
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! It's been just over a month since I started the oil/sugar method, and I am experiencing great results! The rash is about 85% gone, as is almost all of the itching and burning. In addition to using the mixture, I have also gone fragrance-free and SLS-free, discontinued use of any products containing fluoride (even in my drinking water), focused on greatly reducing stress, and adopted an anti-inflammatory diet (no gluten, no dairy, no added sugar, no nightshades). I feel like I've done a 180 in the last six weeks, and I am SO grateful!! 🙂 I still do not wear any makeup, which was scary at first, but I was ready to do absolutely anything to feel better. Also, I do wash my face with a tiny bit of Dove sensitive skin soap once a day, and I apply some very diluted ACV in the AM and PM (before the oil/sugar). This regimen has worked wonders for my complexion, both how it looks and how it feels. Thank you again for sharing your journey with all of us — it's been a lifesaver! 🙂
That's amazing Andrea, I'm so glad the mixture is working! Going makeup-free is also kind of freeing, I very rarely wear makeup anymore, and feel great about it! Thanks for writing your testimonial on here – the more the better!
I've been dealing with this condition for over 2 months now. At first thought it was a pimple, then went to the dermatologist and they gave me hydrocortisone cream that I used for a month 🙁 I wish I knew how bad it was then because now I know my face will be in an uproar. My doctor prescribed Elidel cream, but I haven't been able to fill it yet…but I don't know that I will. I'm desperate for this thing to go away, what was once just a nuisance is now taking over my entire life.
I've just started an anti-inflammatory diet, and eliminated basically all skincare products except water until my flare up calms down. I just bought jojoba oil, when should I put that on? And bought a variety of products from Osmia organics. Hopefully this helps, I'm going to try the sugar/oil combination. Can I just buy the typical powdered sugar? Or does it need to be like fancy?…Hopefully I have the same results as Andrea!
I know that when the body isn't happy, the face gets involved, and maybe this is a wake-up call that I need to change something in my life. It just feels alienating when you're the only person going through this..
Hey Christina – regular powdered sugar is fine (does not need to be fancy). As for the jojoba oil, just rinse your face with water when you're washing it (I don't use makeup so water is fine, but on the rare occassion I use makeup (from 100% Pure), I wash my face with an all-natural soap made locally here in Winnipeg). Pat dry and apply jojoba oil as you would a moisturizer.
Hi Carly!
Bumped in your blog while searching the web on what my problem is. I have seen already 3 doctors and they said 3 different diagnostics.
I used 2 creams and I had improvements but after stopping them, it came back within 2 days and got worse.
I then wrote on a FB group and I had a lot of responses on what to do. I now clean my face with thermal water and applying honey on my face before going to bed. I had a bit of improvements but for reasons I don’t understand, I have days when it comes back… Then it heals a bit back and then it gets back to
redness, pimples, flushing,…
I have a lot of stress these days (went back to school, having exams,…) and I am having other health issues…
I will try your remedy and hope it will heal with time.
I am scared to red that it takes you so much time to feel better and that it comes back when you scratch your face?
Thank you for the tip, will keep you posted!
ps. Sorry for any English mistakes, I am not a native English speaker
Just need to stay persistent with the oil/sugar mixture and stop using chemical-based products. All creams dermatologists give you will be steroid-based, meaning, your condition will go away while using them, but then will come back after use. The sugar-oil mixture does take awhile, but it is worth it in the end. Good luck!
Hello! Today is day one using the oil/sugar mixture but I couldn't find confectioners sugar without cornstarch in it. Will this still work? The mixture does turn matte from the cornstarch, so my face isn't oily as least!
Yes, that will still work! I think the icing sugar I used also had corn starch in it. I think most powdered sugar does.
I’m allergice to calendula, coconut oil etc. as well as any sun screen with oil in it. The blemished skin under my nose flair up red with pimples as well as skin flakes later. I’ve used Elidel and as long as I stay away from any oil (can’t event use oil for my nail cuticles) the cream keeps it in check. However, any oil will make my skin flair for weeks or even months.
Any suggestions for a different paste ingredient than oil?
Also, I worry that people who are allergic to sun screen and the like will get worse if they try this, so maybe that should be made clear in the article?
Best regards and thank you!
Nina
Most people are getting positive results with this mixture, so I don't think it is the oil that is causing your issues, perhaps the other harmful chemicals in sunscreen are making you break out (also, coconut oil isn't really a good option for skin on the face). This recipe works specifically with oil and icing sugar, as the two of them work together to kill the PD. There would be no other substitution I could recommend, as oil helps suffocate the bacteria causing the PD.
Hi, I had been using the oil/sugar for 3 weeks in combination with dr prescribed antibiotics for my PD. I stopped the antibiotics last week because 3 weeks is too much of antibiotics for me. I’m continuing with the mixture. It has definitely helped but not completely gone. When could I expect my area around my mouth to be back to normal?
Mine took over 5-6 months to get better. Still had some redness that took over a year to fully go away. If you were on antibiotics, and you've stopped, you might have a flare-up as your body was dependent on the antibiotics, and now it has to start from square 1.
Hi Carly! I’m so grateful for this post. I’ve been dealing with PD for several months now and have tried a bit of everything. I have a question- do you think putting manuka honey on 24/7 would work as well as the sugar/oil mix? I don’t have any powdered sugar or hemp oil (they wouldn’t be hard to get if need be) but I’ve got some high quality umf 20 manuka honey that I’ve been washing my face with the past 2 years. It worked sooo beautifully and my face never looked better until my hormones and gut went haywire on me and PD showed it’s nasty face. In keeping with your sugar kills PD theory I’m wondering if I just keep the manuka on all day if that might work in the same way as the sugar/oil? Have you (or any readers) ever tried that? Thanks 🙂
Hey Sarah – the honey might work, but I tried honey back when I had PD and it never worked for me personally. The oil/sugar is very specific, and was the only thing that worked, and for the purposes of this article, I suggest you try the oil/sugar.