How to CLEAR SEBORRHEIC DERMATITIS on the face| Dr Dray
Summary
TLDRIn this video, the host discusses seborrheic dermatitis, a chronic skin condition similar to dandruff, affecting oily areas like the face and ears. Flare-ups are common in colder seasons and can be triggered by stress or medical conditions. The host recommends managing the condition with scalp hygiene and over-the-counter treatments like salicylic acid, zinc pyrithione, selenium sulfide, and ketoconazole. They also suggest moisturizing and using sunscreen to protect the skin barrier.
Takeaways
- 🍂 **Seasonal Flare-ups**: Seborrheic dermatitis tends to flare more in fall and winter compared to summer.
- 🧬 **Genetic Connection**: It's a chronic inflammatory skin condition with a genetic predisposition causing an abnormal response to the yeast Malassezia.
- 🔴 **Symptoms**: It presents as red patches and flaky areas, especially around the nose, mouth, eyebrows, and beard in people with pale skin.
- 🌡️ **Stress and Health**: Stress, including emotional and physical, can trigger flare-ups, as can underlying medical conditions like HIV and neurologic issues.
- 💊 **Dandruff Link**: Seborrheic dermatitis is related to dandruff, and scalp care is crucial for managing facial symptoms.
- 🚿 **Salicylic Acid**: It's an effective active ingredient for managing seborrheic dermatitis, used in scalp shampoos and facial cleansers.
- 💧 **Scalp Hygiene**: Regular scalp shampooing with specific ingredients can control seborrhea and prevent facial flare-ups.
- 🛑 **Zinc Pyrithione**: Found in anti-dandruff shampoos, it helps calm the yeast causing inflammation.
- 🌞 **Sun Protection**: Sunscreen is important for those with seborrheic dermatitis to prevent additional skin irritation.
- 💧 **Moisturizing**: Regular use of a moisturizer can help with the skin barrier issues associated with seborrheic dermatitis.
Q & A
What is seborrheic dermatitis?
-Seborrheic dermatitis is a chronic inflammatory skin condition that is similar to dandruff on the scalp but can affect the face and other parts of the body, particularly areas with many oil glands.
What are the common areas affected by seborrheic dermatitis?
-Common areas affected include the face, especially around the nose, mouth, eyebrows, beard area, and ears. It can also affect any body site with a lot of oil glands.
How does seborrheic dermatitis present in people with pale skin?
-In people with pale skin, it often presents with red patches and flaky patches around the nose, mouth, eyebrows, and beard area.
What is the relationship between seborrheic dermatitis and dandruff?
-Seborrheic dermatitis is related to dandruff as they are both chronic conditions that can affect the scalp and face. Dandruff can exacerbate seborrheic dermatitis on the face.
What factors can trigger or worsen seborrheic dermatitis?
-Triggers include emotional stress, being run down, getting sick, and underlying medical conditions like immunodeficiency, HIV, epilepsy, or Parkinson's.
Why do people with certain neurological conditions tend to have worse seborrheic dermatitis?
-It's thought that people with neurological conditions like epilepsy or Parkinson's may have more neuroinflammatory mediators in their skin, which could trigger seborrheic dermatitis.
What is the role of the yeast Malassezia in seborrheic dermatitis?
-Malassezia is a yeast that lives on the skin, and people with seborrheic dermatitis may have a hyper-responsiveness to it, leading to an inflammatory skin reaction.
How can stress affect seborrheic dermatitis?
-Stress can increase oil production in the skin, which can worsen seborrheic dermatitis, as the condition is related to oiliness.
What is the significance of scalp hygiene in managing facial seborrheic dermatitis?
-Scalp hygiene is crucial because dandruff can worsen facial seborrheic dermatitis. Shampooing the scalp can help control seborrhea on the face.
What are some active ingredients that can help control seborrheic dermatitis?
-Active ingredients include salicylic acid, zinc pyrithione, selenium sulfide, and ketoconazole. These can be found in shampoos and cleansers for both the scalp and face.
How often should you use salicylic acid products for seborrheic dermatitis?
-Salicylic acid products can be used daily, especially during a flare-up, and then the frequency can be reduced once the condition is under control.
What is the role of moisturizers in managing seborrheic dermatitis?
-Moisturizers can help with the skin barrier issue associated with seborrheic dermatitis and reduce redness. They should be used consistently, especially at night.
Are there any prescription medications that can help with stubborn cases of seborrheic dermatitis?
