Understanding Greasy Flakes: Expert Advice on Treating Seborrheic Dermatitis
Do you have greasy flakes on nose and scalp? Dermatologist explains what you are doing wrong

Image: Hindustan Times
Greasy flakes on the scalp and face, often mistaken for dry skin, may indicate seborrheic dermatitis, a chronic skin condition caused by the yeast Malassezia. Dermatologist Dr. Abigail Waldman highlights common treatment mistakes and emphasizes the importance of using the right anti-dandruff shampoo and proper application techniques.
- 01Seborrheic dermatitis is a chronic condition caused by the skin's normal yeast, Malassezia.
- 02Using regular moisturizing shampoo is ineffective; anti-dandruff shampoos containing zinc pyrithione or ketoconazole are recommended.
- 03The same anti-dandruff shampoo can be used on the face, contrary to common belief.
- 04Proper application of shampoo is crucial; it should be massaged in and left on for about five minutes.
- 05If over-the-counter treatments fail, consulting a dermatologist for prescription options is advisable.
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Greasy flakes on the scalp and face, particularly around the nose and beard, are often misidentified as dry skin. Dermatologist Dr. Abigail Waldman explains that these flakes are actually a sign of seborrheic dermatitis, a chronic condition linked to the yeast Malassezia. In a recent social media video, she outlines common mistakes people make when treating this condition. One major error is using the wrong type of shampoo; regular moisturizing shampoos do not effectively address the issue. Instead, Dr. Waldman recommends anti-dandruff shampoos containing ingredients like zinc pyrithione or ketoconazole. Another mistake is neglecting facial treatment; the same anti-dandruff shampoo can be applied to the face. Additionally, proper application is essential—shampoo should be massaged into the scalp and left for about five minutes to allow the active ingredients to work. If these over-the-counter solutions do not improve the condition, it is advisable to consult a dermatologist for prescription treatments. This advice serves as a guide for those struggling with greasy flakes and aims to promote better skin health.
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Understanding and treating seborrheic dermatitis can improve skin health and comfort for those affected.
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