Top Tips to Clear Seborrheic Dermatitis | Dermatologist Deep Dive

[@zendog000]

You are a total legend. I paid over $200 to a dermatologist who gave me about 20% of the options you supplied. Thanks a lot. I understand the condition a whole lot better now.

[@SkinByDrAzi]

❤️

[@lisagardner4814]

@@SkinByDrAzi I know that this video is old, but I was wondering I have facial dandruff. Can I use a gentle acid exfoliate or enzymes even to remove this flaky, rough texture or would acids or enzymes make it worse?

[@dariag505]

@@SkinByDrAzi Persian doctors are the best. well done

[@timadkins5767]

Reduce sugar intake to reduce the yeast, keep your face clean and get a steroid cream from your doctor to keep it under control. Many years of dealing with this has taught me these things.

[@SarahBradshaw91]

Can I eat potatoes or rice ?

[@timadkins5767]

@@SarahBradshaw91 Potatoes doesn't seem to bother me but I only eat them occasionally. I don't know about rice I never eat it.

[@timadkins5767]

@@SarahBradshaw91 Soda and things with high fructose corn syrup seems to be the worst things to consume but just sugar in general.

[@kirakuma1003]

@@SarahBradshaw91 no Sugar, No Sweet Fruits, Intermittent fasting , Eat more of bitter foods , All related to intestine.Try to sense the hunger signal from stomach instead of mind before you eat something.

[@technicalhindiearth8837]

@@timadkins5767 Bro, did you also have seborrhoeic dematitis? And brother, which cream did you apply to it and when did it take to get cured?

[@shayarhashim7567]

As medical student, this is really helpful when someone asks me about this topic, thanks a lot.

[@kermitdaphrogge525]

Hey there, mates. Fellow Scalp seborrheic dermatitis sufferer here. This is for people like me. I had this dandruff thing maybe 3 years ago from now. Severe dandruff, got bald and can see patches of fungus there. Doc at first recommended (Clobetasol Propionate 0.025% lotion) and (salicylic acid 2% and ketoconazole 2% shampoo). Worked well, but the solution wasn't a long term solution. There's nothing bad with using the shampoo long term. Dandruff was still recurssing at this point. Tried (ketoconazole 2%) only shampoo, didn't work. Itchy, redness and danruff on scalp. Moderate hairfall. Tried (ketoconazole 2% and zinc pyrithione 1% shampoo) only. All dandruff wen't away just like that. Extremely effective for me, but at the cost of heavy hairfall. Was depressed at this point. Then tried a "piroctone olamine" only shampoo for a few days. Recurring dandruff but very slight ithciness and normal hairfall. Didn't work that well. Doc said no but still was using that lotion I mentioned in the first treatment(like maybe once every 10 days and danruff was under very good control). Finally, currently using (Ciclopirox olamine 1% & zinc pyrithione 1% shampoo). Works like charm. Had to use it every alternate day initially, but now once twice a week works fine. Hope this helps to some of you out there! Thanks, Vicky.

[@azizaa6603]

Did your hairfall improve? If so, how? 🌸

[@Wyborneee]

how long have you been using it? does it still work to this day?

[@kermitdaphrogge525]

@@Wyborneee yes it does

[@Wyborneee]

@@kermitdaphrogge525 im gonna give it a go. only one i havent tried from all these recos from the comments. my sebderm been affecting my quality of life for the past 5 years and all the meds/ointments/creams/shampoos ive tried/been prescribed have only given a month of relief before it starts to worsen it. thanks a ton for the response. god bless ya.

[@TistaDasgupta]

I am 24 and since last month I have seen flaky red dry skin around my nose. was very alarmed. Thank you for the video.

[@adamolition8702]

Personally, I stopped consuming dairy, and have a strict skincare routine: Morning: - Cleanse with a SA cleanser - Lightweight moisturizer (I use a green tea day moisturizer that's oil free) - Sunscreen Night: -Cleanse with a SA cleanser (If I do it in the shower, I'd sometimes use the Z-bar soap) -Tretinoin 0.05% (every other night) -2% Salicylic acid (every other night im not using the Tretionoin) -Night moisturizer with Retinol This seems to work very well for me.

[@SkinByDrAzi]

Thanks for sharing. Glad your skincare is working well!

[@yashvanths411]

​​@@SkinByDrAzioc how to get rid of the post seborrheic dermatitis marks in the face?

[@Mimmato23]

can you share more details? How long do you use these products for and do you change them every few weeks?

[@adamolition8702]

@@Mimmato23 i've been using the SA Cleanser (The one I'm using is from GARNIER, Cleansing gel with active carbon and SA - Don't mistake it for the 3 in 1 face mask bullcrap, it's only the cleanser one! I've made that mistake, not happening again) for the better half of a decade, (I'm 26, and started my SebDerm skincare journey at 16, and always used it) But that alone is definitely not enough, I've seen flareups since the start (could've been that I wasn't consistent enough). The SA "Toner" or Leave-on. I've used for almost 3 years now, seen the best results from using that. I've been using Paula's Choice SA 2% for around 2 years, but it's quite expensive, so I've swapped to COSRX BHA which is doing practically the same job as the Paula's Choice one. Not alot of complaints right now, but If I could afford, I'd go back to the Paula's Choice, I can feel it being very strong and working fast. As for the Retinoid Night Cream (I'm currently using the Neutrogena Rapid Wrinkle Repair Retinol Face Moisturizer, the Fragrance free kind!), I've been using it as along as the Paula's Choice SA 2%, So also around 2 years, nothing too dramatic, Just a nice night moisturizer and I wouldn't say it helped me in any special way with the SebDerm OR the first few months of using Prescription Retinoids (for the side-effects). As for the Tretinoin 0.05%, I'm already starting my 3rd tube, so around 4months now, I can't say it did anything major to help with SebDerm as the SA Cleanse coupled with the SA Toner really keeps it calm quite well, but the rest of my skin does look and feel alot healthier, softer, glowy (not oily though). and it does help with occasional breakouts (us oily skined people know alot about). Now for the Z-Bar, I've been using it as a full body + face soap, it works great, nothing too special and I don't see any improvement, but no negative effects either, so I'm happy with it. And lastly, the Lightweight moisturizer (I'm using the Garnier Botanical Cream Green Tea - Not their regular green tea 3 in 1.) and I've been using it since I started using my SA Cleanser, so around 9-10 years. It's really nice, very lightweight, doesn't leave a shine, moisturizers great and it's oil free, Honestly, couldn't recommend it enough. And do I change the products or my routine every few weeks, I don't. If I could, I would go for a stronger Tretinoin, like the 0.1%, but that's not available in my country, even if I had a prescription. And as people say, If it's not broken, don't fix it. The routine keeps my SebDerm under control and not very noticeable, so I'm pleased. Also, I use Head&Shoulders on the daily. so that could also help. I don't wash my face with it though, only the scalp Hope this helped. :)

