
If you’ve ever experienced a rash around the mouth or eyes that simply won’t go away, it could be perioral dermatitis.
Perioral dermatitis is an inflammatory rash that accompanies small white pustules. It can be incredibly irritating and sore to touch – it can also make you feel very self-conscious and embarrassed in public. The skin can also become very flaky and dried out.
At least, this was my experience with the rash. I always wanted to hide my face and never wanted to go anywhere because I felt like everyone would just stare at the huge red marks on my face. I got tired of explaining myself everywhere I went. I felt like I was not a good image of what the raw vegan diet was supposed to give you – beautiful, glowing skin. I felt like I was a failure of sorts.
My Experience With Perioral Dermatitis
I got the skin rash just months after quitting birth control. Now, perioral dermatitis is sort of a mystery to the medical community. Not many people know how its caused or why its caused, but what they do know is that it can be brought on by the following (1):
– Topical steroids, either when they are applied to the face on purpose or by accident
– Nasal steroids, steroid inhalers, and oral steroids
– Cosmetic creams, make-ups and sunscreens
– Fluorinated toothpaste
– Not washing the face
– Hormonal changes or oral contraceptives
– Stress (which can cause hormonal changes)
The only thing that I could really relate to was hormonal changes – I figured that because I went off birth control my hormones were freaking out and I got the rash. The only reason I attributed it to this was because I had never used topical steroids or nasal steroids, never used make-up, sunscreen or cosmetic creams, ditched fluorinated toothpaste many years before and my face washing regime was on point.
The rash also coincided with a water fast I completed and ended a little bit too early. The rash showed up on my face around the last day of my water fast – day 5 or 6. I figured my body was detoxing a bunch of junk from my past, which included nasal steroids, fluorinated toothpaste, make-up, sunscreen, and cosmetic creams. My body was simply trying to detox these substances that had been lodged into my fat cells for so long, but it never really got a chance to fully eliminate itself.
This is where the problem began. As much as I wanted to water fast again to end the problem once and for all, I decided to just stick to making plenty of green juices, and stick to the raw food diet (which is incredibly cleansing in itself). My face was very inflamed. I didn’t take any pictures at the time (which I regret, because I’d love to show you all the major improvement my face has made over the years), but the pustules and redness mostly showed up around both sides of my nose (following the smile creases), as well as below my bottom lip around the chin, and next to my eyes (which is a spot where perioral dermatitis can sometimes pop up as well).
For me, I thought the pustules were just little pimples and so I began popping them. Bad idea. Do not pop the pustules. The best thing you can do is leave it alone and don’t touch it. Of course, I didn’t know this is what I had in the beginning, so I just popped the little pustules and put tea tree oil on them.
I did my research on the internet and eventually discovered what I had. I spent an endless amount of hours and time researching and trying to find ways to cure the issue. It had been a month and my problem only got worse. I tried tea tree oil, apple cider vinegar (which stung like a b*tch and made it 10x worse), and basically everything under the sun. Nothing worked.
I was determined to not use prescription medication or prescription creams on my face because I know from experience and research that these things just make conditions worse, and also make you dependent on them. I also know that skin conditions occur because something is off inside the body. Our skin is a direct reflection of what’s going on inside, and so I figured if I just stuck to raw foods and gave my body some time off birth control that it’s eventually clear itself.
As much as I knew that diet and lifestyle had to remain clean and clear of any irritants and stress, I still felt like I had to put something on the skin condition to help it heal. After many late nights and hours of researching more into this very confusing skin condition, I finally stumbled across this blog by pharmacist Dawn Marie. Her explanations of the condition, and how bacterial skin conditions work made so much sense – and finally a light bulb went off.
A Little Bit of Sugar for Perioral Dermatitis?
As the title suggests, sugar kills perioral dermatitis. As explained by Dawn Marie in her blog:
“In premodern times, the idea that sugar can facilitate the healing of wounds has been documented. Mesopotamians were known to wash wounds with water or milk and subsequently dress them with honey or resin. Mesopotamians also documented the severity of wounds and which conditions were optimal for facilitating the rate at which the wounds would heal. Other substances, in conjunction with sugar, such as plant derivatives, wine, and vinegar were explored and implemented to determine their efficacy in wound healing.
