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Facial Fold Dermatitis in Bulldogs: Prevention and Treatment Options

Cute portrait of beautiful smiling English bulldog with sticking out tongue lying on grass outdoors, selective focus. The breed of dog belongs to moloss group

Bulldogs are charming companions with their wrinkled faces and endearing personalities, but those adorable skin folds can hide a painful condition. Facial fold dermatitis develops when moisture, bacteria, and debris become trapped within the deep folds of a bulldog’s face, creating an environment where infection thrives. This condition causes redness, irritation, foul odor, and discomfort for your dog, making early recognition and proper care essential.

At Broadway Veterinary Hospital, we understand the unique needs of brachycephalic breeds like bulldogs. Our team, including Dr. Sam Varnon, who specializes in bulldog procedures, has extensive experience treating facial fold dermatitis and helping bulldog owners maintain their pets’ skin health. With proper prevention and timely treatment, you can keep your bulldog comfortable and avoid more serious complications.

What Is Facial Fold Dermatitis?

Facial fold dermatitis, also called skin fold pyoderma, occurs when the deep wrinkles on a bulldog’s face create dark, moist pockets. These areas lack adequate air circulation, allowing bacteria and yeast to multiply rapidly. The condition typically affects the folds around the nose, eyes, and lips, where moisture from drooling, tears, and nasal discharge accumulates throughout the day.

Why Bulldogs Are Susceptible

Bulldogs produce natural oils and shed dead skin cells just like any dog, but these materials become trapped within their facial folds. When combined with moisture, this creates the perfect breeding ground for bacterial or fungal infections. Food particles can also lodge in these crevices during meals, adding another layer of potential irritation.

Recognizing the Signs of Facial Fold Dermatitis

Early detection of this skin condition in bulldogs makes treatment much more effective. Your pet’s behavior and appearance can provide important clues about developing skin problems.

Common Symptoms to Watch For

Watch for redness or raw patches within the skin folds, often accompanied by a musty or unpleasant odor. Your bulldog may paw at their face more frequently or rub against furniture to relieve the itching. You may also notice discharge or crusting within the folds, and your dog may become sensitive to touch around the affected areas.

Progressive Warning Signs

As the condition progresses, the skin may develop brown discoloration or hair loss around the folds. Some bulldogs experience more serious symptoms, such as swelling or bleeding, if the infection deepens. Any of these signs warrant a veterinary examination to prevent the condition from worsening.

Facial Fold Dermatitis Prevention Strategies

Establishing and maintaining a skin cleaning routine is your dog’s best defense against facial fold dermatitis. At Broadway Veterinary Hospital, we can help you understand the steps to take and tips to protect your bulldog’s skin to keep them comfortable. 

Daily Cleaning Routine

Gently wipe your bulldog’s facial folds with a soft, damp cloth or veterinary-approved wipe. Pay special attention to the deep creases where moisture tends to collect. After cleaning, thoroughly dry each fold with a separate clean cloth, as any remaining moisture defeats the purpose of cleaning.

Establishing Consistency

Consistency matters more than the products you use. Establish a routine where you clean your bulldog’s face at the same time each day, perhaps after meals when food particles may be present. Some owners find success with twice-daily cleaning, particularly during hot weather when dogs produce more moisture. You can also apply a thin layer of veterinary-recommended barrier cream to protect the skin after cleaning and drying.

Treatment Options for Facial Fold Dermatitis

When prevention fails, several treatment options can address facial fold dermatitis. We can help you identify the right treatment, depending on the severity of the infection and your dog’s individual needs.

Medical Management

We may prescribe medicated wipes or topical antibiotics to combat bacterial infections. Antifungal medications help if yeast contributes to the problem. More severe cases might require oral antibiotics or anti-inflammatory medications to reduce pain and swelling. These treatments work best when combined with improved daily hygiene practices.

Surgical Solutions

For bulldogs with persistent or recurring dermatitis, surgical intervention may provide a permanent solution. Facial fold resection removes excess skin, reducing the depth of the folds and improving air circulation. This procedure significantly decreases the likelihood of future infections and improves your dog’s quality of life. Our surgical team has extensive experience performing these specialized procedures for brachycephalic breeds.

When to Seek Veterinary Care

Knowing when to schedule an appointment can make a significant difference in your bulldog’s comfort and recovery. The following situations may indicate the need for professional evaluation and treatment:

  • Signs of infection persist despite regular cleaning and proper hygiene
  • Your bulldog shows increased discomfort, excessive scratching, or rubbing of the face
  • Discharge, bleeding, or swelling develops within the facial folds
  • The affected area spreads or worsens rapidly
  • Your dog refuses to eat or shows behavioral changes due to pain

Prompt treatment prevents minor irritation from developing into deep tissue infections. Our veterinary team can assess the severity of the condition and recommend an appropriate treatment plan tailored to your dog’s needs. Bulldogs with facial fold dermatitis may also experience related conditions, such as cherry eye or breathing difficulties, so a comprehensive examination allows us to address all aspects of your dog’s health.

Get Specialized Treatment for Your Bulldog at Broadway Veterinary Hospital

Our practice has developed a reputation for providing outstanding care to bulldogs and other brachycephalic breeds throughout Sacramento. Dr. Sam Varon, a graduate of UC Davis School of Veterinary Medicine with highest honors, has particular skill in surgeries crucial for short-faced breeds, including facial fold resections, cherry eye repairs, and various eye surgeries. 

Together, our UC Davis-educated team, including Dr. Tyler Baum, performs advanced procedures, including eyelid repairs, entropion corrections, and BOAS (Brachycephalic Obstructive Airway Syndrome) repairs using laser technology. We take pride in offering compassionate care with the technical skills bulldogs require. Contact us today to discuss your bulldog’s skin health and learn how we can help keep those adorable wrinkles healthy and comfortable.