[@specialstone9153]

What doea tretinoin do?

[@mistydoca2283]

Thanks! My dermatologist ignored me after asking her how to treat it (mi nose itched a lot and it sometimes bleed) I'm glad i found this video, thanks for being a good profesional :')

[@SkinByDrAzi]

Glad it was helpful!!

[@Alpine913]

Ketoconazole is amazing. When my doctor prescribed it, it was like all the fungus died all at once and my skin could immediately start the damage recovery process. After a week, my scalp and face were so healthy, it looked like my face was under a camera filter! Should have gone to my doctor sooner instead of wasting money on over the counter products. The irrational would flare up and hurt/itch so bad sometimes. Definitely changed my life!

[@assmaaltaleb2142]

How many times you applying on scalp

[@AliAkbar-bm5ue]

It is very god til keto stops working

[@RumiRose12]

@@AliAkbar-bm5uejust use 2x a week not everyday. There’s also zinc shampoo

[@technicalhindiearth8837]

@@AliAkbar-bm5ue Bro, did you also have seborrhoeic dematitis? And brother, which cream did you apply to it and when did it take to get cured?

[@technicalhindiearth8837]

@@RumiRose12 BRO take ketoconazole cream or shampoo, I have this seborrhoeic dermatitis only on my nose.

[@CEELOW3000]

I've had this problem for a large majority of my life - thanks for sharing

[@SkinByDrAzi]

Glad to help!

[@ravon1982]

fast for 4-5 days. your body will kill the shit out of it.

[@faridaondnd]

Fast how ? ​@@ravon1982

[@alyssatijerina1508]

I've had atopic dermatitis since 1988. I've learned so much about my skin, it's my everyday allergy. I've watched video after video. This video my friend 👐 👐 👐..... you just gave me my missing puzzle piece! Thank you!

[@timadkins5767]

Glad that you have found out how to keep it under control

[@mosamaloka5961]

I've had it since I was 10 and now I'm turning 24! Each year it's progressively getting worse. It's full-blown on my face, ears, and chest and it's spreading to my arms. It's generic because my siblings and I have it and so does my mother. I'm definitely trying this out. head and shoulders used to burn my skin, Selsun as well. This will be helpful

[@SkinByDrAzi]

Keep me posted! If you still have problems, happy to do photo consult through this link: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@CEELOW3000]

off the topic, but your smile is radiant

[@Skinny_Karlos]

I'm a 58 year old Aussie and you've summed me up/ described my condition to a 'T'. My Doctor prescribed me "Enstilar" (Calcipipotriol 50micro gm, Betamethasone 500micro gm present as dipropionate) foam spraywhich has some affect on the scalyness but less on the redness. Ketakonazole WORKED !! Thank you very much !!

[@racheltaylor6911]

I limit gluten and red wine. Also cannot recommend DERMAZEN enough! I use it on my face and it has helped clear up my face immensely

[@wooshz6133]

You apply it once a day?

[@lucywolf570]

I developed seborrheic dermatitis on my face around nose and chin since the pandemic from wearing masks. I finally saw a dermatologist that confirmed this and gave me prescription treatment cream which did not help. I’ve tried natural ingredient, such as tea tree oil , expensive creams, dandruff shampoo etc and nothing worked. With recommendations of a pharmacist I applied a small amount of hydrocortisone 1% ointment ( Vaseline type not the cream) and small amount clotrimazole topical cream 1% ( approx 50/50 ratio) and applied for 14 days and inflamed sebaceous dermatitis gone. I’ve spent hundreds of dollars trying different creams and this is the only thing that worked!! I also avoid applying oils on skin.

[@SkinByDrAzi]

Thanks door sharing

[@roskow1372]

What's the creams called bro?

[@Suicidebummer88]

i find steroid creams it comes back with a vengeance, you must be like me and suffer with moisture. face mask on for 20 mins and i have a huge flare.

[@Dogandcatmom51]

@@SkinByDrAzi , thanks for the video! What type of facial moisturizer is good for someone with sebderm ? Should we use a moisturizer for oily skin, so it doesn’t cause more yeast to grow? Will moisturizers make sebderm worse?

[@abriencalixgatmaitan1581]

What your seborrheic dermitatis looks on your nose? I think i got also that on my nose like red spot, its not itchy or anything, im bother looking my nose have a red spot. And i dont know what it is 😭

[@Circephillips-lu3fm]

I’m a year late but I control my skin w a 1/3 apple cider vinegar toner after I wash my face w Only warm water. I have found that my skin is not happy w most artificial chemicals. Love your work❤

[@violetmoon2283]

I was wondering if anyone was going to recommend ACV. I have this condition on my scalp, and will sometimes get flare ups on my face. I do an ACV rinse in the shower after washing my hair. Apply to scalp, massage it in, let sit for a few minutes, then rinse out. Works better than anything else I've tried. It has the added benefit of helping with my high porosity hair, helps to close the cuticle by adjusting ph.

