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Navigating Perioral Dermatitis:
A Holistic Approach to Healing

Perioral Dermatitis (PD) may sound like a mouthful, but for those who have experienced this skin condition, it's more than just a name. This increasingly common and potentially chronic eruption of raised, fluid-filled bumps around the nose, mouth, and eyes can be frustrating to deal with. In this article, we'll explore the intricacies of PD, its potential triggers, and how Traditional Chinese Medicine (TCM) offers a holistic approach to healing.

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Facial Jade Roller
Juliette is great! I have been seeing her for almost 6 months now. She has definitely changed my skin! She is thorough, and has her patient's holistic goals in mind. Juliette never makes you feel rushed, is attentive, thoughtful and kind. As a plus she is fun person and only recommends what you truly need, without having you spend tons on expensive unneeded stuff. Above all she is honest and very clear with process, what to expect. I definitely recommend her!

Brenda, Florida

Understanding Perioral Dermatitis:

PD, also known as Perioral or Periorbital Dermatitis, tends to manifest in one's 20s-30s with a spontaneous onset. While women are more commonly affected, it's on the rise among children of all sexes. The condition can fluctuate seasonally or worsen over time if left untreated. Unlike acne and rosacea, PD typically spares other areas of the face.

Identifying Triggers and Aggravators:

The exact cause of PD remains unknown, but certain factors are known to worsen the condition. Topical and inhaled steroids, fluoride toothpaste, as well as various skincare products, are common culprits

Hormonal changes, especially in younger cis women, may also contribute to PD development.

Recognizing and avoiding these triggers can help manage symptoms, but they might not prevent future flares.

Traditional Chinese Medicine for PD:

TCM offers a unique perspective, addressing both acute symptoms and the underlying imbalances that contribute to PD.


In TCM, the initial step of herbal therapy for Perioral Dermatitis (PD) centers on quelling the inflammatory process and alleviating the redness and eruptions.


As the condition gradually stabilizes, our approach involves incorporating specific herbs to foster balance and stability within the body's systems and the skin. 


For menstruating people with PD, menstrual dysfunction is often addressed alongside skin issues. The goal is not just symptom management but identifying and treating the root cause for long-term stability.

Individualized Treatment Plans:

Every case of PD is unique, requiring a thorough TCM diagnosis to create a personalized treatment plan which is adjusted monthly based on your needs until the skin is clear. Juliette Aiyana takes an extensive health history at the first consultation which usually takes about 1.5 hours.


Holistic Healing with Chinese Herbs:

Unlike completely relying on topical products, TCM emphasizes internal healing. Custom herbal formulas, tailored to individual needs, contain 8 to 18 herbs.


Clients drink the herbal tea twice a day, with the formula adjusted every three to four weeks based on the condition's progress.


In some cases, Chinese herbal skin care is recommended.

Treatment duration for perioral dermatitis typically lasts 3 to 6 months, depending on the severity.

Living with PD:

PD is not just a skin condition; it's a rough cycle for those who experience unrelenting flares. The frustration of trying various over-the-counter products, dermatologist-prescribed cortisone creams, and makeup that may worsen the condition can be overwhelming. TCM offers a different more holistic approach, focusing on internal balance and long-term stability. 


Traditional Chinese Medicine offers hope for those seeking alternatives to pharmaceuticals. By addressing both symptoms and underlying imbalances, TCM Dermatology provides a personalized roadmap to healing from the inside out.


If you or someone you know is struggling with PD, consider exploring the benefits of TCM for a path to lasting skin health.

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