Good Afternoon Dr. Bailey,
I have just been diagnosed with seborrheic dermatitis. I see that you offer a cleansing bar specifically for this condition….Noble Zinc Bar. What do you recommend as a follow up moisturizer? I am 46 and also concerned about my aging skin. Any advice would be appreciated.
Melissa (Missy ~)
My favorite regimen for facial seborrhea (aka dandruff) is to cleanse the skin with the Noble Zinc Bar (now called Calming Zinc Bar and reformulated with shea butter!) followed by twice daily application of Replenix CF Cream or Green Tea Antioxidant Skin Therapy – Replenix Power of Three Cream. Please note that I find the Replenix Creams more effective for facial dandruff than the serums and people sometimes get these products confused.
When a person’s skin needs a heavier moisturizer on top of the Replenix CF Cream or Green Tea Antioxidant Skin Therapy – Replenix Power of Three Cream, I then recommend one of the Daily Moisturizing Face Creams that do not contain glycolic acid, such as the Daily Moisturizing Face Cream for Oily to Normal Skin or the Daily Moisturizing Face Cream for Dry to Normal Skin. Of course I always recommend a broad spectrum sunscreen applied every day; regular sunscreen use is important because some people find that their facial dandruff flairs with sun exposure, plus we always want to fight sun damage.
The exact regimen is:
In the morning:
- Wash with Calming Zinc Bar (with a Clarisonic brush or Facial Buf Puf Sponge if desired)
- Apply Replenix CF Cream or Green Tea Antioxidant Skin Therapy – Replenix Power of Three Cream
- Apply the Daily Moisturizing Face Creams of your choice if needed
- Apply Citrix Sunscreen
- Wash with Calming Zinc Bar
- Apply Replenix CF or Power of Three Cream as above
- Apply one of the Daily Moisturizing Face Creams of your choice
I typically have my patients do this for at least 2 months to calm down the dandruff. I then see them back and try to figure out which anti wrinkle treatment their skin would possibly tolerate. Options include Retin A (tretinoin), vitamin C or glycolic acid. Unfortunately the dandruff makes these treatments difficult. I’ve written before on the ‘ins and outs’ of using anti aging products on sensitive skin. Some of those posts include:
Facial Skin Care For Problem Skin With Rosacea, Seborrhea and Clogged Pores
I hope that helps!
Cynthia Bailey MD, Dermatologist