Can I Use Cosmetics with Seborrheic Dermatitis? - Dermatology

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Can seborrheic dermatitis use cosmetics?


Hello Dr.
Jiang, I would like to ask you a few questions:
1.
I have seborrheic dermatitis and I am currently using medication to control it.
However, as soon as I stop using the medication, it tends to relapse.
In this case, can I use cosmetics or skincare products?
2.
I can see small blood vessels on my face, and sometimes I experience unexplained flushing and warmth.
Is this condition related to the medication I am using?

Xiao Jing, 20~29 year old female. Ask Date: 2006/04/11

Dr. Zheng Lizhen reply Dermatology


Hello: Seborrheic dermatitis is a condition related to one's constitution, characterized by overactive sebaceous glands leading to excessive oil secretion.
Medication is typically required only when symptoms are present.
Regularly using oil-free cleansing products can help maintain cleanliness, while it is advisable to temporarily avoid cleansing during skin inflammation.
Ensuring adequate sleep and reducing the intake of fried foods can help prevent this condition.
Using lightweight skincare and cosmetic products is also recommended.
The small blood vessels on the face can be due to various factors: some are constitutional, some are related to rosacea, and others may result from long-term use of potent corticosteroids.
If the latter is the case, stopping the medication for about a year may lead to a return to normalcy.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2006/04/11

More Info


Seborrheic dermatitis is a common skin condition characterized by red, flaky, and itchy patches, often occurring in areas rich in sebaceous (oil) glands, such as the scalp, face, and upper back. Managing this condition can be challenging, especially when it comes to the use of cosmetics and skincare products.
1. Using Cosmetics with Seborrheic Dermatitis: It is generally advisable to be cautious when using cosmetics or skincare products if you have seborrheic dermatitis. While some individuals may be able to use certain products without exacerbating their condition, others may find that even mild formulations can trigger flare-ups. The key is to choose products that are labeled as non-comedogenic, hypoallergenic, and free from irritants such as fragrances and alcohol. Mineral-based makeup can be a good option, as it tends to be gentler on sensitive skin. However, if you notice any irritation or worsening of your symptoms after using a product, it is best to discontinue use immediately.

2. Redness and Visible Blood Vessels: The presence of small blood vessels and episodes of facial flushing can be associated with several factors, including the use of topical medications. Some topical steroids, while effective for reducing inflammation, can cause skin thinning and increased sensitivity, leading to visible blood vessels and redness. Additionally, seborrheic dermatitis itself can cause inflammation that may contribute to these symptoms. It is essential to discuss these concerns with your dermatologist, as they can assess whether your current treatment plan is appropriate or if adjustments are needed.

Management Strategies:
- Medications: Continue using the prescribed topical treatments as directed by your dermatologist. If you find that your symptoms return shortly after stopping the medication, it may indicate that your condition requires ongoing management. Some patients benefit from a maintenance regimen, where they use their topical treatments less frequently (e.g., a few times a week) to help prevent flare-ups.


- Gentle Cleansing: Use a gentle, non-irritating cleanser to wash your face. Avoid harsh scrubs or exfoliants that can further irritate your skin.

- Moisturizers: Incorporate a fragrance-free moisturizer to help maintain skin hydration. Look for products that contain ceramides or hyaluronic acid, which can help restore the skin barrier.

- Sun Protection: Protect your skin from sun exposure, as UV rays can exacerbate redness and irritation. Use a broad-spectrum sunscreen that is suitable for sensitive skin.

- Diet and Lifestyle: Stress, lack of sleep, and dietary factors can influence skin conditions. Consider adopting a balanced diet, managing stress levels, and ensuring adequate sleep to support overall skin health.

In conclusion, while it is possible to use cosmetics with seborrheic dermatitis, careful selection of products is crucial. Always consult with your dermatologist regarding any changes to your skincare routine, especially if you experience new symptoms or worsening of your condition. Regular follow-ups can help tailor your treatment plan to better manage your seborrheic dermatitis and maintain skin health.

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