How to Treat Flaky Facial Skin: Find it Again Friday

Angela Christiansen|January 10, 2014

flaky facial skin advice from Dr. Cynthia BaileyRecently, we had a valued reader ask about the correct order you should use Dr. Bailey's products to treat flaky facial skin from seborrheic dermatitis/rosacea. The order that products should be used in a skin care routine can be a confusing and frustrating process, especially when prescription medications are also involved. However, Dr. Bailey has outlined the product order for facial dandruff and rosacea skin care regimens in her blog post: Best Treatment for Flaky Skin from Dandruff and Rosacea.

How Do You Treat Flaky Facial Skin?

Both seborrheic dermatitis and rosacea rashes compromise the skin-barrier integrity, leading to further irritation and flare ups from harsh products or climate conditions. Dr. Bailey stresses the importance of protecting these skin types from irritation by starting a "rosacea or seborrheic dermatitis cool down." A "cool-down" routine involves utilizing non-irritating products to allow the skin to heal properly. As Dr. Bailey points out:

This “cool-down” skincare routine is important because applying irritating products to barrier-compromised skin is like squeezing lemon juice on a cut, meaning it prolongs inflammation and slows healing. Healing of the compromised skin barrier is supported by the using only bland moisturizers and soothing products.

The Rosacea or Seborrheic Dermatitis Cool Down Regimen

Twice daily (morning and evening) follow these steps - Cleanse the skin with a gentle, non-irritating cleanser. Good options are a toleriane cleanser (least irritating option) or a calming zinc bar soap. Best flaky facial skin cleanser for winter Tolerianecalming zinc soap for flaky skin and pityrosporum folliculitis acne   - After cleansing, apply moisturizers, prescriptions, and creams in the following order:

1. Green tea antioxidant skin therapy/Replenix Power of Three or Replenix CF Cream. These creams replenish the skin's antioxidant reserve stressed from inflammation.

flaky facial skin treatment: Replenix CF CreamGreen Tea Antioxidant flaky facial Skin Therapy Cream

2. Prescription medication, such as clotrimazole cream, to calm the seborrheic dermatitis or rosacea rash.  These are applied after the green tea because it is better to add lighter-based products over heavier-based products.

3. Moisturizer based on skin type, daily moisturizing facial cream dry to normal or oily to normal.

Dermatologist recommended Daily Moisturizing flaky facial skin Cream Dry to Normal Skin

Additional products that may also be used: - A very mild cortisone cream such as 1% hydrocortisone cream. Dr Bailey only uses this where the rash is red, and for usually no more than two weeks. It is important to have a physician supervise this treatment to monitor side effects. - Sunscreens with pure mineral zinc oxide (physical sun barrier). Both of these skin conditions often flare-up from sun exposure. Non-irritating and sensitive skin-type pure mineral zinc oxide sunscreens include: Glycolix Elite Sunscreen, Suntegrity 5-1 BB Cream, and Suntegrity Baby Sunscreen. Best sunscreens for rosacea and flaky facial skin dandruff

Suntegrity Baby Sunscreen Suntegrity 5 in 1 Natural Moisturizing flaky Face and Skin Sunscreen best for dry sensitive skin

In practice, Dr. Bailey has her patients follow this routine for two months to calm the skin inflammation. Stopping before the skin fully heals could result in a relapse, so be sure the skin-barrier integrity has fully repaired before adding irritating products back into your routine. If you would like a more thorough discussion of the "Rosacea or Seborrheic Dermatitis Cool Down," refer to her previous blog post:  Best Treatment for Flaky Skin from Dandruff and Rosacea. If you have found these flaky facial skin and tretinoin tips helpful, please show your thanks by commenting on, sharing, “liking”, Google+, tweeting and “pinning,”  this blog post with friends and family.  Sincerely, Dr. Bailey Skin Care Team Photo attribution: Thanks and gratitude to © Doable/amanaimages/Corbis  

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