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 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 tretinoin 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 such as tretinoin or retinol, 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.
My approach is to control the facial inflammation of dandruff with the products in my Facial Flaking and Redness Solutions Kit. It includes the 3 key products in 3 steps:
- My patients cleanse their facial skin with Calming Zinc Bar once or twice a day to fight Pityrosporum yeast associated with dandruff.
- They apply the Green Tea Antioxidant Skin Therapy twice daily after washing to sooth redness and reload skin antioxidant reserve depleted by inflammation.
- Daily Moisturizing Face Cream is layered over the Green Tea to heal disrupted skin barrier associated with facial dandruff.
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.
Retinol for dandruff if you don't have a prescription for tretinoin
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.
Click here to learn more about my Facial Flaking and Redness Solution Kit - a great way to calm skin for retinoids, tretinoin and anti-aging skin care products.
Cynthia Bailey MD, Dermatologist
Disclaimer: The information in the Dr. Bailey Skin Care web site, and related links, articles, newsletters and blogs, is provided for general information and educational purposes only. It is the opinion of Dr. Cynthia Bailey, or other indicated authors. Consult your physician or health care provider for any specific medical conditions or concerns you may have. (This also applies to patients in her medical practice; the information here is not a substitute for, or an extension of, the medical care she provides for you.) Never disregard professional medical advice or delay seeking it because of something you have read here. Use the information and products on this site at your own risk. Use of this site indicates your agreement with these statements and the Terms and Conditions of DrBaileySkinCare.com. If you do not agree to all of these Terms and Conditions of use, please do not use this site!