PoreWise

Skin concern

Perioral dermatitis

Primary source

Perioral dermatitis: a common facial condition with acne-like, often eczema-like eruptions around the mouth, nose or eyes. Mainstream care is “zero therapy” (stopping triggers) plus a clinician's plan; gentle, non-medicated skincare can be a low-risk adjunct. The strongest evidence comes from a 2014 human trial: In an 8-week open study of 51 people with perioral dermatitis, twice-daily use of a drug-free soothing cosmetic fluid was associated with significant within-group improvement in perioral dermatitis severity (PODSI) and in itching, skin tightness and appearance over time; the improvement was better.

2014 · 51 people · PMID 25143674; 2020 · 48 people · PMID 31660683. See a clinician first; gentle skincare can be a low-risk adjunct. Diagnosis and prescription treatment stay with a clinician.

Where the definition comes from

Source wording

“Perioral dermatitis is a common cutaneous condition characterized by acneiform facial eruptions often with an eczematous appearance.” — Searle et al., J Cosmet Dermatol 2021 (PMID 33751778).

Ingredients at a glance

2014 · 51 people · patients with clinically diagnosed perioral dermatitis treated for 8 weeks at two German university dermatology departments, sex or subtype breakdown · PMID 25143674

Ingredient Measured outcome Based on Certainty Year
— Skin effect Human trial Very low 2014
— Skin effect Human trial Very low 2020

Study limits

Study conditions and measured outcomes.

  • ev-perioral-dermatitis-tolpod-fluid Human trial · 2014

    Open-label, non-randomized, non-blinded single-arm study compared with a non-concurrent historical vehicle group, stopping the triggering product, or natural resolution. A 2022 systematic review of perioral dermatitis found low to very low certainty evidence, all for drug interventions.

  • ev-perioral-dermatitis-trpv1-cream Human trial · 2020

    Open-label, non-blinded and uncontrolled. A systematic review of perioral dermatitis reports low to very low certainty evidence, with drug interventions and trigger avoidance as the mainstay; a skin care cream is management.

Research-backed approaches

These studies measured finished products and whole routines.

  1. 1 Skin effect
    Efficacy and Safety Results of a Drug-Free Cosmetic Fluid for Perioral Dermatitis: The Toleriane Fluide Efficacy in Perioral Dermatitis (TOLPOD) Study

    In an 8-week open study of 51 people with perioral dermatitis, twice-daily use of a drug-free soothing cosmetic fluid was associated with significant within-group improvement in perioral dermatitis severity (PODSI) and in itching, skin tightness and appearance over time; the improvement was better.

    Human trial · 2014 · 51 people · patients with clinically diagnosed perioral dermatitis treated for 8 weeks at two German university dermatology departments, sex or subtype breakdown · Gentle, drug-free cosmetic or emollient-type skincare as low-risk supportive care for perioral dermatitis, the efficacy of any specific skincare active, or a substitute for medical treatment. · Open-label, non-randomized, non-blinded single-arm study compared with a non-concurrent historical vehicle group, stopping the triggering product, or natural resolution. A 2022 systematic review of perioral dermatitis found low to very low certainty evidence, all for drug interventions.

    PMID 25143674

  2. 2 Skin effect
    Efficacy of a skin care cream with TRPV1 inhibitor 4-t-butylcyclohexanol in the topical therapy of perioral dermatitis

    In 48 people with perioral dermatitis, a skin care cream containing the TRPV1 inhibitor 4-t-butylcyclohexanol significantly reduced perioral dermatitis severity scores, subjective numerical ratings, transepidermal water loss, erythema and improved quality of life over 8 weeks.

    Human trial · 2020 · 48 people · patients with perioral dermatitis · People with perioral dermatitis using the skin care cream for 8 weeks. · Open-label, non-blinded and uncontrolled. A systematic review of perioral dermatitis reports low to very low certainty evidence, with drug interventions and trigger avoidance as the mainstay; a skin care cream is management.

    PMID 31660683

Common questions

How many people were studied?
2 findings · 2014 · 51 people · patients with clinically diagnosed perioral dermatitis treated for 8 weeks at two German university dermatology departments, sex or subtype breakdown · PMID 25143674
What can I use for Perioral dermatitis?
2014 · 51 people · patients with clinically diagnosed perioral dermatitis treated for 8 weeks at two German university dermatology departments, sex or subtype breakdown · PMID 25143674

Other concerns