-Yes, prescription medications like topical steroids, pimecrolimus (Protopic), and sodium sulfacetamide (Avar) can be prescribed for more stubborn cases.
Outlines
🌬️ Seborrheic Dermatitis Overview
The speaker begins by introducing the topic of seborrheic dermatitis, a chronic inflammatory skin condition akin to dandruff but affecting the face and other areas with oil glands. They note its increased prevalence during fall and winter, affecting people with pale skin with red patches and flakiness, while darker skin types may show lighter spots. The condition is linked to stress, underlying health issues like immunodeficiency or neurological disorders, and is related to an overactive response to the yeast Malassezia. Stress and hormonal changes can exacerbate it. The speaker also points out the importance of scalp hygiene in managing facial seborrheic dermatitis.
💧 Treating Seborrheic Dermatitis with Salicylic Acid
The second paragraph focuses on treating seborrheic dermatitis with salicylic acid, found in scalp shampoos and facial products. The speaker recommends using it daily during flare-ups and then reducing frequency as symptoms improve. They suggest Neutrogena T/Gel as a good shampoo and a face wash from the same brand for the face. The salicylic acid leave-on product by Polished is also praised for its anti-inflammatory properties, which can help manage oiliness and inflammation. An alternative scalp treatment without the need for shampooing is also introduced from The Inkey List, which can be used by those with dry hair or who cannot wash their hair frequently.
🧼 Other Ingredients for Seborrheic Dermatitis
This section discusses additional ingredients beneficial for seborrheic dermatitis, such as zinc pyrithione found in anti-dandruff shampoos like Head & Shoulders, which can also be used as a facial wash. The Vanicream Z Bar is highlighted as an effective and non-drying soap for facial cleansing. The speaker also mentions selenium sulfide, present in Selsun Blue and Head & Shoulders Clinical shampoos, and ketoconazole available as Nizoral shampoo. They emphasize the potential benefits of combining different treatments and adjusting based on individual responses, as there is no one-size-fits-all solution.
🌞 Final Recommendations and Conclusion
In the final paragraph, the speaker summarizes the discussion, reiterating the importance of not skipping sunscreen and using basic moisturizers for managing seborrheic dermatitis. They acknowledge the trial-and-error nature of finding effective treatments and suggest that some individuals may require prescription medications like topical steroids, pimecrolimus, or tacrolimus for stubborn cases. They also mention sodium sulfacetamide as another prescription option. The speaker invites viewers to share their experiences and concludes with a reminder to subscribe and apply sunscreen.
Mindmap
Keywords
💡Seborrheic Dermatitis
💡Malassezia
💡Oil Glands
💡Salicylic Acid
💡Zinc Pyrithione
💡Selenium Sulfide
💡Ketoconazole
💡Sunscreen
💡Moisturizer
💡Neurologic Problems
💡Hormones
Highlights
Seborrheic dermatitis is a chronic inflammatory skin condition similar to dandruff.
It primarily affects areas with a high concentration of oil glands, such as the face.
Seborrheic dermatitis is more common in colder seasons like fall and winter.
People with pale skin may experience red patches and flaky areas around the nose, mouth, and eyebrows.
Individuals with darker skin types might see hypopigmented spots.
Seborrheic dermatitis can be associated with dandruff and may worsen due to flakes from the scalp.
Stress, illness, and immunodeficiency can trigger flare-ups of seborrheic dermatitis.
Certain medical conditions like HIV, epilepsy, and Parkinson's may exacerbate the condition.
The condition is linked to an abnormal response to the yeast Malassezia on the skin.
Salicylic acid is an effective active ingredient for treating seborrheic dermatitis.
Neutrogena T/Gel is recommended for scalp treatment with salicylic acid.
Salicylic acid can be used daily and is available in various forms for the face and scalp.
Zinc pyrithione is found in anti-dandruff shampoos and helps calm Malassezia.
Selenium sulfide is effective in calming inflammation and is found in Selsun Blue and Head & Shoulders Clinical.
Ketoconazole, available over the counter as Nizoral shampoo, can be a game changer for some people.
Sunscreen and basic moisturizer use is important for managing seborrheic dermatitis.
Prescription medications like topical steroids, pimecrolimus, and tacrolimus may be necessary for severe cases.
Sodium sulfacetimide is another prescription option that can help control the condition.
There is no one-size-fits-all approach to treating seborrheic dermatitis; trial and error is common.
