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Integrative Dermatology Solutions

Integrative Approach for Chronic Eczema That Keeps Coming Back

For individuals experiencing persistent eczema that improves temporarily, then flares again — despite treatment.

A physician-led, integrative approach designed to help you understand what may be driving your eczema and how to move toward more stable skin over time.

Designed for people who have not achieved lasting results with their current care

You’re in the right place if…

Your eczema improves with treatment, but continues to return

You've used topical steroids or prescriptions without lasting relief

Your skin feels reactive, unpredictable, or difficult to manage

You're managing flares, but not seeing long-term improvement

You want to understand what may be contributing to your eczema

Why eczema often doesn't fully resolve

 

Many eczema treatments focus on calming symptoms during a flare. While this can be helpful short-term, it often doesn't address the broader factors that may be contributing to ongoing inflammation. In clinical practice, this can look like:

Temporary improvement followed by recurrence

Increasing reliance on topical treatments

Skin that becomes more reactive over time

 

Eczema is often influenced by multiple systems — including barrier function, immune signaling, and microbiome balance. Without addressing these layers, long-term stability can be difficult to achieve.

A more comprehensive approach to eczema care

 

Care is designed to support your skin through a personalized, ongoing process.

01

Comprehensive Evaluation

We begin with a detailed review of your history, triggers, and prior treatments to better understand your specific pattern of eczema.

02

Personalized Strategy

Your plan may include:

  • Barrier repair strategies

  • Inflammation support

  • Microbiome considerations

  • Nutritional and lifestyle factors

03

Ongoing Refinement

Follow-up visits are used to assess progress and adjust your plan over time, supporting more consistent improvement.

What this approach offers

01

A more individualized understanding of your eczema

02

A plan tailored to your specific presentation

03

Ongoing adjustments as your skin responds

04

A broader framework for managing chronic inflammation

Other conditions

 

Care extends to a range of chronic and inflammatory dermatologic conditions.

Rosacea

Facial redness, flushing, and inflammation from a chronic skin condition.

Acne

Clogged pores, excess oil, bacteria, and hormones causing breakouts.

Psoriasis

Rapid skin cell turnover causing thick, scaly, and inflamed patches.

Alopecia Areata

Autoimmune condition causing patchy hair loss and disrupted growth.

Topical Steroid Withdrawal

Rebound skin reaction after prolonged use of topical steroids.

Perioral Dermatitis

Inflammatory rash around the mouth, nose, or eyes from triggers.

Seborrheic Dermatitis

Redness and flaking in oil-prone areas like the scalp and face.

Dr. Meghan Larivee

Dr. Meghan Larivee

Dr. Larivee is a naturopathic physician with over 15 years of experience, focusing on chronic dermatologic conditions including eczema, acne, and topical steroid withdrawal.

Her work integrates dermatologic science with a systems-based approach to better understand complex, treatment-resistant skin conditions.

Next Steps in Your Care

 

If you're looking for a more comprehensive, personalized approach to managing chronic eczema, begin with an intro consultation.

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