Hi. are you taking any oral antibiotics for your perioral dermatitis? If so, how long did you take them? I am taking dynacin and also using metrogel but I haven't noticed a lot of improvement. It was under control, and then it flares up again. Also, I get a some spots on my cheeks. What kind of concealer do you use. How long have you been using the spectrojel? I gave up on it after a few weeks. Maybe I need to try again.