[@user-cc2pr2qm3r]

Oh my goodness! What a beautiful Dr she is! ❤ oh my God almighty created a beautiful creation indeed ❤

[@flordeespinart]

I noticed this condition around my nose sometime in my mid 20s. I live in the south and the high humidity seems to aid my skin since the yeast irritation typically peaks in winter, and is most noticeable. I don't have many issues with skin so I mostly do vitamin c and sun block. but thanks to your video I will be start using a sulfur or z soap

[@SkinByDrAzi]

Thanks for sharing!

[@petercarmody4897]

I live in Northern Maryland. I noticed that my dermatitis gets worse in the winter. And when I go South to say Myrtle Beach, SC, Orlando, FL, or Phoenix AZ, my dermatitis goes away

[@LaughinLoneStar]

Selenium sulfide is the only thing that has ever actually helped me.

[@Fialectro]

Or face wash with Raw Honey. All studies show raw honey is affective against fungus including yeast. It's also very cheap. It's alleviated my sub derm to almost no flare-ups during a year.

[@marioortiz7953]

What kind of honey

[@Fialectro]

@@marioortiz7953 Any Raw honey I've used Targets brand, Walmart, Costco.. if it's raw honey it'll work all that Manuka talk hasn't been actually tested on the skin only when digested no need to spend extra mula on it.

[@NkisuChisangama]

​@@marioortiz7953raw honey.

[@jaybarnes3317]

Try local raw honey!

[@marioortiz7953]

@@jaybarnes3317 how do you use it mind saying

[@DeBee-dc9ce]

After I wash my face, I have been using toner and it really helps cut down the oils and yeast.

[@zidan40o0]

Incredible I expected generic advice with ketoconazole but ended up discovering sulfur, zinc, and anti inflammatory masks. Gonna give this a shot as I have a severe case of it on my face, neck, and chest area.

[@wilmarongose36]

thanks i learn a lot

[@mdostay]

Any update??

[@BasedSif]

I’m learning so much. This stuff pretty much exactly describes my condition and learning the cause is half the battle!

[@bob_mt]

Very thankful for this video! I have been stuggling with this since 4th grade and didn't get diagnosed since last summer.

[@SkinByDrAzi]

Glad it helped!!

[@pratibhatewatia2981]

What did you use?

[@jamesgtmoore]

I recommend maximising the intake of the nutrients the body requires to operate at maximum efficiency therefore take a high strength multivitamin daily, 1000mg vitamin C + 10mg zinc per day, 6 tablets of Spirulina per day, and apply Betacap lotion to the affected areas once per day. Works for me. If lactose intolerant then avoid lactose or take lactase tablets with diary foods/drinks.

[@jeannakane4]

Tried everything. Nothing worked until I applied Selsun Blue to the area for 10 minutes 3x a week. Using Cerave products has repaired my skin barrier and helped most of my skin issues. Hope this helps someone else.

[@rizwan3782]

Which products of cereve u used

[@jeannakane4]

The PM moisturizer and classic moisturizer. They have ceramides that repair the skin barrier. The Selsun Blue was what really turned things around though.

[@FelicitousRuby]

Which selsun Blue?

[@rich1958]

can you tell me which selsun blue?

[@jeannakane4]

Any of them work, but I use the moisturizing. Let it sit on the affected area for about 10 minutes daily.

[@thomeees5819]

I hope you guys get over this. Fresh air, healthy foods, exercise, good sleep. Are all things that help me.

[@thomeees5819]

Keep clean shaven helps me too, I use a braun shaver because the regular shavers cut my face and made it worse.

[@lysag5664]

Thank you so much, you have been super helpful. I will be passing by the drugstore later to pickup what I need as I have been dealing with Seborrheic Dermatitis for so many years and not much help but it's mainly in my scalp than anywhere else any useful tips would be greatly appreciated. Once again thank you and Happy New Year 🎉🎉🎉🎉

[@savannahleigh9910]

appreciate this breakdown - I have this a little bit around my nose. thank you for the tips!!

[@hasmincasansaripada9367]

how are you now?

[@luis7961]

I 'used' to have this. I remember one day I stood up from the sofa and I went out in the hallway, and there I just stood and staired at the mirror. I was red all over all. After that hell began. I went to the doctor. Four of them and four different symptoms they diagnosed me with. All from beard fungus, to rosacea to some kind of dandruff in the skinn. They gave me evertyhing to 'try'. And I tried it. Some only made it worse. Cortisone was one of the first things they gave me. That only made my skin dry, and the problem bigger. But one doctor actually took me serious and did send me to a professional. She saw right away what it was. It was Seborrheic Dermatits. "Use this", she said and gave me a ointment. This ointment is not that bad for the skinn either. Like I understand its like Vaseline. I went home and applied on and around the areas where I had the problem. Almost the same night I could see the difference. The next day it was almost totally gone. I will have to use this everytime I get the Seborrheic attacks and also 2 days each week/ morning and evening. That will most of the time prevent it from coming back. I have not had this problem for a long time now. And when it does appera, i just apply this ointment on that area, and it will make the problem go away quicker, sometimes even durring the same day. I do not know what this ointment is called in english, but I will give away the name of it in my language. It is called *Tacrolimus* Nothing I ever did, ever helped to cure my Seborrheic Dermatits, but with this i can keep it somewhat under control. I also avoid some food that they say are not good when you have this. Food with Omega 6 in it. They say that omega 6 causing inflammation in the skinn. And that is to be avoid. I used to eat alot of melons. But not any more. Also I stay away from nuts. So my suggestion to everyone out there; try Tacrolimus. It really helped me. The only bad thing about it, might be that your skinn will look little 'oily' when applied to it. Even though it is not an oil. But I rather have that, then the red skinn. It will disappear during the day anyway. For people who has never had this skinn afflict, they will never know how it is to live with it. But there are help out there. Dont give up. This ointment worked for me, hopefully it will help someone else too. Good luck to everyone.

