In this guide
Seborrhoeic dermatitis causes redness, flaking and itching on the scalp, on the face beside the nose and eyebrows, behind the ears or on the chest. It is a long-term condition that comes in waves, and stress, cold weather and harsh products can make it worse. There is no quick protocol that removes it for good, but a good routine can calm the skin and make flares less frequent.
Scalp: a medicated shampoo
The basis of scalp care is a shampoo with an active ingredient, such as ketoconazole or zinc pyrithione, as advised by a pharmacist or dermatologist. The NHS advises massaging ketoconazole shampoo into the scalp and leaving it for 3 to 5 minutes before rinsing.
- Apply the shampoo to the scalp, not just the hair.
- Leave it on as long as the instructions say, then rinse well.
- Do not scrape scales with your nails or scratch your scalp.
Face and body: gentle and alcohol-free
The American Academy of Dermatology advises washing the face twice a day with a gentle cleanser, rinsing thoroughly and applying a fragrance-free moisturiser. Avoid products containing alcohol, as they can trigger flares. For sun protection, choose a sunscreen with zinc oxide or titanium dioxide.
- Wash your face with lukewarm water and a gentle cleanser, without rubbing.
- After washing, apply a thin layer of moisturiser.
- A beard and moustache may need the same medicated shampoo as the scalp.
Where aloe fits
Aloe vera is not a substitute for a medicated shampoo or cream. Aloe Vera Gelly, an aloe vera gel for caring for sensitive skin, can be an optional moisturising step for the face after washing if you tolerate it well. Before first use, test it on a small area of skin and stop if redness increases.
When to see a doctor
See a doctor if the condition does not settle despite regular care, if painful crusts, swelling, discharge or spreading redness appear, or if the eyelids and eyes are affected.
Sources: American Academy of Dermatology NHS Forever Living.
Common questions
Can aloe vera cure seborrhoeic dermatitis?
No. Aloe gel can be a pleasant moisturiser if you tolerate it, but the basis is medicated shampoos and, if needed, treatment recommended by a doctor.
How often should I use a medicated shampoo?
Follow the product instructions and the advice of a pharmacist or dermatologist. For ketoconazole shampoo, the NHS says to leave it on the scalp for 3 to 5 minutes before rinsing.
Before first use
Choose products for your dietary routine and care needs. Follow a healthcare professional’s advice for diagnosis and treatment of symptoms. Check suitability first during pregnancy and for use by children.