Transcripts
well hey guys in today's video i'm going
to talk with you guys about seborrheic
dermatitis it's been a while since we
chatted about it i know a lot of you
cope with this condition
and honestly moving into fall and winter
it's a time of the year where
for a lot of people they're seborrheic
dermatitis flares more
often than like in the summertime for
example so i thought now it would be a
good time to chitchat with you guys
about it what is
seborrheic dermatitis it is a chronic
inflammatory skin condition
that is actually basically the same
thing as dandruff on your scalp i think
most people are familiar with that
but it affects the face it actually can
affect really any
body site predominantly it focuses
in areas where you have a lot of oil
glands
it's actually an oily skin condition and
in people with pale skin it often
presents with
these red patches and a lot of flakes
flaky patches
around the nose around the mouth in the
eyebrows
in the beard area anywhere where there
are a lot of oil glands in your face
there are a lot of oil glands it's also
really common
in the ears behind the ears people who
have deeper skin types their seborrheic
dermatitis actually can present
as hypopigmented spots or spots that are
lighter in color than their background
skin type
don't worry when the seborrheic
dermatitis is well controlled the color
will come back
but like i said it's related to dandruff
so you may also have
dandruff in the scalp as well and
in as a matter of fact some of that
dandruff can actually trickle down onto
your face it's thought
and cause the subderm on your face as
well so it's a chronic thing there's
not a cure for it and i'll tell you this
it's something that will flare
with things that stress you out
emotional stress being run down if you
get sick
people who have really really tough and
stubborn
seb derm include people who have
underlying medical conditions where they
have
immunodeficiency for example people who
have
hiv and for whatever reason people who
have some underlying neurologic problems
also
have uh historically have worse
seborrheic dermatitis people who have
conditions like epilepsy or parkinson's
we don't really understand fully why
that is perhaps it has something to do
with the little nerves that innervate
our skin
and the neurochemicals that are released
and people
who have those diseases maybe they're
more prone to having more
neuroinflammatory mediators present in
the skin that trigger the subderm
subderm is also an inflammatory response
to the little yeast that lives on her
skin malassezia
and he's not bad it's not something that
people should try and
obliterate or anything but people who
have seborrheic dermatitis it's thought
that their
genetics are such that they have an
abnormal kind of responsive hyper
responsiveness
to that yeast and that's why they get
these inflammatory skin lesions
and it's also related to oil production
oiliness so anything that
leads to increased oil production in the
skin can worsen the sub derm when we're
stressed out
our stress hormones drive oiliness aka
seborrhea and that can worsen this
condition hormones
of course the thing that we like to
blame everything on but hormones can
certainly exacerbate this so it can
flare with hormones and it can flare
with hormonal
therapies as well like testosterone
supplements
certain birth control pills you may find
that your skin is oilier and if you
suffer from sub derm it's worse on
the birth control pill and around
pregnancy as well and then of course
with the menstrual cycle
and in terms of helping the seborrheic
dermatitis on your face don't neglect
your scalp even if you don't have
obvious
dandruff i'm sure if you go scouting
through your hairline you'll find some
patches of dandruff and so it's just a
good idea to stay on top
of your scalp hygiene shampooing your
scalp
is one of the best things that you can
do to help control the seborrhea on your
face
because like i said at the intro some of
that dandruff even if you don't
note obvious dandruff some of the
dandruff
and the flakes from your scalp can
trickle down into your face and
exacerbate this further
so the scalp hygiene is a major piece
that you might be missing
but there are many active ingredients
that can help control the seborrheic
dermatitis
the first active ingredient is one that
you'll find in shampoos for the scalp
and
in numerous products both cleansers and
levon products for the face
and that is salicylic acid this is a
great ingredient for people
to use you can honestly use it daily and
you can use a variety of forms for both
the face and the scalp
for the scalp uh neutrogena makes a
salicylic acid
shampoo neutrogena t cell it's fantastic
it's fragrance free
but the way to use a salicylic acid
shampoo is
just lather it to the scalp let it sit
on there for a few minutes
and then rinse it out now you can do
this every day
if you're somebody who can tolerate
shampooing your hair daily you can do it
every day in the setting of a flare and
then
back off once things get under control
to maybe
once a week and a lot of people have to
shampoo their hair
can't shampoo their hair more than once
a week so
when you do your shampoo incorporate a
salicylic acid
shampoo into at least the scalp piece of
that
