The perfect remedy for flaky facial skin is a typical query I reply, particularly from my dermatology sufferers who are suffering from facial dandruff and rosacea. I acquired this precise query from a reader not too long ago and needed to share my response.
Therapy for Flaky Facial Pores and skin
Hi there Dr. Bailey, I simply love your publication and weblog posts; I’ve realized so very a lot from you. I’ve had rosacea for not less than 15 years. I’ve been on the sulfacetamide lotion, Metrogel, and Finacea gel. I had stopped utilizing the sulfacetamide lotion for two years. I assumed my rosacea was getting higher. This yr I used to be identified with seborrheic dermatitis (facial dandruff) on my face out of the clear blue.
My dermatologist put me on a Noble Zinc Cleaning soap, sulfacetamide lotion (evening & morning), ketoconazole cream at evening, and Finacea Gel within the morning. Since studying your weblog I now use the Green Tea Antioxidant Skin Therapy Cream. What a wonderful cream and what a distinction it has made in my pores and skin. I additionally purchased the Advanced Corrective Eye Cream due to your evaluation on it, and what an anti-aging distinction that has made.
My questions are,
I feel that the Finacea is barely drying my face.
I take advantage of it first earlier than the Inexperienced Tea as a result of I like to make use of the Inexperienced Tea as my moisturizer.
- Do you assume I ought to cease utilizing the Finacea?
- Is it dangerous for my seb dermatitis, as a result of I nonetheless see the dry pores and skin round my nostril space a bit?
- May the Finacea be stopping a complete clear up of the facial dandruff?
I used to be simply pondering of utilizing the zinc cleaning soap, the sulfacetamide lotion and the Inexperienced Tea Cream. Thanks very a lot on your assist! Laura B.
Hi there Laura, Thanks on your sort phrases about my weblog and publication; I am glad you have discovered useful data right here. I can provide you normal details about how I deal with this mixture of pores and skin issues in my apply. You may focus on this data along with your dermatologist.
Dandruff and Rosacea Flaky Pores and skin is a Frequent Face Drawback
Each rosacea and facial dandruff (seborrheic dermatitis) trigger rashes (known as dermatitis) that lead to pink flaking facial pores and skin. Of the 2 pores and skin issues, the facial dandruff is extra prone to trigger flaking within the creases of the nostril.
What’s actually necessary to know is that the rashes from each facial dandruff and rosacea trigger a compromise to your pores and skin barrier integrity and make your pores and skin actually delicate.
Because of this the concerned pores and skin could be very simply irritated by harsh merchandise. It is also extra delicate to harsh climactic circumstances or sturdy pores and skin cleansers.
Seborrheic dermatitis (facial dandruff) and rosacea pores and skin issues usually coexist.
You definitely have skilled this! They will additionally flare up collectively, or one could be worse than the opposite at any given time. I inform my sufferers who are suffering from this irritating mixture of pores and skin issues, when both of those circumstances has turn out to be persistent then we have to shield the concerned pores and skin from every little thing that’s irritating. This permits the rash to subside in order that the pores and skin barrier integrity could be repaired. The method requires making use of solely non-irritating merchandise to the pores and skin so it could possibly recuperate. I name this a Rosacea or Seborrheic Dermatitis Cool-Down.
This “cool-down” skincare routine is necessary as a result of making use of irritating merchandise to barrier-compromised pores and skin is like squeezing lemon juice on a reduce, that means it prolongs irritation and slows therapeutic. Therapeutic of the compromised pores and skin barrier is supported by the utilizing solely bland moisturizers and soothing merchandise. – Dermatologist Dr. Cynthia Bailey
In my expertise, Finacea could be irritating to some pores and skin sorts.
There may be particular person variation by way of product tolerance and I all the time ask sufferers what merchandise their pores and skin tolerates and what merchandise it would not. Finacea comprises 15% azelaic acid, an ingredient than can irritate barrier compromised complexion. For the “calm down” we use solely merchandise their pores and skin tolerates properly.
Dermatologist Dr. Bailey’s Rosacea or Facial Dandruff Cool-Down Pores and skin Care Routine
Twice every day, cleanse flaky and delicate facial pores and skin with one of many following cleansers (they are often alternated relying on pores and skin tolerance and want):
1. A pH balanced cleaning soap free cleanser
My best choice is my Extremely Gentle Foaming Facial Cleanser (that is what I personally use for my delicate rosacea and seborrhea inclined pores and skin). An alternative choice is VaniCream Cleansing Bar.
2. Calming Zinc Soap for Rosacea
That is the most effective pyrithione zinc pure bar cleaning soap as a result of it’s made with shea butter. I a lot favor this to Noble Zinc or some other related product. Shea butter is advanced and really helpful for pores and skin. It comprises a excessive focus of anti-inflammatory and antioxidant compounds that assist heal irritated flaky pores and skin. I developed this recipe and plenty of 1000’s of sufferers and prospects have discovered this pyrithione zinc bar cleaning soap singularly helpful for his or her rosacea and seborrhea.