In 1679, Scultetus made use of finely powdered sugar to clean wounds. Zoinin, in 1714, promoted the value of sugar for promoting wound and ulcer healing. In modern times, the use of sugar as a general treatment for the healing of wounds has received much attention in Latin America, Europe, and Asia. Currently, Brazil is the world’s leading producer of sugar, with 566 million tons cultivated in the 2008–2009 market year. Brazil is projected to increase production to 605 million tons for the 2009–2010 market year. This vast production makes sugar readily available and cheap. These attributes make the use of sugar an attractive candidate for the healing of wounds, especially in economically challenged areas. Moreover, certain types of wounds such as chronic wounds may benefit from a more cost-effective method of wound healing.”
She later goes on to explain the mixture that she used to cure her perioral dermatitis, which was cyclical for her and incredibly sore, irritating, burning and made it difficult for her to talk and smile. She combined powdered icing sugar with olive oil and applied this mixture to her face every day, 24/7. She made sure the mixture was on her face every minute, every second of the day, even while sleeping.
The reason she combined sugar and oil is simple. As she states, “Sugar has an antimicrobial effect because it deprives bugs of water (osmotic effect). The little critters shrivel up and die (bactericidal). Like salt on a snail. Sugar also lowers wound pH (makes it more acidic) which stops the bacteria from multiplying (bacteriostatic). Oil also functions in a physical way. Oil coats the bacterial cell wall (outer membrane). This apparently interferes with the ability of the cell to bring in food and water while preventing the elimination of garbage from the cell. In addition to the above, sugar helps skin to regenerate its barrier to a normal state.”
I started using the mixture rigorously, and never missed a day, or second for that matter, where the mixture was not on my face. It blended really nicely with my skin and you couldn’t really see it when it was on. The mixture treated and prevented the bacterial infection, sped up healing and decreased scarring.
I used the mixture for about 5 months until my skin was finally in tip-top shape. I still had an underlying redness that lingered about for around a year, but nothing too embarrassing. It would usually only come up if I rubbed that part of my face or scratched it.
The Mixture That Cured Perioral Dermatitis
To make the mixture combine 1 tbsp. powdered icing sugar and 1 tbsp. olive oil or hemp oil (Manitoba Harvest is the brand I used). Mix together and apply to the problematic areas – don’t ever take it off, always re-apply throughout the day as you need.
When you apply it at first your skin may get a little more red at first (for the first week or so), but it will not feel irritated. This may be the best relief you have felt the entire time you’ve suffered with perioral dermatitis. So keep in mind that it will look worse but it will feel better. It may also look as though it is growing – but don’t worry! Once your skin starts to calm down, you can use the mixture as often as needed. For safety precautions I left the mixture on for weeks after everything was gone, just to ensure that nothing came back.
It should also be noted that my diet remained relatively clean throughout this whole period. My hormones were also figuring themselves out after having been on birth control for 7 years. I slept plenty, drank 4 litres of water a day, got lots of sun and eliminated all chemical products from my life. I didn’t use face creams (only jojoba oil for moisturizing), and strictly washed my face with only water.
If you’re dealing with major hormonal problems, look to things in your diet or lifestyle that you could change. Eating a meat and dairy-heavy diet will automatically make you susceptible to absorbing excess hormones from these animal products (even if they’re free-range and organic). Menopause and other hormonal changes may also just take time for things to balance out again. If you’re experiencing menopause, consume foods like almonds, flaxseed, wild yams and take some evening primrose oil. Stress is another big factor that causes major hormonal fluctuations. I like to de-stress by making time for myself, creating music, making art, stretching, focusing on my breath, going out in nature, exercising, or reading a book.
Inspiration For Writing This?