and that can really help they also make
neutrogena also makes a salicylic acid
face wash that you
you know it's marketed for people with
acne but it can help the seborrheic
dermatitis on the face a lot
and you can honestly use that up to
twice a day
to help control the seborrheia on the
face you can just lather it
exclusively to the areas that are most
affected so some people you know they
just have subderm around their nose
you can just lather it to that area you
don't need to use it all over the face
it makes it last longer
leave it on the skin for a few minutes
and then rinse it off and like i said
you can do it you can use that
up to twice a day and instead of a
flare you can use it daily and then
maybe you might want to back off
to using it every day once a day or
every other day
depending on you know how your sub derm
goes
everybody sub derm is individualized so
it's not a one-size-fits-all approach
you also can use a salicylic acid
levon product this is a great choice for
your face
and my favorite salicylic acid levon
product
is the polished choice uh two percent
bha
liquid exfoliant this is a great option
for
seb derm on the face it helps control
oiliness
and it really can help calm down some of
that inflammation because salicylic acid
is actually anti-inflammatory
now another product i wanted to share
with you guys for the scalp
is for people especially who can't
really shampoo their hair that
frequently
this is a great option it's new to me
and i've been trying it out for several
weeks now it's by the inky list you guys
know i love the inky list
is there salicylic acid what's it called
exfoliating scalp treatment
this is just a liquid
that you could put a few drops in your
hand and massage it into your scalp
you leave it on the scalp for 10 minutes
and then when you get in the shower
you rinse it out you do want to rinse
this out after the 10 minutes
so this is a good option for people who
find that most salicylic acid shampoos
are too drying for their hair
uh this you know removes the shampoo
piece of it
and you're just getting the salicylic
acid almost like a toner or some
you know a mask and just massage it in
leave it on for 10 minutes and then
rinse it off i will say this so be very
careful when you're rinsing this out
tip your head back and let the water you
know rinse it out from behind
you don't want it to run into your eyes
i made that mistake and it burns if it
gets in the eyes
like the dickens so be very careful but
this is quite good
and it will help lift up those scales
you i think they say to use this one to
two times a week
but you could actually use it more
frequently than that
yeah i really like this it's a good
option try it out
and they also make a good salicylic acid
face wash as well that's fragrance free
and the inky list is cruelty free so
that's
an option for you guys that and the
polish choice are options for you guys
who want cruelty free only
the next ingredient is zinc pyrithione
zinc pyrithione helps calm down that
little malassezia critter
and that's what you're going to find in
anti-dandruff shampoos you're going to
find zinc pyrithione and head and
shoulders
and the generic versions of head and
shoulders in the
in the pharmacy and it's a great
ingredient for this you do need to
lather it to the scalp or in the case of
the shampoo you can lather it to your
face and use it as a face wash just
lather it to the affected areas
leave it on the skin for a few minutes
to allow that zinc pyrithione to go to
work
and then rinse it off now the
shampoos tend to be on the more drying
side especially for people with textured
hair
but uh head and shoulders actually came
out with some
recently that have more moisturizers
added
so definitely try that out if you have
more textured hair and you've had a bad
experience with head and shoulders
for your hair type in the past i do
think the new
the new the newer formulations with
more moisturizing emollients i think
they are a nicer option
but i want to give a shout out to a
great zinc pyrethione
facial product that you guys do not
sleep on this if you have seborrheic
dermatitis because i find it to be one
of the most effective
over-the-counter products for sub derm
and that is
the vani cream z bar this is a fantastic
bar soap for washing your face and it
works really well for
severe dermatitis it's also really
helpful if you have rosacea or acne
because zinc
pyrithione is anti-inflammatory and can
really help calm down those conditions
but this particular soap is not drying
it doesn't have harsh surfactants in it
to strip the skin barrier
it's really good so i highly recommend
that for facial seborrheic dermatitis
now you may be wondering as we go
through these ingredients which one is
better and there's really not a better
best ingredient
but you might find that you benefit the
most from combining a few of these
things
so say for example you use a salicylic
acid levon product on the face and you
also wash your face with the zinc
pyrithione
shampoo or the bar soap you may find
that you need to change
change ingredients around each
ingredient kind of has a slightly
different mechanism of action
and helping the seborrheic dermatitis so
you often can get better
results using a combination of
ingredients
kind of alternating them around and
