The image shows irritated skin around the upper lip, mouth and chin, with redness, dryness, flaking, small pimples and some yellowish crusts.
While it’s not possible to diagnose a skin condition from a photo alone, this type of rash can indicate that the skin barrier is inflamed, irritated, or possibly infected. Because it’s located near the mouth and has crusting in some areas, it’s important to take it seriously and avoid making assumptions at home.
One possible condition that often causes concern when yellow crusts appear around the mouth is impetigo, a fairly common contagious skin infection. According to the Mayo Clinic, impetigo typically causes reddish sores around the nose and mouth that can break open, ooze, and then form a honey-colored crust. It can be spread through contact, towels, clothing, or scratching. The CDC also notes that impetigo lesions can appear around the mouth and nose and form yellow or “honey-colored” crusts.
Another possible cause is perioral dermatitis, a rash that appears around the mouth and can look like small red or skin-colored bumps. The American Academy of Dermatology explains that it can resemble an acne-like outbreak around the mouth and can also affect the nose or eyes. This condition is not the same as common acne, and using harsh acne products can worsen the irritation.
Other possibilities include eczema, contact dermatitis, saliva irritation, reactions to toothpaste or skin care products, shaving irritation, cold sores, or a combination of irritation with a secondary infection. The NHS notes that impetigo can resemble other skin conditions, such as herpes, eczema, shingles, or chickenpox, so a proper medical evaluation is important.
**Why You Shouldn’t Touch or Rub It**
When the skin is red, scaly, crusted, or sore, manipulating it can worsen the problem. Scratching or squeezing the lesions can further damage the skin, increase irritation, and spread germs to other areas. Harsh exfoliants, products containing alcohol, harsh acne creams, or overly aggressive skincare routines can also damage the skin barrier.
A safer approach is to keep the area clean and gentle. Wash with a mild cleanser or just water, pat dry with a clean towel, and avoid sharing towels, lip balms, razors, or facial products. If the rash oozes, spreads, is painful, or crusts over, it’s best to see a doctor rather than covering it with makeup or trying random creams.