[@SkinByDrAzi]

Sometimes perceptions are necessary

[@mathismuller6033]

What helped me was Ketoconazol and drastically reducing my sugar intake. It seems like this illness helps all of us to lead a healthier lifestyle. BTW Ketoconazol is not verschreibungspflichtig in Germany.

[@thepageturnerify]

Tacrolimus seems to be some kind of sledgehammer! Its a heavy immunsuppressor, used in transplantations and for bad ekzems. Of course the skin does not dare to make flakes or so... Google it or look it up in Wikipedia. I would be careful. I have seborrhoic dermatitis since I was 20 - now I am 80. As first medication the doctor gave me Cortison cream. Helped at first, but I do not want tu use cortison regularly. Besides, it's effect fades with longer use. Salicylic acid helps, but only strenghtens the skin surface, does not eradicate the yeast. It came up now and then again. Ketoconazol (Nizoral shampoo and Fungoralcream) was much better, but can have also undesirable side effects, like liver damage. I still use it, but only when the rush is very bad. Normally, regular washing with head and shoulders and rinsing with apple vinegar is enough to keep it under control. I think the main problem is that the Malassezia yeast does not stay on the skin surface, but goes deeper into the tissue where creams and shampoos do not reach it. It can affect almost every part of the body, but mostly ears, eyes, mouth and nose. Wherever it arrrives, it does not kill you, but can affect inner ogans also. And from time to time, it uprises again and is seen on the skin. I now tried a 10%DMSO solution on the scalp and the face, a few drops per day. DMSO (dimethylsulfoxid) is a carrier, going deep into the body. No more outbrake since last September.

[@TheXone7]

The main REASON could be too high omega 6 to omega 3 ratio in sebum. Today the consumption of omega 6 is just extremely high and onega 3 extemely low. This is the cause of SD. MCT oil C8 or C10 helps SD. Not C12 though, be aware. Google my information and see for yourself.

[@jblaze600]

Ty so much. I’ve been dealing with this my whole life. I decided to get pro active with treating this condition.

[@HaggleLad]

I am a male who suffered with Seborrheic Dermatitis for decades but finally found something that eliminates it... BIOM8 oil. Don't be alarmed by the fact its labelled an oil, its really not greasy in the slightest.

[@collywogs2258]

Thank you SO MUCH! I was trying to search what the best cream would be to treat this symptom that my son has. You blew my mind, I am so grateful I am for your advice.

[@Mrs_Homemaker]

Using a sea salt scrub + salicylic acid soap and lotion has cleared my husband's finally! We have tried a sulphur shampoo for a long time and it helps the scalp but not his face and beard.

[@SkinByDrAzi]

Great! Glad he’s better

[@kunaloswal2828]

Can you tell me the name of scrub and soap and lotion pls

[@kourosharma]

💙👏🏼thank you Dr shirazi درود بر شما خانم دکتر سپاس از اطلاعات خوب 👍🏼🌹

[@lilzajane]

I have this on my scalp... I have had it since I was a baby. My mother used to use phisoderm on it and as a child that seemed to work to a degree. I have used tar shampoo, tea tree shampoo, charcoal shampoo... you name it. I am finding Dove for dandruff shampoo seems to help control it a bit but.. it is still there. I might try going back to the phisoderm to see if that might work now that I am in my 60's.

[@SkinByDrAzi]

Thanks for sharing! The ONE spray a few times a week works well: azimdskincare.com/products/the-one-acne-body-spray

[@petercarmody4897]

live in Northern Maryland. I noticed that my dermatitis gets worse in the winter. And when I go South to say Myrtle Beach, SC, Orlando, FL, Puerto Rico, and Phoenix AZ, my dermatitis goes away. My hypnosis is that the Southern latitudes have more ambient ultra violet radiation that stunts fungal growth.

[@brad9189]

04:07 "Some people are just more sensitive to the yeast breaking down these oils." I wish more research could be focused on this, rather than just the band-aid of reducing the yeast levels on the skin. There has to be some tangible reason WHY some of us are more sensitive to these yeasts, and why this sensitivity leads to inflammation and rapid cell turnover.

[@Marie-zz1el]

My guess would be diet. A lot of times yeast related conditions are directly linked to sugary foods being consumed or diabetes. Not saying this specific condition is but just a thought based on other knowledge I’ve come across. Limiting sugar, carbs, any foods that turn to sugar would probably help a lot.

[@jillh7934]

At age 30 I developed this out of nowhere. Thick, brown flakes like cradle cap on my cheeks. So strange. I got a Rx sulfur from a doctor and its the only thing that eliminates it.

[@katesay1559]

Mine is chronic, it started a bit after teenagehood when I was struggling with depression and anxiety disorder. I never went away but I manage it pretty easily by following a strict routine. I wash my face with tea tree soap and then hydrate (not with oil of course cause oils don't hydrate) with a serum and a cream, twice a day. I started following a vegan lifestyle 2 years ago and for some reason the dermatitis became less angry and painful. I'm thinking maybe cutting out dairy, meat and eating way more greens was beneficial. But mostly I'd say having a good skincare routine and being consistent is the key ^^

[@SkinByDrAzi]

It does tend to be chronic but shampoos and the one spray helps keep it well controlled

[@adamolition8702]

Mine is chronic aswell, and I stopped consuming dairy and it helped alot.

[@LG-bi1sr]

@@adamolition8702 Go to a specialist on auto immune disorders and test for any allergies and intolerances. This is an auto immune disease. Cut out anything that triggers your immune system!

[@AncientOne222]

Myself, My brothers, My mother and my daughters all have this, I also have rosacea but what I find interesting is I took a food sensitivity test and I have an intolerance to bakers and brewers yeast so my body doesn’t like any sort of yeast.

[@Jasmine215100]

I too suffer from Type 1 Rosacea with overlying Seborrheic dermatitis. It really sucks! I used to get a lot of compliments on my face when I was younger (I'm a Fitzpatrick Type 1) and never needed facial makeup! I use tetracyclines, Rosadyn capsules, twice-yearly laser treatments and 2% salicylic acid washes to treat this! Very hard to treat long-term!

