I started dating a woman I met at Walmart, and after we were intimate, I woke up with these marks on my face. What is this?

The picture shows irritated skin around the mouth, including redness, dryness, peeling, small bumps, and yellow crusts.

It’s not possible to know exactly what it is just from a photo, but it may be a skin irritation, inflammation, or possibly an infection. Because it’s near the mouth and has crusting, it should be taken seriously and not self-diagnosed.

One possible cause is impetigo, a contagious skin infection. It often causes red sores around the nose and mouth that can break open, leak fluid, and form yellow or “honey-colored” crusts. It can spread through touching, towels, or scratching.

Another possible cause is perioral dermatitis, which is a rash that appears around the mouth as small red or skin-colored bumps. It can look like acne, but it’s different, and using strong acne treatments can sometimes make it worse.

Other possible reasons include eczema, contact reactions to products like toothpaste or skincare, irritation from saliva or shaving, cold sores, or a mix of irritation and infection.

Because several conditions can look similar, it’s best not to pick, scrub, or irritate the area and to get it checked properly.

When your skin is red, flaky, crusty, or sore, don’t pick or scratch it because it can make things worse. It can damage the skin more, cause more irritation, and spread germs to other areas. Using strong scrubs, harsh acne products, or too many skincare items can also hurt the skin’s protective layer.

It’s better to be gentle. Wash the area with mild soap or water, pat it dry with a clean towel, and avoid sharing things like towels, lip balm, razors, or skincare products. If the rash is leaking, spreading, painful, or crusting, it’s best not to cover it with makeup or try random creams.

You should see a doctor if the rash is getting worse, painful, warm, swollen, oozing pus, forming yellow crusts, or if you have a fever. A doctor can find out if it’s caused by bacteria, a virus, an allergy, or irritation. If it’s impetigo, it usually needs antibiotic treatment prescribed by a doctor.

Simple ways to prevent it include keeping your skin clean, avoiding irritation, and not sharing personal items.

To help stop the rash from getting worse or spreading, keep your hands clean and avoid touching it. Change pillowcases regularly and use your own towel. Don’t use heavy makeup, scented skin products, or steroid creams unless a doctor says it’s okay. Even things like toothpaste, saliva, or licking your lips can make the skin around the mouth more irritated.

The main point is that a rash like this shouldn’t be ignored, especially if there are crusts. It might be treatable, but the right treatment depends on what is causing it. A doctor or skin specialist can check it properly and help prevent it from getting worse, spreading, or leaving scars.

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