Perioral Dermatitis (Rose Mouth) – Causes, Symptoms & Treatment

Periorale Dermatitis (Mundrose)

Perioral dermatitis , also known as mouth rose, is a non-contagious and harmless facial skin disease that manifests itself as redness and pimples. In most cases, it is caused by excessive use of care products on the face. If you consistently do without these care products, the perioral dermatitis usually heals without any problems.

What is perioral dermatitis?

Perioral dermatitis , also known colloquially as mouth rose, is a harmless disease of the facial skin.

Perioral dermatitis primarily affects women between the ages of 20 and 40. However, there are also known cases in which men or children suffer from mouth roses. The harmless skin disease is manifested by red pustules, spots, irritation and pimples in the nose, forehead and mouth.

Perioral dermatitis is often psychologically very stressful for affected patients, even if it is one of the harmless diseases. Mouth rose is neither contagious nor transmissible and usually heals without major difficulties.


How perioral dermatitis develops is not really known. However, doctors suspect that mouth rosy is related to excessive care of the facial skin and the cosmetics and cleaning products used.

This is why the disease is also referred to as stewardesses disease , since this professional group attaches great importance to their appearance and, a few years ago, used cortisone-containing products to improve facial skin without medical supervision. It is now known that cortisone promotes the development of perioral dermatitis. In addition, there are certain risk factors that can explain the development of mouth rosy. This includes, for example, easily irritated or very sensitive skin or the presence of certain allergies , such as to fragrances or ingredients in cosmetics.

Excessive use of cosmetics or cleansing products disrupts the skin’s natural protective barrier, making it dry and more susceptible to infections. Affected patients often have the feeling that their facial skin is particularly dry and use more care products. This also promotes the development of a mouth rose.

Symptoms, Ailments & Signs

It is typical of perioral dermatitis that the symptoms appear only on the face, mainly around the mouth (perioral). The lips are not affected, a small, narrow strip remains that is symptom-free and does not show a rash. The skin becomes dry, tight and burns.

In addition, the face may be swollen and red . Itching and flaking are also possible. Red nodules or pus-filled blisters a few millimeters in diameter can also form. Although the characteristic location for perioral dermatitis is the mouth region, it can also appear on the chin, nose, especially the nostrils and cheeks.

Less commonly, the skin lesions are found on the forehead, around the eyes, or on the eyelids. Only in exceptional cases do they spread over the entire face and down to the neck. The rash is intensified by UV light, but also by mechanical irritation if the patient scratches the affected areas because of the itching.

Hormonal fluctuations can also make symptoms worse. In women, this sometimes happens before the onset of the period. Because the rash is clearly visible on the face and cannot be covered up, sufferers often feel disfigured and suffer greatly as a result.

Diagnosis & History

Perioral dermatitis can be diagnosed relatively quickly by a dermatologist based on the typical redness and pimples on the face .

However, with the help of certain skin tests and blood tests, he will rule out more serious diseases such as acne or neurodermatitis . In addition to examining the facial skin, the dermatologist will ask about the care products used and the type of application in order to draw up a treatment plan for erysipelas.

If the patient follows the doctor’s recommendation and temporarily refrains from using care products, the perioral dermatitis usually improves very quickly. Healing of the mouth rose can be expected within a few weeks.


Serious physical complications are not to be feared with perioral dermatitis. Mouth rose only shows up on the face and is limited to superficial impairments. There is no destruction of the skin. In addition, the disease can be treated without problems.

Antibiotics can only be used in severe cases. Perioral dermatitis usually heals without consequences within four to six weeks. However, in some patients it recurs later.

It is important that mouth rose is treated consistently, which includes weaning the skin off creams. This requires a lot of self-discipline. In the initial period of treatment, those affected often experience a stronger feeling of tension in the skin due to the withdrawal of the cosmetics.

Negative consequences of perioral dermatitis threaten if left untreated. There is a risk of a relapsing and chronic progression of the disease. It can then take several months or even years for the mouth rose to heal. But sometimes it heals without leaving any scars.

If there is significant damage to the face due to perioral dermatitis, this increases the risk of bacterial infections that require medical attention.

A common complication of mouth rose is psychological impairments. In such cases, those affected become so ashamed of their appearance that they become socially isolated. In the case of severe mental stress, psychotherapy can prove to be useful.

When should you go to the doctor?

If peculiarities and changes in the complexion occur when using cosmetic products or care preparations, the products should not be used any longer as a first step. If your health improves and the irregularities heal completely, the creams used should be checked for their ingredients and avoided in the future. In addition, it is advisable to have an allergy test carried out by a dermatologist so that the person concerned can get an overview of the existing intolerances.

