Beauty Tips For Body Care
I have been a lurker of this sub for a long time and it has helped me immensely. One condition that I sometimes see pop up in posts is Perioral Dermatitis but it is never addressed in depth. Having amassed lots of information on it I thought a megapost would be useful. It's gonna be long so brace yourself! I'll try to format but it's my first post ever on reddit.This is a quite common skin condition though it is poorly understood. Because it has a variety of presentations it can easily be mistaken for hormonal acne, sebhorreic dermatits or even eczema. The one common factor is its placement around the mouth (that's what perioral means), though it can spread / appear around the eyes and in other areas of the face, like the nostrils. This is why it's also called Periorificial Dermatitis.The rash can have papules (red bumps with no pus) papulovescicles (oozing red bumps) and pustules (whitheads), and generally the skin looks red and irritated. Sometimes it comes with erythema (redness) which usually spares a thin border around the lips. It can be dry or oily, flaky on top of bumps and can flush kinda like rosacea. Basically PD is like the monster child of rosacea and acne, and doctor don't know exactly what causes it. See a good article with pictures from dermnetnz.org hereWhat are the suspected culprits?use of steroids either in cream or nasal sprayfluoride in toothpastesls in cleansers, toothpaste and other productsispopropyl myristatevaseline and petrolatum based productsabuse of cosmetics, creams, sunscreen, over-moisturized skinexpired or dirty productshormonal imbalance or hormonal contraceptivesirritants such as mint and cinnamon (sometimes found in lip balms)triggers in people with specific sensitivities can be gluten, sugar and alcohol, spicy foodsit can be aggravated by harsh wind and uv exposureunclear if correlated in some cases to demodex mitesSo what can one do about it? Firstly, because it can be triggered by many products, zero therapy. Zero therapy is also recommended during treatments.The following table has remedies shared by users on the left and therapy recommended by derms on the right. The home remedies are not reported in scientific literature but are a result of anecdotal evidence from people reporting their result on the internet. It's always important to try one thing at a time and patch test everything to avoid adverse reactions.Home remedies & natural treatmentsPrescriptionsapple cider vinegarsulfur face washzinc oxide or zinc pastetopical antibiotichydrogen peroxidemetronidazoleafrican black soapantifungalsnoble zinc bar soapazelaic acidcalendula creamoral antibioticdiluted tea tree oiltacrolimus & pimocrolimusprobioticsspironolactone or contraceptive pill with drospirenoneaccutaneMy StoryI have always taken care of my skin, but this sub cemented my love for skincare, to the point where my new year's proposition in 2015 was to wear sunscreen everyday. My skin is mixed/oily, sometimes acne prone, and I had a full skincare routine which for the first time made me proud of my skinPM:oil cleanser with emulsifiersuriage xemose face wash(not every day) AHA or BHA from Bravura Londonmoisturizer from UriageAM:face washmoisturizersunscreenmake upAt one point I was trying way too much stuff and slathering my face with products (got carried away, lol). I started having troubles coincidentally in summer when sunscreen application became more frequent. I suspect in particular Vichy Capital soleil which is the one I was using when the first bumps appeared. Also a rich foundation from MAC aggravated the pustules. They looked like angry chin acne, so I thought nothing of it and treated as such.After a while i realized the bumps formed a ring around my mouth and they were redder and more persistent than my regular acne. So i sent a picture to my derm which confirmed PD diagnosis. Treated with topical clindamicin for two weeks with success. Made the mistake of reintroducing make up and now 5 months went by, the PD is still there, it actually exploded, I went on doxycicline for 40 days, switched to Yaz pill from levonorgestrel pill. PD spread all over my face making me feel disfigured and miserable.Now I have finished the treatment with doxy, the PD is starting to look a little better and I'm afraid of using anything on my face. I learned in the process that my former pill was not working for me because I'm feeling much less depressed since the switch to yaz, and my pms symptoms improved A LOT. The results from the new pill should take 3 months to show according to my derm. Since my last visit she also prescribed an off the counter cream called Exfoliac by noreva which will take care of PIH. It has hyaluronic acid, BHA, AHA and ceramides, I have to use it twice a week along with topical clindamicin.Sorry for the uber long post but I tried to be as informative as possible. I'll be very happy if it helps anyone with PD or if anyone reading will learn from my mistakes that you should always be careful with overusing products. I think I was so obsessed with skincare that it actually hurt my skin. I look forward to hearing more suggestions from members of SCA in the comments! Please share your story and report what did and did not work for you.Here's an album with a before pic, a pic at my worse and one after I finished my course of doxy (few days ago). http://imgur.com/a/Q3sUl
Girls Blog 2015
Submitted by herhermit
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