I wanted to write my experience with perioral dermatitis because knowledge is power. I was also inspired to write about it because my mother came to me with the exact same condition on her face. She wanted to try other methods of getting rid of it, and she tried, but nothing worked better than the sugar and oil method. Her face is now clear of the dermatitis, except for one little spot that popped up between her eyebrows just recently. So she is sticking to the oil/sugar method, while at the same time finding ways to reduce stress and eat clean.
Best of luck to all of you! Please let me know in the comments below if you’ve decided to try this mixture, and if it works. Don’t give up! Be gentle on yourself. Be patient. This recipe does work you just need to give it time.








Hi Carly! My first PD flare up happened about 4 months ago and has stayed on my face ever since. I do not know what the trigger was but after doing intensive research it's between hormone imbalance or cortizone shots for cystic acne that I used to get in my late teens(though I am now 25). I also have a 1 year old but received the Paraguard shortly after giving birth which is supposed to be non-hormonal. I notice an extreme flare up happens around my time of the month.
My PD started as a small patch around the right side of the nose and now it is on my smile creases on both sides and lower chin. It has now spread in my nostrils, under my eyes and even on the forehead. I also am starting to itch on the sides of my cheeks!
I have been doing the following:
Intake-
only whole foods
very little meat (organic grass fed)
gluten free diet
dairy free
nut free
egg free
processed food free
sugar free
pure spring water 1 gallon a day!
strong probiotics
zinc supplements
l-glutamine supplements
bone broth collagen
green smoothies
ACV diluted(stopped 3 days ago)
anti-biotics(stopped 3 days ago)
Topically-
no make up(never wear any and do not own any)
essential oils(stopped 1 month ago)
hydrocortizone cream(stopped 4 months ago)
breast milk(stopped 1 month ago)
ACV dilluted(stopped 3 days ago)
baking soda(stopped 1 month ago)
lotrimin(stopped 1 month ago)
metronidazole gel(stopped 1 month ago)
clyndamycin antibiotic gel(still using)
fresh aloe vera leaf(still using)
I am currently on vacation and the flare up is pretty bad combined with redness and severe itching. My period is also late again. (I am not pregnant.) I am tempted to try this mixture once I get home and can be calm and patient. Any advice, suggestions, or encouragement would be much appreciated being that I am sitting in the hotel room about to burst into tears. My husband even feels sorry for me now though tries to tell me, "you can barely see it babe." I have freckles so it does kind of blend in when the redness subsides. Thank-you for your time.
I would definitely give this a try. It was the only option for me that worked!
So I have tried this non-stop for 3 weeks. The first 2 nights seemed promising. But no change since then. I have done more research though on other blogs and youtube. Many people are saying it is a yeast infection. Well, doesn't yeast feed off of sugar? Anyway, one OTC made the list that works. Clotrimazole, which is anti-fungal or used for athletes foot. I am off to the store tomorrow. Good luck to all.
Update: So the clotrimazole has helped a ton. But even better has been taking the Apple cider vinegar internally (about a teaspoon to a tablespoon a day) and tea tree oil on the face. Yes, it burns but I am down to just redness now and no bumps.
I'm surprised the tea tree oil and apple cider vinegar is working. It burned so bad, and actually made my condition more worse, plus it left redness on my face (almost as if I burned my skin) for months after the fact.
Hey Carly,
Thanks for this wonderful post. I have been suffering with PD around my mouth as a side effect from using steroid cream..started sugar oil method 2 days ago.. I am not itchy anymore.. noticing some changes not a big difference though..hoping for the best.. I have some quick questions.. I took granulated sugar powdered it in blender and mixed with olive oil..is that ok? And should I buy icing ng sugar separately.. also when reapplying I am washing off the previous dried one with plain water n then applying.. if not I feel like powdery sugar drying up..it is not that bad though..sometimes I just pat some oil only on top n it loosens a bit.. what ever I am doing is ok? Or is there any changes to be made ?
Thanks for your time ! All is well !