using different forms like cleanser
versus
leave on one day hopefully we'll figure
out you know
more of a tailored individualized
approach to figuring out which
ingredients work best for people
as it stands now i feel as though it's a
bit hit or miss
trial and error when it comes to
figuring out what works
best for you no one patient and one
person with subderm
you know is responds to
these ingredients the same the third
ingredient
is selenium sulfide now this is also
really good for
calming down that malassezia and
inflammation it's what's in salsa and
blue shampoo
and head and shoulders clinical is also
a selenium sulfide shampoo
so just like the zinc pyrithium shampoos
same thing with the selenium sulfide
just go ahead and lather it to the
affected area either on your face or
your scalp
let it sit on there for a few minutes
and then rinse it off
and with this uh the frequency with
which you use it
you can do it daily every other day if
you're in the midst of a flare though
you really want to amp up the frequency
to
daily and then last but not least i have
a video on this bad boy but it can
it really can be a game changer for
people and that is
ketoconazole and over the counter that's
going to come in the form of nizoral
shampoo
again use it the same way that you would
use the zinc pyrithione shampoo or the
selenium sulfide shampoo just lather it
to the affected areas
leave it on the skin for a few minutes
and then rinse it off
in any of these shampoos you can use
them daily
especially in the midst of a flare i
think that's really where you want to
amp it up to
daily use either in the scalp and or on
the face
but for maintenance you can use these a
few times a week the shampoos
to your scalp that will help give you
control of the facial subderm long term
as well
and you can also use them like once a
week on your face is like a face mask
in terms of your skin care when it comes
to seborrheic dermatitis
don't skip out on sunscreen the other
thing that can be really helpful is to
just use a basic moisturizer at
nighttime
another piece of seborrheic dermatitis
is a skin barrier issue
and that can be helped with consistent
use of a moisturizer and a lot of
moisturizers have good ingredients in
them
for calming down that redness aspect of
the subderm
and one you guys have heard me recommend
numerous times is the cetaphil
redness relieving night moisturizer
anyways this product has
um niacinamide licorice root and
caffeine all of which will help reduce
redness
those are my recommendations for
products for seborrheic dermatitis
but honestly you guys a lot of
seborrheic dermatitis in terms of
products is personal trial and error and
honestly a lot of people do end up
needing prescription
medications topical medications a lot of
people might end up using
a prescription topical steroid i have
had to prescribe this
for patients for use on the face who
have pretty stubborn seb derm
and it helps a short trial of that so
you know your derm can help out with
that if it's really unresponsive to
these over-the-counter things
also a topical medication called
uh pimcrollimas or tacrolimus
protopic these medications are steroid
sparing
so they you know don't come with the
side effects
that steroids can can have so they're
safer option for the face
long term so that's another option
unfortunately at least here in the
states
getting insurance to approve them can be
a battle and they are
expensive but they are a good option and
then another ingredient that really can
help
and then lastly another medication that
can really help seb dermalot that's by
prescription only is sodium
sulfacetimide
this can come in the form of a like a
levon lotion
or a wash goes by the brand name avar
can be quite helpful for controlling the
derm
especially when the especially when the
over-the-counter stuff is not quite
cutting it
and uh i mentioned ketoconazole you know
you get that over the counter as a
shampoo
but there's also a prescription cream
that can be prescribed that can help
as well so those are my seb derm pearls
tips whatever you want to call it and
the products that i
would recommend the ingredients i'll
list all of these down below for you
guys
but for those of you with sub derm
comment below how is it going
you know share your experience i think
that really helps people
to build a sense of community in the
comments and you know share things like
what worsens it for you and how you
incorporate these ingredients
to manage it i think that can be really
helpful for people
especially people who maybe are dealing
with this for the first time
but it is a very common skin issue so
there's you know a good chance that
you've dealt with it at least sometime
in your life i hope these tips were
helpful if so
give this video a thumbs up share it
with your friends and as always don't
forget
sunscreen and subscribe i'll talk to you
guys tomorrow bye
[Music]
you
浏览更多相关视频
Scalp exfoliation: MUST DOs for healthy hair. | Dr Dray
Salicylic Acid For Dandruff: How To Make Your Own
4 Cara Mengatasi Ketombe
Eczema: A Dermatologist Guide to Treatment, Products, Tips, & More! | Dr. Jenny Liu
Keratosis Pilaris, Chicken Skin - Treating Dry Bumpy Skin | Special Tips for Black Skin | Ask Doctor
How Dermatologists Treat Eczema
5.0 / 5 (0 votes)