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Dandruff on Simply One Aspect of the Face

ask dr. bailey about rosacea and facial seborrhea

Rosacea and facial dandruff are often ‘bilateral and symmetric’ however it’s potential to have higher involvement on one aspect of the face. I used to be requested this query by a reader and need to share my reply.

Hey Dr. Bailey, I solely get rosacea and seborrhea dermatitis flare ups on my left cheeks. Are you able to inform me why I solely get it on one aspect of my face? Additionally, my physician prescribed for me Metrogel, Desonide lotion (corticosteroids), and Ketoconazole cream (antifungal). Are you able to please clarify the order and provides me the steps for making use of all of the above with the opposite merchandise in your web site that you simply suggest as the very best pores and skin look after rosacea and facial dandruff similar to Calming Zinc, Inexperienced Tea Antioxidant Pores and skin Remedy, Every day Moisturizing Face Cream and my zinc oxide sunscreen. Thanks, Mimi

Hey Mimi,

It’s potential to have unilateral rosacea, but it surely’s uncommon, so I at all times search for a special analysis that is perhaps masquerading as rosacea. It’s because we consider rosacea and seborrhea as being pores and skin circumstances that come from some as-yet-unknown inner predisposition. Which means that we count on them to manifest in your pores and skin bilaterally (on either side of the physique).

Situations that may make rosacea and facial dandruff worse on one aspect of the face

Rashes that trigger redness, flaking and pustules may cause additive irritation to your face. A few of these could be uneven.

The frequent causes of uneven facial redness and irritation embrace:

  1. allergic contact dermatitis (an allergic response to one thing touching your face similar to eyeglasses, a cellphone and many others),
  2. solar induces phototoxic or allergic dermatitis (particularly if you’re on a medicine that creates solar sensitivity similar to NSAID, hypertension medication and many others.),
  3. tinea faciei (a fungal infection), and
  4. demodex mites (everybody has some mites within the pores however often they will create a variety of irritation).

Solar reactions are essential to contemplate since right here in the US the left is the motive force’s aspect of a car. Solar exposure-induced rashes like photo-drug eruptions or polymorphous gentle eruption are excessive on my record of suspicions given that you simply state the left aspect is the issue. Additionally, solar can set off rosacea. Ask your physician concerning the circumstances that I simply listed to see if any of them could also be inflicting the asymmetry of your facial redness. 

Therapy for facial redness on only one aspect of the face

The tinea (fungal pores and skin an infection) could reply to the topical ketoconazole cream, however typically tinea faciei requires oral antifungal therapy.

Demodex mites, however, want a totally completely different therapy. Topical Soolantra is the one FDA authorised cream for this downside. Some medical doctors use oral ivermectin. I’ve had success with the economical off-label use of topical permethrin.

Rosacea Therapy Skin Care Kit for sun protection

Mineral SPF 30 or greater sunscreens assist forestall UV solar rays from triggering rosacea and solar induced pores and skin issues. In truth, I at all times suggest that sufferers with rosacea put on a mineral zinc oxide sunscreen every single day. I embrace an awesome mineral sunscreen in my Rosacea Therapy Skin Care Kit. This equipment accommodates the merchandise that I additionally use for facial seborrhea, which as you point out, generally exists with rosacea. Therapy for the opposite circumstances that I discussed above require extra medical analysis on the a part of your dermatologist.

How do you layer skincare merchandise when you will have rosacea

I at all times suggest layering merchandise from water based mostly to grease/occlusive based mostly and within the order of the 4 skincare steps of Complete Skin Care™: CLEANSE CORRECT HYDRATE PROTECT™

That is how I layer the rosacea and facial seborrhea skincare routine merchandise in my dermatology observe: 

best cleanser for rosacea and seborrheic dermatitis on one side of the face

CLEANSE: Wash with Calming Zinc alternating with a pH balanced mild cleanser such because the Extraordinarily Light Cleanser within the Rosacea Package.


CORRECT: I’ve my sufferers apply Green Tea Antioxidant Skin Therapy to your entire face. This antioxidant medical-grade product helps to calm irritation to manage each rosacea and seborrhea. It’s a skinny water-based product and I’ve sufferers apply it earlier than prescription merchandise in my observe.

best cream to heal rosacea and seborrhea on one side of the face

I let the Inexperienced Tea Antioxidant Pores and skin Remedy dry to the contact then they layer the opposite Rx merchandise similar to Metrogel and Ketoconazole Cream. This may should be authorised by your treating doctor since your different medicines are prescription. In my observe, I solely use the gentle cortisone if the pores and skin is actively crimson and symptomatic, and for now not than two weeks.

best skin cream to heal rosacea

HYRATE: We layer moisturizer over the treating merchandise to assist a perturbed pores and skin barrier heal. It is very important know that each rosacea and seborrhea trigger harm to the pores and skin barrier. This makes a moisturizer with good barrier replenishing components an essential element of the skincare routine. I take advantage of the Daily Moisturizing Cream within the Rosacea Package as a result of it accommodates ceramides, squalane and phospholipids just like these naturally current within the pores and skin barrier, referred to as the stratum corneum of the dermis. 

best sunscreen to prevent rosacea from driver side window rays

PROTECT: Zinc oxide sunscreen goes on prime throughout the day when UV rays are a danger. Keep in mind, some UV rays can penetrate glass to set off rosacea and solar delicate pores and skin issues.  My best choice facial sunscreen for delicate pores and skin is my Sheer Strength Pure Physical Matte Tinted SPF 30+ Sunscreen (that is my private favourite!). Mineral zinc oxide SPFs are non-irritating for delicate pores and skin and supply superior safety in contrast with chemical sunscreens. 

Mimi, I additionally need to acknowledge that the three medicines you’re on create a variety of layers. In my observe, when rosacea and seborrhea are beneath management, I’ve my sufferers cease utilizing the cortisone first. In one other month or so I’ve them cease the ketoconazole. At that time, the routine is far less complicated.

Dermatologist’s skincare equipment to heal rosacea and facial seborrheic dermatitis

Rosacea Therapy Skin Care Kit for sun protectionThe merchandise within the skincare routine that I simply described are all grouped right into a equipment that I name my Rosacea Therapy Skin Care Kit. It helps management each rosacea and seborrhea and is the proper skincare routine to maintain each circumstances in remission. It is a Full Pores and skin Care Routine constructed from appropriate medical-grade merchandise and components to boost success.

I take advantage of my 35 years of dermatology expertise to cowl all of the bases in order that you do not have to. This routine calms what triggers these pores and skin issues and gives therapeutic merchandise in order that the pores and skin can recuperate. Like a visit to the dermatologist with out the journey! – Dermatologist Dr. Cynthia Bailey 

Mimi, thanks for sending in an awesome query that demonstrates how complicated seemingly frequent pores and skin issues could be. 

Click here to learn more about the Rosacea Therapy Skin Care Kit.

Heat Regards,

Cynthia Bailey MD, Dermatologist

Disclaimer: Please notice 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 basic 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 present sufferers of her observe). By no means ignore your personal physician’s recommendation due to one thing you learn right here; this data is for basic informational goal solely.

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