Wow! This cleaning soap is wonderful! I’ve struggled with rosacea for years. Even utilizing oral antibiotics. Since utilizing this cleaning soap, I now not have to make use of the oral medicine. CM
I am 65 years outdated and have lastly discovered the reply to the scales, redness and flakey pores and skin between my eyebrows. I had tried numerous treatments, with no outcomes, till I found the Calming Zinc Bar. I can not overstate how superior this product is. Since beginning to use it a few yr in the past, I’ve had NO flakes, scales or redness in any respect…nothing however clear pores and skin in my eyebrow space. I nonetheless cannot imagine how fully and rapidly it labored! My solely remorse is that I did not uncover it 25 years in the past. The bars final a very long time, making them reasonably priced, as properly. Thanks, Cynthia Bailey. I’ve by no means been extra impressed with a facial product!! Debbie B
3. Sodium Sulfacetamide Prescription Cleanser
The latter two merchandise can dry or irritate some folks so the query of pores and skin tolerance is necessary in choosing which cleansers we use for the calm down. It seems that you’ve been on a lotion that contained this ingredient. Prescription facial cleansers are additionally out there.
What cream is finest for flaky facial pores and skin from rosacea and seborrhea?
After cleaning, I’ve my sufferers apply on this order:
- Green Tea Antioxidant Skin Therapy as a result of the pores and skin’s antioxidant reserve is confused by irritation. I imagine the antioxidant replenishment is likely one of the principal causes that the Inexperienced Tea Antioxidant Pores and skin Remedy makes such an enormous distinction for therapeutic facial dandruff and rosacea. I’ve my sufferers apply it first earlier than making use of different merchandise.
- Clotrimazole cream to calm seborrheic dermatitis the place it has been flaring up.
- A soothing moisturizer to the entire facial pores and skin that feels prefer it wants a richer moisturize. That is necessary as a result of barrier compromised pores and skin wants components that assist heal the pores and skin barrier (known as the stratum corneum). My best choice is considered one of my hypoallergenic and barrier therapeutic Day by day Moisturizing Face Lotions. Get this along with Inexperienced Tea Antioxidant Pores and skin Remedy and Calming Zinc in my Facial Flaking and Redness Solution Kit.
My Seborrhea and Rosacea Cool-Down Pores and skin Care Routines additionally might embody:
- Prescription medicaments which are non-irritating to deal with rosacea or seb derm, if crucial (e.g. Cleocin Lotion, Sodium Sulfacetamide Lotion, Metrogel, or Metro Cream and sometimes permethrin cream, all in line with their dosage necessities). I often have my sufferers apply these after the Inexperienced Tea as a result of merchandise with lighter bases are sometimes higher utilized earlier than these with heavier bases.
- A really delicate cortisone cream comparable to 1% hydrocortisone cream. I’ve them use this solely the place the rash is pink, and for often not more than 2 weeks. I, as my affected person’s treating doctor, all the time supervise using this as a result of there are uncomfortable side effects. I solely use “non-halogenated” (a time period a health care provider will perceive) cortisone merchandise on the face.
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Pure mineral zinc oxide solar safety, as a result of each of those pores and skin circumstances can flare-up from solar publicity. Pure mineral zinc oxide sunscreens which are non-irritating and excellent for delicate (aka barrier compromised) pores and skin. Discover them on my Sun Protection page here. I add the sunscreen for you and embody the pH balanced cleanser in my Rosacea Skin Care Kit; this can be a Full Pores and skin Care Routine for rosacea and seborrhea inclined complexions the place I take out the guess be just right for you.
I’ve my sufferers do that Cool-Down Pores and skin Care Routine for two months, which is what is critical to quiet down pores and skin irritation. Stopping too quickly leads to relapse.
It takes a month or extra for the pores and skin barrier to heal AFTER the irritation from rosacea and/or seborrhea has subsided.
Because of this it is very important be affected person and to not add irritating merchandise again too quickly. I hope that helps. Thanks for a very good query that I do know different folks share.
Discover Additional:
Heat Regards,
Cynthia Bailey MD, Board Licensed Dermatologist
Reference:
Why is Rosacea Thought-about to Be an inflammatory Dysfunction? The Major Function, Medical Relevance, and Therapeutic Correlations of Irregular Innate Immune Response in Rosacea-Susceptible Pores and skin. Del Rosso J Q et. al., J Drugs Dermatol. 2012;11(6):694-700.
Disclaimer: Please understand that availing your self of the chance to submit and obtain solutions to your questions from Dr. Bailey doesn’t confer a health care provider/affected person relationship with Dr. Bailey. The knowledge offered by Dr. Bailey is normal well being data impressed by your query. It shouldn’t be an alternative choice to acquiring medical recommendation out of your doctor and isn’t supposed to diagnose or deal with any particular medical downside (and isn’t an extension of the care Dr. Bailey has offered in her workplace for current sufferers of her apply). By no means ignore your individual physician’s recommendation due to one thing you learn right here; this data is for normal informational objective solely.
