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Rosanne (Stouffville, On, Canada) on 01/24/2013

I am female, 45 years old, and I've been struggling with perioral dermatitis for the last few months. Initially I did not know what it was, so I went to the the doctor, and he gave me... Steriod cream! Argh!

I started researching on my own, which led me here, and made me realize what a bad move it had been to start putting steroids on my face. I gradually weaned myself off that cream, but of course, as soon as I did, the rash exploded all down my chin.

I am writing this post, mostly to encourage others to be patient with the course of their treatment, whatever remedies they choose to try. I became discouraged when I read posts where someone tried some product for three days and suddenly they were all better, because after weeks, I was certainly not.

So...the first thing I tried, and what I believe did make the biggest difference was ACV. I would swab Organic Apple Cider Vinegar over the spots twice a day. It was not a miracle cure, and there were times I would despair because I did not seem to be getting any better, but I could see that it was changing. I kept going with it mostly because I couldn't find any GSE (more on that in a minute). But after 6 weeks, lo and behold, no more new spots... Much less flaking... And I could honestly say I was healing. 6 WEEKS... 6 weeks of patiently applying it twice a day. I also started drinking it a couple of times a day- 1 or 2 tbsp mixed in water with a bit of raw honey.

I would also apply some plain yogurt to the area after swabbing with the ACV. I figured that the ACV would kill off the nasties and the yogurt would put back what was good... That's just my theory, though. I left the yogurt on for about 10 or 15 minutes, then gently wiped it off with cold water. That always felt good.

After that, I would moisturize. For moisturizing, I did try coconut oil, but for me, it made things worse. What worked well was Calendula ointment. It's a little greasy-looking at first, but nice and gentle.

This routine helped after about 6 weeks, but I was still looking for something to get rid of it entirely. I had read the reviews about Grapefruit Seed Extract and wanted to try it, but I couldn't find the liquid. I bought some capsules and took them as directed on the package, but they honestly didn't seem to help. And then, I went to a health food store and asked them for GSE. It turns out, due to packaging regulations in Canada, that you won't find a product labelled GSE on the shelf. It is there, though. {the product that I bought is The Original Liquid with Vitamin A and Zinc, contains GSE }

Finally I had the elusive GSE. I started to take it in water, 3 times a day, 7 drops each time. That gave me heartburn, so I have cut back to 5 drops, 3 times a day. I made up a solution of 1 tbsp water, 10 drops of GSE for swabbing my face.

And now... Healing! I am still swiping my face (all of it) with diluted ACV twice a day. But I also dab the affected area with the GSE a couple of times a day, and also if I wake up in the night. I should say that I don't think I would do this if the rash were still really bad... I think that would be too painful and drying.

My best advice:

1. Be patient. :)

2. Be gentle. Don't make the mistake I did of using a commercial exfoliant, no matter how gentle, to try and get rid of the flakes. Trust me when I say that will make it much, much, worse! Yes, your skin will peel. I found that a very gentle scrub with a washcloth while removing the yogurt mask was the best time to get flakes off.

3. Treat the whole area from your nose to your chin and all around your mouth with whatever you are using (except the moisturizer, perhaps). Whatever this stuff is, it will jump around. If you are treating the rest of the area, any spots that do pop up will be small and quickly gone.

One more thought- I only recently started Oil Pulling and I can't help but wonder if that might be a helpful thing to add to the treatment routine of Perioral Dermatitis, especially using Coconut Oil. If it is, in fact some sort of yeast that causes this condition, then OP should help to correct that. Just a thought... I'll throw it out here in case someone more knowledgeable than me might like to consider that further.

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Replied By Rosanne (Toronto, Canada) on 03/11/2013

Update to my original post- I am healed!

Healing took four months from the time I first quit the steroids and started with the ACV.

What definitely worked: ACV applied topically, yogurt masks and Calendula ointment. I did apply the ACV full strength at first, but if I had to do it all over again, I would dilute it a bit with water. It is awfully harsh on skin that is sensitive to begin with. But it did get the job done.

What probably helped: ACV taken internally, GSE applied topically and taken internally, probiotics.

What may or may not have helped: Bioten, switching soaps to an all-natural glycerine bar, oil-pulling.

What made it worse: Aloe Vera gel, coconut oil as a moisturizer, commercial exfoliant.

Feedback on using ACV- I noticed that at first it would fizz and sting the affected area and that it would turn white. But as healing begins and continues, that stopped. When you apply ACV toner (that is, ACV diluted with water) to healthy skin it doesn't burn and it doesn't bubble up at all. I wondered if I might be damaging my skin by long term use of ACV, but that wasn't the case.

I also mentioned in my original post that it's a good idea to treat the whole area around the mouth, even if there are no spots. I should also have treated my nose! I was nearly healed around my mouth and chin when the area around my nostrils started to peel and flake. It didn't last long, likely because I was well on the way to healing from within, but still I could probably have avoided that small outbreak. Now I am wondering if the real root cause of my POD was connected with my long-term using of a steroid nasal spray.

I just wanted to again encourage anyone who is suffering with POD to be patient while trying to treat it. Just because a treatment doesn't work miraculously for you in 3 days doesn't mean it might not work for you in the long term. Best of luck to you.

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Replied By Hayley (Edmonton, Alberta Canada) on 04/22/2013

Anyone who has used yogurt, do you find that it stings? I just tried it today for the first time, and after a few minutes it started to sting!
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Replied By Anne (Las Vegas) on 09/01/2014

I use yogurt and it stings at first because its so cold. I think it helps but not sure. I stopped using fluoride toothpaste over a year ago and I still have the peri oral. I also am using unfiltered vinegar a couple of times a day. those things seem to help but not make it go away. I'm going to order some calendula. I read it has helped some people. I'm ordering it from where they make it. I found it online. the one at target has too many other things in it. I'm 78 1/2 years old and I got perioral feb 2013. it must be payback for my youthful mistakes.:-(. also using organic coconut oil.
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Replied By Nikki (South Carolina ) on 03/23/2016

Hello,

I was reading your post and I have been diagnosed with POD and have been given steroid ointment and antibiotic ointments to help ( my derm highly recommended oral antibiotics but I am breastfeeding and can not take it). The ointments cleared it up initially but it has come back. I went and bought some ACV and GSE (capsules) and want to begin trying something a little more natural. I also will try the yogurt mask. My questions to you are; after you were all cleared up, do you continue this as a daily routine? How do you keep it from coming back? And also, do the GSE capsules work the same as the drops?

Thank you for your post and I look forward to hearing from you!

-Nikki

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Replied By Rosanne (Toronto, Canada) on 03/24/2016

Hi, Nikki

It's been three years since I wrote about POD and I'm happy to say that once it cleared up for me, it pretty much stayed away. Rarely I will get a little flare-up around my nose, but just swabbing a few times with diluted Apple Cider Vinegar will nip it in the bud. I can always tell if it's POD by the fizzing feeling on my skin. Once that feeling is gone, I quit swabbing.

I did try the capsules and they didn't seem to work for me. But everyone is different and perhaps they will help you. If you can get liquid GSE you can use that to swab your face, so it might be worth looking for. I wish you the best, and I hope it clears up for you.

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Replied By Tab (Ky) on 06/24/2017

Thanks for your post. I've been reading all these post saying next day it was better, after 3 days it was gone, etc. That is not my story and therefore I was losing hope. Glad to hear your testimony.
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