I’m not sure why I only get it really bad when in with one of them, but it is very frustrating. I have tend to notice I get pimple like bumps above my lip/on my lip and I’m not sure if that it actually my PD coming it. I usually have a few of those bumps on my lip a month, but they go away. I’m pretty reluctant with trying antibiotics because it’s either hit or miss. If I do get antibiotics for it, is there a good possibility I won’t experience PD again? I don’t want to be in fear of dating people just because I’m scared my PD will flair up :(

April on January 15, 2016

@ Marie – it’s on Amazon here:

@ Keysha – I’m so sorry for your frustration – it’s so upsetting when you’re on what you think is a path to healing and it turns out to be the wrong path. I would say the lifestyle changes in this article and the other PD article on our blog are the most important things to do right away – get rid of fluoride and SLS immediately. If you want to try any Osmia products, I would start with the Black Clay Facial Soap, and just start by ordering a sample. Also, be sure to support your skin with a healthy diet and stress management – those things matter way more than we could ever imagine. Sending lots of love and support! – SV

@ Lexie and KT – I totally agree that hormonal contraception can play a huge role in PD for some people. Unfortunately, you have to experiment a bit to figure it all out. If you need to be on contraception, you might consider a topical form, like the Nuvaring or Mirena – those may achieve lower systemic levels of hormone fluctuation. You can also try taking Oona, an herbal hormone supplement that helps even things out (for me at least). Be patient and kind with yourselves, and remember your skin is not doing this to make you mad! Sending love – SV

@ Steph – Amazing research and advice. Way to be your own health advocate (and detective!!).

@ Sarah – I have found coconut oil to be exacerbating to my PD, almost without exception. Feel free to try the Black Clay Facial Soap and Purely Simple on your daughter – they are safe for her, and might help clear things up a bit. Love to you both – SV.

@ Amy – So much information, and so little certainty = so frustrating! I would think these products would be fine for both acne and eczema, as PD is really a cross between the two. You can always order samples on our site so you can try before you buy. And be sure to make the recommended lifestyle changes – those are so critical for long term change. You might also order a sample of our Spot Treatment, in case any “spots” crop up while you’re trying new products. Wishing you all the best – SV.

@ LC and Jo – Thank you so much for sharing, and excellent job healing yourself!! – SV

Sarah Villafranco, MD on January 11, 2016

Where do can you purchase the Sea Fresh Toothpaste by Jason ?

Marie Wells on January 11, 2016

I am a 36 year old black female with sensitive and problem skin problems. In my teens I suffered my acne, 20’s I had eczema and roseca and now I have been struggling with PD for almost 5 years now. I know it started from me using Locoid a steroid cream for about 3 years. I was put on Doxycycline and tried several topical creams such as protopic, metro gel, finacea, and etc but every time I would use one of those creams on the area around my mouth it would make it worse. Now my GP advised me to stop using the doxycycline because its affecting my kidneys so Im back to square one recently I have been researching natural remedies and I had dried mother’s apple cider vinegar which helped a little. If any one has any suggestion please help.

Keysha on January 09, 2016

Re: KT – yes I think that my PD is 100% linked to my birth control pills. I was on name brand Ortho Cyclen for years. The pharmacy switched me to Mononessa generic. My pd is a mess. I just figured it out for sure tonight. I’m going off of it. I also think I aggravated it by unknowingly applying hydrocortisone cream, not realizing it was the PD once again. No more pills for me. My face hurts :-( looks awful. Good luck :-))

Lexie on January 07, 2016

I had PD about two years ago. It came up randomly and worsened when I tried to use steroid creams to get rid of it. The doctors gave me many different creams that just made it worse. Eventually, I did some research and decided to cut out all products with sulfates. So I changed my toothpaste, soap and shampoo…. but still nothing happened. Then, I realized that my laundry detergent had sulfates in it…. So I re washed my bed sheets in this all natural, sulfate free detergent. To my surprise and delight, my skin completely cleared up within less than a week and I have not had an outbreak since (I still continue to use sulfate free products). So for everyone out there who has PD and uses laundry detergent with sulfates, try switching detergents! Worked super well for me (and coincidentally, for my boyfriend about a year later).

steph on January 03, 2016

Leave a comment

comments have to be approved before showing up.