[@AncientOne222]

@@Jasmine215100 I use Sulphuric soap and Azelaic Acid + Metronidazole + Ivermectin Formula 15%-1%-1% topical cream It has improved my skin but if I stop using it I’ll have a flare up. For me I think it’s an inflammatory response to my food intolerances ( I have 17 in total) Growing up I used low dose hydrocortisone cream and that kept in in check. I also use cerave as a moisturizer.

[@jagapapalo3240]

You are completely right saying not putting on any sort of oil! Even the good ones, it makes the condition much worse. My case is severe, the whole head, eyebrows, chest, groin, ears are involved. There is no cure for that. I have been fighting with it for over 30 years, nothing works, except shaving and washing every single day. A regular soap suffices

[@nalliug23]

Apply cucumber + vitamin e it work for me

[@SkinByDrAzi]

Yeast love oil

[@imjustpeachy1]

This whole time I thought I had dry skin thanks for the information( just got the face analysis and my skin type is dry and sensitive )

[@kaylahelton9116]

Omg, thank you. I'm going to try this and see how it goes.

[@captainstress]

A sodium sulfacetamide-sulfur cleanser by prescription, used about once a week, has been the only thing that has worked reliably for me.

[@SkinByDrAzi]

That’s a great treatment

[@amalrahma2345]

What is your skin type

[@e4lvsops]

My hubby’s skin is complex. He has psoriatic arthritis and seborrhea, sometimes tinea versicolor. Can’t take biologics or methotrexate. He’s on Otezla, which has helped psoriasis and arthritis a bit, but hasn’t really helped his face. He was recently started on Vtama, which helped his knees and elbows, but got irritation and comedones of the face. Pretty sure his face and scalp are mostly seborrhea, though does have a malar appearance. He also uses ketoconazole shampoo on scalp and face, and steroids. His face and joints looked amazing when we visited a hot, humid location for 2 weeks. Right now, his face is irritated and raw, several areas of hyperpigmentation on his dark complexion. He’s been scrubbing too hard and not moisturizing. I’m trying to help him restore his skin barrier first, and use a gentle SA cleanser without scrubbing with SA cream from Cerave as a moisturizer after his desonide. Was thinking of adding niacinamide and azelaic acid later on, mostly bc our tween is using that for acne and less clutter the better. I hope it helps him this time.l, and that he can finally get off topical steroids. 😅

[@SkinByDrAzi]

Best wishes! Hope this video helps 🙏❤️

[@Bassbarbie]

I feel for you, and him. My doctor diagnosed me with this, however I’m not convinced. I had SD 30 years ago and maybe I do still suffer a little (yes eyebrow and hairline a bit dry), but I’m convinced this isn’t my issue at the minute (pustules each morning and itchy and red face - I suspect rosacea). Anyway, I just wanted to say that I have been impressed with The Ordinary squalane cleanser - feels really calming. I’ve also been using their Azelaic acid and niacinamide each night and it’s really helped me - I know I’m probably different. I’m not so convinced about their moisturiser though. I’m in my 60s and have never had skin issues before now. 30 years ago I was given coal tar shampoo. Huge flakes of scalp used to fall off. Certain shampoos can still kick me off. Good luck helping him.

[@lizarosa156]

Thanks for the info. I personally love strongest salicylic acid for my extreme oily DHT hormonal oil glands on my face scalp ears neck and shoulders. I use the salicylic shampoo on all the redness oily glands. With me it is excess androgens hyperactive sebaceous glands. It’s genetic.

[@matthewna3777]

I use a clay mud mask I make. It works. Ingredients - clay powder - vinegar - sulfur powder

[@enerient]

I've been suffering from this on my scalp since I was 12 and and it's been going on for 22 years 😢

[@SkinByDrAzi]

Happy to do a photo consult here: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@yazb9530]

Same here and now that I’m pregnant it’s worse 😩 but this video is so helpful, I never knew I shouldn’t be using oils on my face!

[@user-kj6mi9gv5x]

Thanks for teaching us how to treat it ❤

[@ethelrhine56]

When I get a bad flare up on the scalp, i thoroughly do a salt bath and a salt rinse to calm it down. If i have it on my face, the same thing, but after i use Candacort cream 🙂

[@fadimumtaz3059]

Ginger will fix the autoimmune reaction causing scalp problem.

[@duketogo2616]

I'm 40 and I've had it on my scalp for 32 years. Nothing works other than steroid creams and you don't want to take those long term because they cause skin thinning, pressure in the eyes, and can cause cancer. I've tried antifungal creams, tea tree oil, vitamin C, honey, 🥥 oil, MCT oil, all brands of dandruff shampoos, supplementing Zinc, vitamins, taking a borage oil supplement, and switching to a keto diet. I also stopped getting flakes when I tried fasting for 5 days straight but I think that was just because my body didn't have the energy to keep the rapid skin turnover going because the moment I resumed eating food the scalp resumed flaking like mad. Also lost some hair from that which never came back.

[@JadedEvan]

Sorry to hear that only the steroids help. I'm a 42 year old male and have tried the battery of solutions you listed above - not finding anything that seems to help long term. I have not had a prescription for steroids (or anything else) to this date. I will say my symptoms are also getting worse at time goes on. Flare ups are now much more intense and widespread than years ago. Be well friend!

[@duketogo2616]

@@JadedEvan My next strategy is going to be to use the steroid cream to get the flare up gone and skin back to normal for about a week then use ketoconazole antifungal cream and a triple antibiotic ointment cream to try to prevent the malassazea yeast from proliferating and keep any staph bacteria at bay. I was reading on the sebderm reddit that many people saw big improvement when they were taking prescription oral antibiotics and the problem returned when they got off of them and a researcher there was thinking it was a combination of both staph bacteria and the malassazea yeast that cause the flaking response by the body so maybe trying some antibacterial measures as well then restoring the moisture barrier of the scalp after getting the flare up under control may have an effect.

