Seborrhoeic Dermatitis: Managing Flaky, Red, Greasy Patches
Seborrhoeic dermatitis causes flaky, red patches on the scalp, face and chest. Here's what helps, what to avoid, and when to get treatment.
What it is
Seborrhoeic dermatitis is a common, long-term condition causing flaky, sometimes red and greasy patches where the skin has more oil glands: the scalp (where it overlaps with dandruff), sides of the nose, eyebrows, ears and chest. It is linked to a yeast that normally lives on skin, so it tends to come and go rather than being a simple allergy.
What helps
- Antifungal shampoos (for example ketoconazole or zinc pyrithione) used on scalp and, briefly, affected facial areas as directed.
- A gentle, fragrance-free routine the rest of the time, with light, non-greasy moisturiser.
- Managing flares early, since it tends to recur.
What to avoid
Harsh, fragranced or heavy greasy products that can aggravate it, and over-washing or scrubbing the patches.
Not the same as simple irritation
Because a yeast is involved, plain “gentle skincare” alone often is not enough, the antifungal element usually matters. A pharmacist can recommend suitable over-the-counter options.
When to see a doctor
If it is widespread, stubborn, very red or affecting eyelids, see a GP or dermatologist, who can prescribe stronger antifungal or anti-inflammatory treatment.
Tools that help
To check a product, a free analyser like Skincarisma lets you paste a product at your desk and see the ingredients you are avoiding flagged in the ingredient list, and SkinSAFE lets you filter a product catalogue to screen out the ingredients you are avoiding and other allergens. These rate a product on general criteria rather than against your own list.
Once you know what you are screening for, a personal-list app like ClearaScan lets you save the ingredients you react to once and scan any product to flag only your triggers. It also keeps a Reaction Journal for flare-ups, a shared Care Circle so family or carers can scan for you, and a Trusted Products list for items you have cleared, and it is currently in early access. (Disclosure: our editor co-founded ClearaScan, and we are not paid to mention the others.)