From the Guidelines
Dry skin around the mouth is most commonly caused by a combination of environmental factors, skin conditions, and nutritional deficiencies, and can be effectively managed with gentle skin care, moisturizers, and treatment of underlying conditions. The causes of dry skin around the mouth can be multifactorial, including environmental factors like cold weather, low humidity, and excessive sun exposure, which strip moisture from the skin 1. Frequent face washing with harsh soaps, hot water, or alcohol-based products can disrupt the skin's natural barrier, leading to dryness and irritation. Medical conditions such as perioral dermatitis, eczema, seborrheic dermatitis, and psoriasis often manifest as dry patches around the mouth. Allergic reactions to toothpaste, lip products, or foods may trigger irritation and dryness. Nutritional deficiencies, particularly of vitamins B, E, and essential fatty acids, can contribute to skin dryness. Dehydration and aging also reduce skin moisture retention.
Some medical conditions, such as Sjögren's syndrome, can cause dry mouth and skin around the mouth, and require specific management strategies, including baseline evaluation of salivary gland function and therapeutic approaches to oral dryness, such as salivary gland stimulation or saliva substitution 1. However, the most effective approach to managing dry skin around the mouth is to use gentle, fragrance-free cleansers, apply petroleum jelly or thick moisturizers containing ceramides or hyaluronic acid several times daily, and consider a humidifier in dry environments. For persistent cases, hydrocortisone cream (0.5-1%) can be applied sparingly for up to 7 days. If symptoms persist beyond two weeks or worsen with over-the-counter treatments, consulting a dermatologist is recommended, as prescription medications may be necessary to address underlying conditions.
Key considerations in managing dry skin around the mouth include:
- Avoiding harsh skin care products and excessive washing
- Using gentle, fragrance-free cleansers and moisturizers
- Applying petroleum jelly or thick moisturizers containing ceramides or hyaluronic acid several times daily
- Considering a humidifier in dry environments
- Treating underlying medical conditions, such as Sjögren's syndrome, with specific management strategies
- Consulting a dermatologist if symptoms persist or worsen despite over-the-counter treatments.
From the Research
Causes of Dry Skin Around the Mouth
- Dry skin around the mouth can be caused by various factors, including skin conditions such as eczema or atopic dermatitis 2, 3
- The use of topical corticosteroids, which are commonly used to treat eczema and other inflammatory skin conditions, can also contribute to dry skin around the mouth, especially if used for prolonged periods or on sensitive areas such as the face 4
- Other factors that may contribute to dry skin around the mouth include harsh skin care products, cold weather, and dry air
- There is limited evidence to suggest that dry skin around the mouth is directly related to the use of hyaluronic acid, which is often used to improve skin hydration and reduce signs of aging 5
Treatment and Management
- Treatment for dry skin around the mouth typically involves the use of moisturizers and topical creams to help hydrate and protect the skin
- In cases where eczema or atopic dermatitis is the underlying cause, treatment may involve the use of topical corticosteroids or other anti-inflammatory medications 2, 3
- It is essential to follow proper application and usage guidelines for topical corticosteroids to minimize the risk of adverse effects, such as dryness and irritation 4