[@SkinByDrAzi]

Oils make it worse. The One Spray is a great option without steroids: azimdskincare.com/products/the-one-acne-body-spray

[@RumiRose12]

Have you tried Happy Cappy shampoo

[@duketogo2616]

@@RumiRose12Yes.

[@Cherry-vc1bj]

Just rinsed the oil I just applied on my skin 😭 Thank you

[@ginnysmith3017]

Tossing out here... The Zinc Therapy soap shown in this video contains olive oil (which she says is really bad for SD). Suggest finding a different brand than the ones shown (Vanicream Z-Bar has a PEG ingredient).

[@rolandbaxter1956]

Olive oil and products triggers a strong flare.forget all olive oil.

[@dr.shashibhushan4948]

Thank you for your dedication.

[@6235dude]

My seborrheic dermatitis isn't severe, and my face doesn't seem oily at all, but I have the flaking condition on my forehead, alongside my nose ,and to a lesser extent on the rest of my face. Also, red patches on the upper part of my cheeks. Well, I found this product which works great for me, and I don't even have to use much of it. It's the "Wild Naturals" brand Eczema & Psoriasis cream, found on Amazon, around $40.00 if I remember correctly. It's an 8 Oz jar, which will probably last me a year since I usually only apply it once a day. I hope this can help someone.

[@Suicidebummer88]

best thing that works for me is to not get my face wet ever. difficult when your a female and have to wear and remove makeup.

[@jbydlmdmIaw]

I have tried all sorts of soaps, lotions, foams, shampoos, etc, and nothing worked until I tried fluocinolone acetonide body oil. That was the only thing that I have done that cleared it all up on the face, ears and scalp.

[@user-kq4sg6oi5r]

سلام خانم دکتر من تو ایرانم نمیدونم چجوری عکسمو بتون نشون بدم هرکار میکنم درست نمیشه درماتیت صورتم روز به روز بدترم میشه

[@Th3GuyWithPants]

just give up on sugar and carbs, no more seborrheic dermatitis... its easy

[@Darkseid_69]

What will u eat then 🥲

[@sukwanthomas9434]

What do you recommend to eat on a Daily basis?

[@Th3GuyWithPants]

@@sukwanthomas9434 Eat everything that is not processed food, and do not eat foods that add sugar to the blood, such as potatoes, rice, pasta, flour, cookies, ice cream, bread. Your diet should be based on meat, fish, eggs, vegetables, seeds, nuts and fruit, the only source of sugar you can have is eating a piece of fruit Don't drink juices, just tea and water Follow this diet for a week to a month, and you will see your dermatitis go away. It's also good to remember that vitamin D is an important factor in dermatitis, a lot of people think that sunbathing contains vitamin D, but it's not that simple, if you don't have enough magnesium, the body doesn't absorb vitamin D, so it would be good Also implement a magnesium and vitamin D supplement, or you can eat spinach or another source of magnesium and take some sunbathing. If you wanna know why this diet works, let me know

[@ajent8378]

This really helpful 👏🏼

[@oubliette862]

my issues seem to be a multifaceted little gem of irritation. I've always had oily skin and fine hair. first, I had my doctor script me a bottle of ketoconazole shampoo and a cream of the same. that got things under control. I used the cream for about 5 months and 1 month for the shampoo. I had to stop scratching. next I had to change my grooming habits a bit. I had been breaking out on my thighs and butt from ingrown hairs since I was a teenager. the problem was that I was only using soap and water. I have to use a washcloth to properly exfoliate my skin to prevent that. the washcloth and dandruff shampoo have worked very well to maintain. I still break out a little occasionally but my skin everywhere, is pretty nice now. I try to not touch my face if I can help it. normally I don't attempt to do my doctors job, but I wasn't getting any results and am absolutely sick of skin problems. I can stand stuff in my hair eyebrows it looks like hell, and I had enough of it. hopefully that's useful.

[@Kat43146]

Hi. What types of skin care products should i avoid? For example, most night creams are moisture rich (oily), and what about serums and toners ? What should I avoid?

[@alinasirbu1485]

Just want to add . Dercos shampoo from Vichy will help a lot and frequent use ,every 3rd day wash your hair . Every day and night wash your face . Will definitely help .

[@romanclay1913]

Dermoscribe - Seborrheic Dermatitis Cream eradicated my SD in a week. I had it around my eyes and had to be careful applying the cream as to avoid getting it in my eyes.

[@S1L3nCe]

Forget it. Any skin treatment is a temporary fix, at best. The reason why most of us (if not all) have these skin conditions is most likely that our diet is inflammatory. Try carnivore diet for a month (be as strict as possible) and let me know. Keto can also help but the more toxics you eliminate from your diet, the better (that's why carnivore diet works best; it's the best elimination diet). I've been on the carnivore diet for not even two weeks and my skin is back to normal, after decades of suffering. I have no words to describe the changes I'm experiencing 🙏

[@tylerk140]

What food is good?

[@kenelf2008]

I have this kind of condition and based on what I've noticed it will show up if I'm stress and if I lack of sleep. What I've been using is hydrocortisone cream corticosteroid. I also use mositurizer that contains vit b6 known to help reduce oiliness. I'm not really sure if I should continue using the moisturizer or not doc?

