Perioral Dermatitis Treatment in San Antonio & Stone Oak, TX

Do you regularly use face creams, moisturizers, or topical steroid creams? Have you noticed an itchy, red rash has started to appear around your mouth, nose, and cheeks? If you have noticed this, you may be experiencing perioral dermatitis.

Perioral dermatitis will often go away with proper treatment. Dr. Vivian Bucay is dedicated to helping diagnosis perioral dermatitis and come up with a successful treatment plan for this skin condition.

What is Perioral Dermatitis?

Perioral dermatitis is a common skin condition that results in the development of a rash. The rash will appear on the face, especially around the nose and cheeks. In some cases, this rash may spread to the eyes, but it rarely forms on the lips or the corner of the mouth.

It is unclear exactly what causes this rash to form. Some think that this rash forms as a result of overuse of moisturizers, topical steroid creams, or facial creams.

Perioral dermatitis typically lasts anywhere from several weeks to a year. Seeking treatment from Dr. Bucay can help speed up your recovery time.

What are the Symptoms of Perioral Dermatitis?

The development of clusters of tiny, pus-filled bumps is the most common symptom of perioral dermatitis. The bumps measure approximately 1 to 2 millimeters. The rash may be painful or itchy.

Before the rash forms, some people may experience a burning, tingling sensation right where the rash will form. This is often considered a warning sign that a rash is about to form.

How is Perioral Dermatitis Diagnosed?

Dr. Bucay can make a diagnosis of perioral dermatitis with a brief physical examination of the rash. This physical examination combined with your answers to several questions can help her determine if the rash is caused by perioral dermatitis.

What Treatment is Available for Perioral Dermatitis?

The first step in treating perioral dermatitis is discovering the cause of the rash. Dr. Bucay will often ask you to stop using any facial moisturizers, lotions, and creams, especially if they contain a topical steroid.

After stopping the use of any products that may be causing the rash, Dr. Bucay can provide you with recommendations on how to treat your perioral dermatitis. Treatment recommendations can include the use of antibiotic pills and creams that may contain benzoyl peroxide, sodium sulfacetamine with sulfur, or metronidazole.

It may be tempting to want to put moisturizers and locations on the rash to sooth the itchy, but it may make it worse. Before putting any creams, lotions, or gels on the rash, it is best to discuss it with Dr. Bucay.

Perioral dermatitis is a treatable condition. Schedule a visit with Dr. Bucay to learn more about this condition and to receive a personalized treatment plan that can help you find relief from the itching.

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“Very comfortable environment, all staff very were very professional, and Dr. Bucay was a delight. She is an artist with the skills and compassion that focus specifically on the clients needs. Dr. Bucay is amazing.”

–Jorie K.

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Exciting News – We’re Moving!

For 35 years, as a board-certified dermatologist, I have provided compassionate and exceptional care while offering the latest advancements in skin health and rejuvenation.

 

Health care continues to evolve toward regenerative medicine and longevity, and dermatology is no exception.

 

My core beliefs are that health and beauty are not mutually exclusive, but beauty must never come at the expense of health. Skin health is foundational to overall wellness, and my mission is to empower every patient with the education and tools to optimize skin health.

 

In this spirit, I am thrilled to announce that effective August 3, 2026, the Hardy Oak location of Bucay Dermatology and Aesthetics will have a new home at Stone Oak Physician’s Plaza II, where I will be sharing a wonderful space with Dr. Michelle Harden, MD, Concierge Women’s Health, Menopause, Lifestyle Medicine.

 

I cannot think of a better setting that reflects the future of comprehensive wellness, regenerative care, and healthy aging.

 

I look forward to welcoming both our longtime patients and those visiting us for the first time to our new location:

 

Stone Oak Physician’s Plaza II

540 Oak Centre Drive, Suite 280

San Antonio, TX 78258

 

Now accepting new patients

To schedule your appointment, please call 210.692.3000

 

I am grateful for your trust and confidence – Vivian Bucay, MD

 

P.S. Of course, we will continue to welcome patients to our “La Casita” Monte Vista location at:

La Casita

326 W. Craig Place

San Antonio, TX 78212

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