If the symptoms arise after the use of prescribed medicines, it is necessary to consult the doctor treating you. Dry skin, development of scales on the mouth, and blistering should be presented to a doctor. In the case of sporadic changes in the appearance of the skin that occur in sexually mature girls and women in connection with menstruation, a doctor should be consulted. The hormonal fluctuations can be treated and treated in medical care. Itching, open wounds and spreading of the affected region to other areas of the face should be discussed with a doctor.

Caution should be exercised if pus forms. Severe cases can lead to sepsis and thus to a life-threatening condition. If the affected person suffers from mental and emotional irregularities due to the skin changes, a doctor’s visit should also take place.

Treatment & Therapy

In most cases of perioral dermatitis , the doctor treating you will advise you to stop using cosmetics and skin care products so that the skin can recover and calm down.

However, this is difficult for many patients, mainly because the mouth rosy may temporarily worsen after stopping. In this case, the doctor usually recommends medically sensible and harmless products to the patient, which are used as a substitute for the usual cosmetics.

In more severe forms of perioral dermatitis, there can be inflammation of the skin on the face, which must be treated by the doctor with antibiotic creams or medication. Under no circumstances should affected patients themselves experiment with creams or ointments that contain cortisone.

This active ingredient also increases the problem of mouth rosy. Effective treatment of perioral dermatitis is possible only in consultation with a dermatologist.

Outlook & Forecast

In most cases, mouth rose can be cured relatively well. The disease itself is relatively harmless and cannot be transmitted to other people through the infection. However, a doctor should still be consulted relatively early on in the case of oral rhinitis and treatment should continue to be initiated so that complications or other symptoms do not occur later on. Self-healing rarely occurs, so that medical and care products should always be used to counteract the symptoms of mouth erysipelas.

If the mouth rose is not treated at all, it can continue to spread and significantly reduce the aesthetics of the affected person. Many of those affected suffer from a reduced quality of life and also from reduced self-confidence.

Treatment of mouth roses can permanently limit the symptoms, although re-infection is still possible. Complete protection against the disease cannot be built up with this. In many cases, visits to a beautician are also very important in order to prevent the disease from recurring. Stress should also be avoided, whereby a healthy lifestyle with a healthy diet can also have a positive effect on the further course of this disease.


In principle, anyone can develop perioral dermatitis . In order to avoid the outbreak of the skin disease, it is advisable to use as few facial care products as possible. If a patient has already had mouth roses, he should be careful in future not to care for the skin excessively again. Otherwise there is a great risk of recurrence of perioral dermatitis.


Follow-up care consists primarily of preventing renewed flare-ups of perioral dermatitis. Patients can help with the regeneration of the affected skin with special applications from trained beauticians. If possible, no additional care products or cosmetics should be used during the therapy of an acute outbreak. Nevertheless, those affected can gradually use sparingly products without irritating ingredients such as fragrances or preservatives or emulsifiers during aftercare.

Special plant substances and vitamins, such as those contained in care packs, help sensitive skin to regenerate. A particularly important active ingredient is linoleic acid. The double unsaturated fatty acid reduces skin inflammation and improves the resistance of stressed skin. It is also recommended to use aloe vera because it has anti-inflammatory properties and soothes the skin.

The sun’s vitamin D is also important for aftercare, as it helps to heal inflammation. In order to reduce the visible capillaries, the vessel walls of the skin should be strengthened with the help of vitamin K. Amino acids are also recommended. These protein building blocks regenerate the skin that has just healed.

Hyaluronic acid, on the other hand, promotes the skin’s natural ability to store water and thus prevents it from drying out. Those affected are advised to contact a trained beautician for aftercare who, if possible, is in contact with the treating dermatologist.

You can do that yourself

In the case of perioral dermatitis, patients can do a number of things themselves to help alleviate it. It is particularly important not to end the therapy prematurely, as otherwise the symptoms will very likely recur.

The aim of the therapy is to eliminate the factors that cause the skin to become ill. For this purpose, a waiver of cosmetic care products and make-up is essential. The face should only be cleaned with clear water. Patients should only apply a moisturizing cream if they have a feeling of tension, based on the effects of mouth rosy, after consulting their doctor.

A zinc cream, on the other hand, supports the healing of perioral dermatitis and should be applied thinly to the affected area of ​​skin. Pads with black or green tea also help to heal the mouth rose. To do this, the tea must be applied to a piece of cloth when cooled and then placed on the inflamed area of ​​the face for about 15 minutes. During the 15-minute treatment, the pad should be soaked several times in order to benefit from the associated cooling effect. The tannins in the tea cause the diseased skin area to dry out and thus lead to healing.

Lisa Newlon
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Hello! I am Lisa Newlon, and I am a medical writer and researcher with over 10 years of experience in the healthcare industry. I have a Master’s degree in Medicine, and my deep understanding of medical terminology, practices, and procedures has made me a trusted source of information in the medical world.