[@kenelf2008]

In addition, the moisturizer I used also has Pro radiance complex which combines an oil free formula as per the product packaging. When I'm taking a bath I usually scrub the area where the flakes are like the t zone, in my chin and at the back of my ears. Then I apply the hydrocortisone after taking bath. And just today after watching your video I stop applying crocodile sacr removal serum bec as per the product add crocodile oi essence combined with cell-soluble nutrients from yeast fermentation product, effectively improve skinluster, lock water and moisturizes... So I guess I really need to stop the serum

[@SkinByDrAzi]

Try the recommendations in the video

[@gillianqn]

I've just paid £260 to see a dermatologist.my own gp didn't see me and gave me the wrong cream.i am using 2 creams for 10 days and then 1 cream for 10 weeks to try to keep it off my red blotchy face.i was advised to use ceravie cleaning foam and miceller water to cleanse. Also not to use any perfumed creams.the best thing is to apply the cream as soon as the rash appears.unfortunatley in n ireland there is a 3 year waiting list with the national health service and 3 months to go privately. I was lucky to get a cancellation even though I had to pay but now I will keep a note of the creams to use again..good luck to you all.greatxadvice from this doctor

[@Anotherlevel365]

Omg I had dry lips and dryness around my mouth and it’s really itchy and hurts when my smile and I applied a castors oil few days ago and it had soothing effect but it made darker mark on my skin and after few days it began to peel. I still have scars but I’m praying for it to go way. I wish I didn’t apply the oil 😢.

[@irmadirocco6260]

I have been dealing with my issue for nearly 1yr. I've seen a Dermatologist and he diagnosed me w/ contact dermatitis. All my symptoms are nearly exactly as you just explained this. I have been referred to an Allergist. He thinks it's an irritant. I feel like I am struggling on my own because neither have really resolved anything. Here I am still dealing with this. I will try some of the recommendations and see where it gets me.

[@fsdlor]

heyy @irmadirocco6260, i've been dealing with this condition for 4 years now and here's everything i learned . i've tried soo much stuff and the only 2 things that really seemed to work and are the cheapest options were the Dove soap bar as a daily cleanser and aloe gel as a moisturizer (apply it while your face is still wet, don't miss this step). reducing sugar, dairy and gluten really helps as well. if you live in an environment where the air is dry you should apply a thin layer of vaseline over the gel as it helps to lock the moisture in the skin. sometimes i would use Aveeno 1% hydrocortisone anti-itch cream if the condition gets really really bad (do NOT use it more than 7 days in a row). using witch hazel toner hleps calm the irritation and also unclogs your pores (i only use it if my pores are clogged but it could be uesd twice a week for a clearer skin). P.S: if you ever feel like trying a different routine, make sure that the products are oil free and non comedogenic.

[@nalliug23]

Apply cucumber + vitamin e it work for me

[@mikni4069]

I’m still baffled people constantly say it is the oil gland and yeast that is the cause, because it’s not it’s a symptom of things in your body and mind that doesn’t work as it should. If you produce too much oil and have higher than normal yeast on those are it’s because of changes in your body typically onset by your mental state and diet. Skin conditions long been linked to mental health issues , almost all studies shown that people with skin conditions also have mental health issues. Many with this also show to have other autoimmune diseases like irritable bowel syndrome. Any sort of cream or shampoo with ingredients battling the symptoms isn’t going to remove it, it’s suppressing it. Taking steroid creams and disinfectant is a big no, no for prolonged periods as it might unset even worse conditions. The solution is taking care of your mental health, reduce stress, eating healthier and more balanced that means also reducing excessive amounts of carbohydrates, especially in terms of refined sugars, alcohols and basically anything that offset inflammation in your body.

[@donwright5020]

I get a pretty severe case behind my ears and on my neck. The steroids help a bit but I have terrible reactions to it. Thanks for the tips.

[@marjanapeippo6315]

The sides of my nose get very itchy and whole the time flaking. The itch is already on my nose. The flaking and itch is also on the sides of my mouth and chin.

[@SkinByDrAzi]

Hope this helps, happy to do a photo consult here: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@marysstyleandfavoritethings]

I have seborrheic dermatitis. My dermatologist prescribed Clobetasol.

[@user-ni8gi6ts3y]

Can we apply moisturizer or any lotion on our face while having sebhorreic dermatitis

[@buddyholly4672]

My husband's derm says he doesn't have this, but he 100% does

[@katrinascheetz4149]

This came on to my face full-blown in 2019 and my entire face was red, inflamed, itchy, swollen, flaky skin. So much flakyness. My skin was very itchy but painful too. My eyes were SO puffy and swollen, red and flaky skin I wasn't sure what to do. It has been quite a journey I have figured out on my own. Now I only have some redness and areas of acne on cheeks. Although still dealing with the flaky skin around my whole eye area. Will these soaps mention make a difference? Also is there any creams that would be good to put on at least at night?

[@SkinByDrAzi]

Yes the ones I mentioned, if still an issue Happy to do a photo consult through this link: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@Linda-ol2xz]

I have this condition and have tried tons of products over the years. Almost every product burned my face a bit or red instantly or broke me out. Several years back I discovered tallow (beef lard), sounds gross I know, but it’s amazing! It’s extremely moisturizing, doesn’t break me out even though it’s a heavy lotion.

[@katrinascheetz4149]

@Linda-ol2xz thank you for your reply on what works well for you. I haven't heard of that before, but I will check it out.

[@ItsJr2.0]

@@SkinByDrAziis it have to pay to do consult?

[@lepapierhygienique]

Then Zbar did nothing for me but head and shoulders has my skin glowing. Also clotrimazole cream in the foot care aisle works well for flare ups.

[@Ally78435]

I have had seborrahim dermatitis since grade 9. I was only diagnosed with it 3yrs ago. It has been embarrassing.

[@abf39]

What’s your thoughts on azaliac acid with SD, would it help? Can you please make a skincare routine video with someone with SD, like what we can use and not use etc. I’m 34 and my daughter is 10 and we both have it. It’s been years of learning lol Also, should we put Vaseline on it ? I know you were talking about oils etc

[@divinesalon339]

My Dr's diagnosed me with this and give me a steroid cream and 2 oily creams saying its dry. My skin is very dry but don't want to put anything oily in if it's going to make it worse but don't want my skin an more dry as it's embarrassing it's on my forehead, cheeks and chin it's burning and stinging now 😢

[@michellenicholls2156]

Thank you so much, I recently had an outbreak, and it just wouldn't go away. Now, I know applying Vitamin E oil was probably not the right solution. I purchased the zinc therapy soap, but is there a more affordable anti-inflammatory cream you could recommend?