Hello! Blending the sugar into powder should be okay. And yes, washing and re-applying is just fine. That all sounds like you're doing it just right! Just make sure it's on 24/7, and re-apply as needed in that time period. If there is like an hour in the day where you can't wear it, that's fine. And some will rub off during sleep, which you can't really avoid. Just try your best! Be patient and persistent 🙂
Hey carly! Thanks for your prompt response.. feeling slightly more change today than last two days.. able to see my actual skin..almost in tears..thanks again..fingers crossed !!
All is well !!
Amazing! So glad it is working out! 🙂
Hello !
Btwn I have cracked lips..I mean the corner of my lips and very very little bleeding..is that common? Normally it happens to me during winter..just wanted to make sure..thanks !
Cracked lips is often a food sensitivity (or at least I've found that in my own experience) – try to stay away from inflammation-causing foods like soy, wheat, dairy and highly processed and refined foods. Also, try to drink at least 3-4 litres of water daily.
Thanks for your prompt response.. when u say diary products should I avoid yogurt and clarified butter as well?
Thanks for your time!!
Yes, those are dairy products!
Dear carly..I amsorry to bother u..I tried to do some research about non diary milk.. is it ok to consume almond milk or which is the best alternative.. I am exclusively bfeeding my little one..so I have to make sure to eat properly to keep up the milk supply.. at the same time want to get rid of my PD..appreciate ur help.
Almond milk is great, even better if you can make it fresh yourself!
Great than you
Dear Carly,
I do apologize for asking so many questions.. instead of sugar can I take jaggeryand instead of wheat can I eat millets.. Appreacite all ur help.. thanks again
Yes, gluten-free will be better than wheat. Try to reduce sugar consumption of all kinds.
Noted with thanks !!
Thanks for all your help!!
I developed PD about 8 months ago. I am currently pregnant, but it started a few months before hand. What do you use for washing, moisturizering and makeup? I’m starting the paste today praying it’ll help.
Hey Shelley. When I had PD I did NOT use any makeup at all. I washed my face with water only (I didn't wear makeup so didn't need any kind of sudsing), and for moisturizer jojoba oil only. If you must use makeup, use 100% Pure.
Ok. Thank you. Yes, unfortunately I need makeup. It looks absolutely terrible. Lol. Have you been told of any good products to use for makeup? Such as the Young Living or Sephora makeup?
Hey Carly,
Thanks again for all ur help..so I started taking almond coconut milk and totally stopped all diary products, sugar, wheat, processed food and so on.. I am eating only lentils, beans, rice , fruits, bitter gourd juice for a week now. Last few days I notice that during mid night and early morning the inflammation is very less and skin is not reddish but during day time and evening skin is very red and inflamated.. I had oranges n lemon rice, potato curry..wondering if I should avoid citrus fruits.. and potatoes.. btwn applying the sugar olive oil mixture 24/7..It has been 12 days since I started this treatment and I skin very little improvement and also I notice whitish skin around the inflammation as though there is some skin discoloration..pls kindly advice me what's going on.. thanks again for all your time and effort..
Best Regards,
Sudha
Maybe cut out the rice? Rice has high arsenic levels. It will get worse before it gets better with the mixture. If it doesn't work after a month, you will have to try something different.
Thanks again for your prompt response !!
I've been struggling with PD for a while now but didn't know what it was until I just went to the dermatologist. Thought it was just really stubborn acne. The derm presscribed elidel and and dapsone which is supposedly really strong and I was nervous to try it. But I'm so desperate to get rid of the PD so was I going to try it. I went to pick it up from the pharmacy and they said it was $760 because my insurance won't cover it. No thanks! I'm trying out your method starting today. I saw somewhere else that the sugar is supposed to be "naturally" powdered sugar. I'm not really sure if my sugar is "natural" or not. Do you think this would make a big difference?
Hey Chris – As long as it is powdered icing sugar, I'm sure it will work. I saw at my local health food store a powdered icing sugar that has tapioca starch instead of corn starch (which would be better for the skin), but if all you can find is the regular icing sugar, it should work, because that's what I used, and it worked! Good luck!