The very best therapy for flaky facial pores and skin is a typical query I reply, particularly from my dermatology sufferers that suffer from facial dandruff and rosacea. I obtained this precise query from a reader just lately and needed to share my response.
Remedy for Flaky Facial Pores and skin
Hiya Dr. Bailey, I simply love your e-newsletter and weblog posts; I’ve discovered 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 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 (evening & morning), ketoconazole cream at evening, and Finacea Gel within the morning. Since studying your weblog I now use the Inexperienced Tea Antioxidant Pores and skin Remedy Cream. What a stupendous cream and what a distinction it has made in my pores and skin. I additionally purchased the Superior Corrective Eye Cream due to your evaluate on it, and what an anti-aging distinction that has made.
My questions are,
I believe 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 considering of utilizing the zinc cleaning soap, the sulfacetamide lotion and the Inexperienced Tea Cream. Thanks very a lot in your assist! Laura B.
Hiya Laura, Thanks in your sort phrases about my weblog and e-newsletter; I am glad you’ve got discovered useful data right here. I may give you normal details about how I deal with this mixture of pores and skin issues in my apply. You may talk about this data along with your dermatologist.
Dandruff and Rosacea Flaky Pores and skin is a Frequent Face Downside
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 more likely 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.
Which means that 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 usually coexist.
You actually have skilled this! They will additionally flare up collectively, or one might 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 all the pieces that’s irritating. This enables the rash to subside in order that the pores and skin barrier integrity might be repaired. The method requires making use of solely non-irritating merchandise to the pores and skin so it will probably 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 might be irritating to some pores and skin sorts.
There’s particular person variation when it comes to product tolerance and I all the time ask sufferers what merchandise their pores and skin tolerates and what merchandise it would not. Finacea accommodates 15% azelaic acid, an ingredient than can irritate barrier compromised complexion. For the “quiet 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 wish):
1. A pH balanced cleaning soap free cleanser.
My best choice is my Extraordinarily Light Foaming Facial Cleanser (that is what I personally use for my delicate rosacea and seborrhea susceptible pores and skin). Another choice is VaniCream Cleaning Bar (the least irritating choice)
2. Calming Zinc.
That is the very best pyrithione zinc pure bar cleaning soap as a result of it’s made with shea butter. I a lot want this to Noble Zinc or another related product. Shea butter is complicated and really helpful for pores and skin. It accommodates 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 clients 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 not have to make use of the oral remedy. CM
I am 65 years previous and have lastly discovered the reply to the scales, redness and flakey pores and skin between my eyebrows. I had tried numerous cures, 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 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 selecting which cleansers we use for the quiet down. It seems that you’ve got been on a lotion that contained this ingredient. Prescription facial cleansers are additionally accessible.
What cream is greatest for flaky facial pores and skin from rosacea and seborrhea?
After cleaning, I’ve my sufferers apply on this order:
- Inexperienced Tea Antioxidant Pores and skin Remedy as a result of the pores and skin’s antioxidant reserve is harassed by irritation. I imagine the antioxidant replenishment is among the foremost causes that the Inexperienced Tea Antioxidant Pores and skin Remedy makes such a giant 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 elements that assist heal the pores and skin barrier (known as the stratum corneum). My best choice is one in every 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 Answer Equipment.
My Seborrhea and Rosacea Cool-Down Pores and skin Care Routines additionally might embrace:
- Prescription medicaments which can be non-irritating to deal with rosacea or seb derm, if mandatory (e.g. Cleocin Lotion, Sodium Sulfacetamide Lotion, Metrogel, or Metro Cream and infrequently permethrin cream, all in line with their dosage necessities). I normally 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 equivalent to 1% hydrocortisone cream. I’ve them use this solely the place the rash is pink, and for normally 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 negative effects. I solely use “non-halogenated” (a time period a health care provider 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 can be non-irritating and excellent for delicate (aka barrier compromised) pores and skin. Discover them on my Solar Safety web page right here. I add the sunscreen for you and embrace the pH balanced cleanser in my Rosacea Pores and skin Care Equipment; this can be a Full Pores and skin Care Routine for rosacea and seborrhea susceptible 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 calm 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 that 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.
Cynthia Bailey MD, Board Licensed Dermatologist
Why is Rosacea Thought of to Be an inflammatory Dysfunction? The Major Function, Scientific Relevance, and Therapeutic Correlations of Irregular Innate Immune Response in Rosacea-Inclined Pores and skin. Del Rosso J Q et. al., J Medicine 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 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 to acquiring medical recommendation out of your doctor and isn’t supposed to diagnose or deal with any particular medical drawback (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 personal physician’s recommendation due to one thing you learn right here; this data is for normal informational objective solely.