What Is Perioral Dermatitis?

Causes of Perioral Dermatitis

The causes of perioral dermatitis are complex – usually, several factors interact:

Overcare & Wrong Skincare

Too many creams, strongly occlusive products, or cortisone-based ointments disrupt the skin’s natural balance. The skin barrier weakens, pores become clogged, and inflammation develops – leading to the typical red pustules around the mouth and nose.

Diet and Gut Health

Nutrition can also play a role. Highly processed foods, sugar, alcohol, or dairy products may promote inflammation in the body and place additional stress on the skin. Many sufferers report that an anti-inflammatory diet rich in vegetables, healthy fats, and low in sugar has significantly improved their POD symptoms.

Stress as a Trigger

Stress is a frequent cause of skin problems. When stress hormones such as cortisol are released, the skin barrier weakens, sebum production increases, and inflammatory processes intensify. This can aggravate existing skin conditions or trigger POD for the first time.

Hormonal Factors

Hormones also play an important role. Fluctuations caused by the menstrual cycle, pregnancy, or discontinuation of the pill can make the skin more sensitive and prone to inflammation. For some, POD occurs most often during hormonal transition phases.

Mechanical Irritation & Environmental Factors

Frequent mask-wearing, friction from scarves in winter, or strong UV radiation and heat in summer can irritate the skin and promote POD.

POD Treatment: The Zero Therapy

As paradoxical as it may sound – the most important treatment for POD is to do nothing. This so-called “zero therapy” means:

• Stop using all creams, ointments, and make-up products
• Clean only with lukewarm water and a soft microfiber cloth
• No rubbing – gently pat the skin dry instead
• Stick with it for 6–12 weeks – even if symptoms initially worsen
• Avoid direct sunlight

It may seem strict, but this step is essential for the skin barrier to regenerate.

Step by Step: POD-Friendly Skincare

After zero therapy, skincare can be slowly reintroduced:

1. First Step: Protective Day Cream

A gentle, soothing cream protects against external stressors without over-nourishing the skin.

Example: The Anti-Pollution Day Cream by DOC BERGER EFFECT shields the skin from UV, blue light, and infrared radiation, formulated with a skin-identical base.

2. Gentle Cleansing

• Initially only in the evening, using a mild foam cleanser (e.g., Foam Sensitive).
• Later, also suitable for morning use.

3. Mild Tonic

A tonic regulates excess sebum, restores the skin’s optimal acidic balance, and refines the complexion.

4. Light Night Care

After a few weeks, a light night cream helps regenerate the skin barrier overnight.

5. Integrating Serums Long-Term

Once the skin has remained stable for at least three months, serums can be added – e.g., with collagen, hyaluronic acid, aloe vera, or Matrixyl 3000 to hydrate and calm the skin.