One of the best remedy for flaky facial skin is a standard query I reply, particularly from my dermatology sufferers that suffer from facial dandruff and rosacea. I obtained this precise query from a reader lately and wished to share my response.
Remedy for Flaky Facial Pores and skin
Good day Dr. Bailey, I simply love your publication and weblog posts; I’ve realized so very a lot from you. I’ve had rosacea for at the least 15 years. I’ve been on the sulfacetamide lotion, Metrogel, and Finacea gel. I had stopped utilizing the sulfacetamide lotion for two years. I believed my rosacea was getting higher. This 12 months 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 (night time & morning), ketoconazole cream at night time, and Finacea Gel within the morning. Since studying your weblog I now use the Green Tea Antioxidant Skin Therapy Cream. What an attractive cream and what a distinction it has made in my pores and skin. I additionally purchased the Advanced Corrective Eye Cream due to your assessment 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 suppose 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?
- Might 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 in your assist! Laura B.
Good day Laura, Thanks in your sort phrases about my weblog and publication; I am glad you have discovered useful info right here. I may give you common details about how I deal with this mixture of pores and skin issues in my follow. You’ll be able to focus on this info together with your dermatologist.
Dandruff and Rosacea Flaky Pores and skin is a Widespread Face Drawback
Each rosacea and facial dandruff (seborrheic dermatitis) trigger rashes (referred to 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 vital 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.
Which means the concerned pores and skin could be very simply irritated by harsh merchandise. It is also extra delicate to harsh climactic circumstances or robust pores and skin cleansers.
Seborrheic dermatitis (facial dandruff) and rosacea pores and skin issues typically coexist.
You actually have skilled this! They’ll additionally flare up collectively, or one may be worse than the opposite at any given time. I inform my sufferers that suffer from this irritating mixture of pores and skin issues, when both of those circumstances has turn out to be persistent then we have to defend 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 may be repaired. The method requires making use of solely non-irritating merchandise to the pores and skin so it may well get better. I name this a Rosacea or Seborrheic Dermatitis Cool-Down.
This “cool-down” skincare routine is vital as a result of making use of irritating merchandise to barrier-compromised pores and skin is like squeezing lemon juice on a minimize, 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 may be irritating to some pores and skin sorts.
There’s particular person variation when it comes to product tolerance and I at all times ask sufferers what merchandise their pores and skin tolerates and what merchandise it does 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 each 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). Another choice is VaniCream Cleansing Bar (the least irritating possibility)
2. Calming Zinc.
That is the perfect pyrithione zinc pure bar cleaning soap as a result of it’s made with shea butter. I a lot choose this to Noble Zinc or some other comparable product. Shea butter is complicated 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 lots of hundreds 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 superb! 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 treatment. 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 am unable to overstate how superior this product is. Since beginning to use it a few 12 months 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 utterly and shortly 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 inexpensive, 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 individuals so the query of pores and skin tolerance is vital in selecting 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 greatest 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 among 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 vital as a result of barrier compromised pores and skin wants substances that assist heal the pores and skin barrier (referred to as the stratum corneum). My best choice is certainly one of my hypoallergenic and barrier therapeutic Every 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 could embrace:
- Prescription medicaments which might be non-irritating to deal with rosacea or seb derm, if needed (e.g. Cleocin Lotion, Sodium Sulfacetamide Lotion, Metrogel, or Metro Cream and infrequently 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 gentle cortisone cream similar 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, at all times supervise using this as a result of there are negative effects. I solely use “non-halogenated” (a time period a physician will perceive) cortisone merchandise on the face.
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 might be 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 embrace the pH balanced cleanser in my Rosacea Skin Care Kit; it is 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.
Which means it is very important be affected person and to not add irritating merchandise again too quickly. I hope that helps. Thanks for a extremely good query that I do know different individuals share.
Cynthia Bailey MD, Board Licensed Dermatologist
Why is Rosacea Thought-about to Be an inflammatory Dysfunction? The Main Function, Scientific 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 notice that availing your self of the chance to submit and obtain solutions to your questions from Dr. Bailey doesn’t confer a physician/affected person relationship with Dr. Bailey. The knowledge offered by Dr. Bailey is common well being info impressed by your query. It shouldn’t be an alternative to acquiring medical recommendation out of your doctor and isn’t meant 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 follow). By no means ignore your personal physician’s recommendation due to one thing you learn right here; this info is for common informational goal solely.