Expert review
Your skin is not a template. A Canadian-licensed medical professional reviews your photos and history before choosing a treatment.
Get perioral dermatitis treatment online
Small bumps around the mouth often have a clear cause and a clear plan. Your clinician reviews your photos and, when appropriate, may prescribe metronidazole, azelaic acid, pimecrolimus, tacrolimus ointment or doxycycline.
Photo: Johannes Köhler, CC BY-SA 4.0, via Wikimedia Commons. Edited: colour and crop.
Perioral dermatitis treatments
Most plans start by stopping facial steroids, then add one treatment.
Modern Dermatology
Elidel
Pimecrolimus
Prescription only
Elidel
Pimecrolimus
Modern Dermatology
Protopic
Tacrolimus ointment
Prescription only
Protopic
Tacrolimus ointment
Modern Dermatology
MetroGel
Metronidazole (topical)
Prescription only
MetroGel
Metronidazole (topical)
Modern Dermatology
Doxycycline
Prescription only
Doxycycline
Azelaic acid
Your skin is ready to calm down.
Perioral dermatitis often gets worse with creams that were meant to help. We help you stop the trigger, simplify your routine and, when appropriate, add one prescription. Your Care Team stays with you through the first flare.
- Canadian-licensed medical professionals
- Prescriptions sent to your pharmacy or delivered to your door
- Ongoing support from your Care Team
- CA$175 per consultation
Your care at a glance.
- Per consultation
- CA$175
- Available nationwide
- Canada
- Based on your clinical assessment
- Your plan
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
No more guessing. Real care, from day one.
Evidence-based treatments
No trends, no guesswork. Your plan uses prescription treatments that dermatology guidelines support.
Photos, not appointments
Care on your schedule. Most skin concerns can be assessed from your photos and answers, with no video call.
Ongoing support
We stay with you. Send progress photos and message your Care Team when you have a question or need a refill.
Delivered to you
From prescription to doorstep. Pick up at your pharmacy, or have your treatment delivered to your door.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentYes, in most cases. You answer a questionnaire and upload photos of the rash. A Canadian-licensed medical professional reviews them and prescribes when appropriate. If the diagnosis is unclear, your clinician may ask you to see a doctor in person.
It is a rash of small red bumps and sometimes pus-filled spots around the mouth. It can also appear around the nose and eyes. A thin clear band of skin often stays free next to the lip edge. It is not an infection, and it is not contagious.
Steroid creams used on the face are the most common cause, including borrowed creams. Steroid inhalers and nasal sprays can play a part. Heavy face creams and some toothpastes may also contribute. In some people no clear cause is found.
Acne has blackheads and whiteheads, and rosacea mostly affects the cheeks and nose with flushing. Perioral dermatitis sits around the mouth, nose and eyes, with tiny uniform bumps. Your clinician checks your photos to tell them apart, because the treatments differ.
Stop every steroid cream on your face. Then keep your routine simple, with a gentle cleanser and one plain moisturizer. Do not stop a prescribed inhaler or nasal spray without talking to your clinician or the person who prescribed it.
The rash often flares for 1 to 2 weeks after you stop. This is expected and does not mean the plan failed. Many people restart the cream at this point, which keeps the rash going. Your Care Team helps you get through this period.
Your clinician may prescribe metronidazole (MetroGel), azelaic acid (Finacea), pimecrolimus (Elidel) or tacrolimus ointment (Protopic). For more widespread rash or rash near the eyes, doxycycline may be added. Your clinician decides which treatment fits you.
A course of treatment usually lasts about 6 to 8 weeks. Many people see the rash settle during this time. Your clinician reviews your photos near the end to decide if you can stop or need another step.
Creams may cause mild stinging, dryness or redness at first. Pimecrolimus and tacrolimus ointment can cause burning on first use. Doxycycline can upset the stomach and make skin burn more easily in the sun. Your clinician explains the risks before you start.
Doxycycline is generally not used in pregnancy or in young children. Tell your clinician if you are pregnant, plan to become pregnant or are breastfeeding. Other options may suit you better.
See a doctor in person if the rash spreads to the eyelids with eye pain or vision changes, is very painful, weeps or crusts, or does not improve after about 8 weeks. Your clinician may also ask to see you in person if the diagnosis is unclear.
Avoid steroid creams on your face unless a doctor tells you to use them. Keep your routine to a gentle cleanser and one plain moisturizer, and skip heavy creams. If the rash returns, send new photos to your Care Team early.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.