Dermatologist's tips to for combining facial anti aging and dandruff skin care is the topic of a reader's recent question. I wanted to share it with everyone because there are some important skin care tricks to consider.
Dear Dr. Bailey, I'm 32 years old and have sensitive combination skin with mild acne and seborrheic dermatitis. I still don't have any wrinkles but I want to use something that will prevent them. I tried some anti-age creams but they seemed to aggravate my acne and they didn't go well with my seborrheic dermatitis. On the other hand, my creams for seborrheic dermatitis and acne don't do much to prevent wrinkles. What should I use? I envy people with normal skin who can use retinol or Retin A to prevent wrinkles. I'm worried because I can't find anything to fight both wrinkles and seborrheic dermatitis. Please help. Patricia
Dear Patricia, I like to start my patients on good anti-aging skin care as early as possible because prevention works so much better than reversal! 32 is a good time to start and I congratulate you wanting to figure out this skin care dilemma. My favorite anti aging product combo is a retinoid and a broad spectrum zinc oxide sunscreen. I am able to get most people with dandruff to tolerate retinol or tretinoin (Retin A) if I first control the dandruff completely.
Dermatologist's tips to control facial dandruff to add anti aging retinol or tretinoin skin care products.
To control facial dandruff, I have my patients use Calming Zinc Bar once or twice a day followed by Green Tea Antioxidant Skin Therapy. We also use a daily hypoallergenic moisturizer so that damaged facial dandruff skin barrier disruption can heal. My top choice for seborrhea patients is my Daily Face Cream for Normal to Oily Skin. These 3 products are available in my Facial Flaking and Redness Solutions Skin Care Kit.
If this alone does not control the seborrhea, then I have them use Lotrimin and possibly hydrocortisone cream like I mentioned in my article on how I treat facial seborrhea in my practice.
I always have my patients use a zinc oxide sunscreen daily on facial skin. My top choice is one of the SPF 50+ hypoallergenic and non-irritating pure zinc products in my Sheer Strength Pure Physical Sunscreen line including my Matte Tinted, Invisible or Spray. I reserve the water-resistant product for swimming only. The powder is to refresh sunscreen during the day.
We wait at least 2 months and then I see them back. We then gradually try to add my Retinol Night Cream or Retin A at the lowest strength. The beauty of my Retinol Cream is that it includes green tea polyphenol antioxidants to help reduce the risk if retinol irritation. Retinol is also easier to tolerate than prescription tretinoin yet known to offer similar benefits in the fight against skin aging.
It is also important to know that we may need to avoid applying retinoids to the parts of the face most prone to dandruff (around the nose and the eyebrows). Anytime the dandruff flares up we stop the retinol or Retin A, get out the lotrimin and/or hydrocortisone until it's clear then resume the retinol or Retin A.
We sometimes add BBL/IPL treatments, microdermabrasion treatments and calming facials as 'in office' procedures to enhance the anti-aging benefits and calm the dandruff. Of course, this is all supervised by me and is medical treatment. I cannot guarantee that it is right for you. I would recommend that you print out this post and take it to your dermatologist to see if my approach might be right for you. They, of course, would be responsible for initiating and supervising your treatment. I hope this helps you better understand how I approach my patients with these two conditions.
Cynthia Bailey MD, Dermatologist
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