I have seborrheic dermatitis, help my face?
Hello Dr.
Li: I have a flaky, burning sensation and redness on my cheeks, chin, and sides of my nose.
I went to see a doctor and was diagnosed with seborrheic dermatitis.
I applied medication, but it keeps recurring.
I hardly use facial cleansers, and even skincare products cause stinging.
I really want to wear makeup.
Are there any skincare or makeup products that I can use that won't cause inflammation?
Ting Ting, 20~29 year old female. Ask Date: 2016/03/09
Dr. Li Yufen reply Dermatology
Hello: For a detailed introduction to seborrheic dermatitis, you can refer to the article on the Dermatology Expert Health website at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=23.
If even skincare products cause stinging, it is advisable to first use medicated ointments for treatment.
You may try products specifically designed for sensitive skin or those intended for seborrheic dermatitis available at drugstores.
Maintaining a regular lifestyle, avoiding late nights, and reducing work-related stress can help alleviate the symptoms of seborrheic dermatitis.
Thank you!
Reply Date: 2016/03/09
More Info
Managing seborrheic dermatitis can be quite challenging, especially when it comes to skincare and makeup. This condition is characterized by red, flaky, and often itchy patches on the skin, commonly affecting areas rich in sebaceous glands, such as the face, scalp, and upper back. The fact that you have experienced a cycle of improvement followed by recurrence suggests that your skin may be particularly sensitive or reactive to certain products. Here are some tips and recommendations to help you manage your condition while still enjoying skincare and makeup.
Understanding Seborrheic Dermatitis
Seborrheic dermatitis is a chronic inflammatory skin condition that can be triggered by various factors, including stress, hormonal changes, and environmental conditions. It is often associated with an overgrowth of Malassezia yeast, which is normally present on the skin. While the exact cause remains unclear, it is essential to adopt a gentle skincare routine to minimize flare-ups.
Skincare Tips
1. Gentle Cleansing: Since you mentioned that even mild cleansers can cause stinging, it is crucial to choose a very gentle, non-irritating cleanser. Look for products labeled as hypoallergenic and free from fragrances, alcohol, and harsh surfactants. Cream-based or oil-based cleansers can be beneficial as they cleanse without stripping the skin of its natural oils.
2. Moisturizing: Hydration is key in managing seborrheic dermatitis. Use a non-comedogenic moisturizer that is rich in ceramides and hyaluronic acid to help restore the skin barrier. Avoid heavy creams that may clog pores or exacerbate oiliness.
3. Topical Treatments: Continue using any prescribed topical treatments from your dermatologist. Ingredients like ketoconazole, zinc pyrithione, or salicylic acid can help control the yeast and reduce inflammation. Always follow your dermatologist's guidance regarding the frequency and method of application.
4. Avoid Irritants: Be cautious with any new products, including those labeled as "natural" or "organic," as they can still contain irritants. Patch test new products on a small area of skin before applying them to your face.
Makeup Tips
1. Choose Non-Comedogenic Products: When selecting makeup, look for non-comedogenic and fragrance-free formulations. Mineral makeup can be a good option as it tends to be less irritating and provides a natural finish.
2. Avoid Heavy Foundations: Heavy, full-coverage foundations can exacerbate seborrheic dermatitis. Instead, opt for lightweight, breathable formulas like tinted moisturizers or BB creams that provide coverage without suffocating the skin.
3. Use a Primer: A mattifying primer can help control oil and provide a smooth base for makeup application. Ensure that the primer is suitable for sensitive skin and free from irritating ingredients.
4. Setting Sprays: To help your makeup last longer without causing irritation, consider using a setting spray that is formulated for sensitive skin. This can help reduce the need for touch-ups throughout the day.
5. Makeup Removal: At the end of the day, ensure you remove all makeup thoroughly. Use a gentle makeup remover or cleansing oil to dissolve makeup without harsh scrubbing. Follow up with your gentle cleanser to ensure your skin is clean.
Additional Considerations
- Consult Your Dermatologist: If you continue to experience flare-ups despite following these tips, it may be worthwhile to revisit your dermatologist. They can assess your condition and may suggest alternative treatments or adjustments to your skincare routine.
- Lifestyle Factors: Stress management, a balanced diet, and adequate sleep can also play a significant role in managing seborrheic dermatitis. Consider incorporating stress-reduction techniques such as mindfulness or yoga into your routine.
In conclusion, managing seborrheic dermatitis requires a tailored approach that prioritizes gentle skincare and careful product selection. By being mindful of the ingredients in your skincare and makeup, you can help minimize flare-ups and maintain healthier skin. Always remember to consult with your dermatologist for personalized advice and treatment options.
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