[@xenonkii6739]

Dose Doxycycline and itraconazole treat seborrheic dermatitis

[@Leetokee101]

If you recommended a shopping cart list, what should you buy OTC. To at least start to eradicate the levels?

[@11crystaln]

What do you do when you’ve tried all of these things and it hasn’t worked? I have this really stubborn, hyperpigmented spot on my forehead. Really affects my self confidence.

[@SkinByDrAzi]

You need prescriptions and medical management by a Dermatologist. Happy to do a photo consult: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@jonp4856]

I’m just so damn tired of this condition. I have it it my face mainly . Nose and on the sides of nose on face . First flare up was at 17 /18 years ….. before that I had normal beautiful skin im not sure what caused it . Long story short , I was given a corticosteroid cream when I was diagnosed cause I had a flare up but I didn’t really pay attention and I used that cream for so many years as a moisturizer basically which is bad . Really bad . Is there such thing as corticosteroid withdrawal? I started using a SD moisturizer that doesn’t contain any oils that feeds malezia . 3 main ingredients , 1. Xylitol , 2.MEDIUM TRIGLYCERIDES, 3. SQUALANE it’s a moisturizer . Been using it for 4 days now. It’s def helped with redness but my issue is . My face looks oily. I also started using La roche posay 2% salicylic acid FACE cleanser, use it morning and night . But my face looks oily in the area . I’m just trying to get my skin to look okay without people just staring . Well that’s just what I think. It’s affected me mentally bad bad

[@bilol1066]

same , I am 18 and had red area around my nose almost for year and half and it sucks

[@jamesgtmoore]

Have you tried Betacap lotion? Have you also tried changing your diet e.g. stop eating sugary food or dairy foods?

[@jamesgtmoore]

Betacap works for me.

[@S-sj2vi]

Hi what SPF would you recommend along with using these products? Once treated do you continue the treatment or would you switch to an oil free face wash and face cream?

[@SkinByDrAzi]

A mineral based SPF with zinc is best! I like EltaMD UV Clear, La Roche Posay has some good options, and HydratintBB SPF44 is my favorite azimdskincare.com/products/hydratint-bb-cream

[@SkinByDrAzi]

It’s a good idea to use a sulfur soap as a routine cleanser or ever just ketoconazole shampoo to cleanse daily to keep it at bay

[@SkinByDrAzi]

Avoid oils if possible

[@SkinByDrAzi]

I have a detailed video on the difference between oils, serums and creams

[@Loulou47762]

Thank you! In have Seb derm and find any creams or sun screens makes it worse. I don’t have much sugar in my diet except I have yogurt. It’s a horrible skin problem. I will try the vani z bar.

[@amalrahma2345]

I got this condition in both sides of my chin and nose ,it was so itchy,had redness and was flaky i applied vasseline the dryness,itchness gone but the redness became black and it is not going i have been applying aloe vera but no changes,plz recommend any product to fade the black mark

[@choochd]

It started along my scalp, spread to my face on either side of my nose bridge, then under my sideburns and in my ears. I am really trying to figure out if it is indeed SD because it also seems like they are psoriatic plaques on the face.... I feel so defeated with this mostly because no one can tell me what it is. I have tried the ketoconazole (both topically and orally), the zinc pyrithione, salicylic acid, coal-tar, pimecrolimus, and finally betamethasone drops. The steroid seems to be the only thing that worked for the scalp, however, when used on the face can cause permanent skin bleaching and capillary beds to appear, which I have experienced when I have used it on my face in desperation. It did get rid of the plaques but the tradeoff is not worth it in the long run. I need help, I might ask for another round of the Medrol dose pack but I really wish i definitively knew what would work.

[@SkinByDrAzi]

Happy to help you: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@veena8622]

Thank you Dr.Azi, would you have recommendations for this condition on scalp, itchy and flaky scalp.

[@SkinByDrAzi]

I have a detailed KZbin video called Flaky Scalp check it out!

[@esterkhazi1370]

Thank you very much! I know actually have it all over my body - small spots on legs, breasts, belly etc.. My dermatologist told only to watch and then if it doesn't help that I need to take hormones. Do you maybe have some advice in this case?

[@robertjohnson-tm1fr]

Hi Dr. What are you thoughts on using azelaic acid to treat seborrheic dermatitus?

[@saifeliya]

Burned my perioral area

[@timadkins5767]

I drink beer occasionally and it doesn't seem to effect it.

[@tekkaufman3111]

i have seborrheic dermatitis in my eyebrows, mustache, and both inner cheeks up all the way to my nose creases. i have the itchiness, redness, cracking/flaking and all. but i also have sensitive skin what would you recommend?

[@SkinByDrAzi]

The cleaners mentioned in the video will be helpful. SootheHC helps with redness and itchiness mixed with Clotrimazole OTC. If you are not better, Best to see a dermatologist for evaluation.

[@SkinByDrAzi]

Happy to do photo consult here: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@Xilef_]

What are some facial moisturizers & cleansers that you recommend to someone dealing with facial Seb Derm?

[@joywinona3573]

I have dandruff right after washing my hair. It is itchy and even with ketonazol shampoo it is not better.

[@SkinByDrAzi]

I suggest adding The One Spray to the scalp and if things don’t improve then you may need a prescription. Link to photo consult below: azimdskincare.com/products/the-one-acne-body-spray

[@SkinByDrAzi]

Photo consult: healthlens.com/referral?group=la-jolla-dermatology-laser-surgery-center

[@dulimc494]

For me also

[@sesfikileshop7344]

Since I mixed my lotion with castor oil seborrheic dermatitis appeared on my face , under my beard even in my head and my scalp pains alot . Is castor oil the reason why I am in deep pain?????

[@SkinByDrAzi]

Oils make it worse

[@ValJadeClark]

What about on the scalp? I was told if I wash my hair a lot it will strip my natural oils? I have 4c hair