How To Get Rid of Dandruff | Seborrheic Dermatitis | with Dr. Sandra Lee

How To Get Rid of Dandruff | Seborrheic Dermatitis | with Dr. Sandra Lee


So what exactly is dandruff? And how do you
get rid of those annoying, embarrassing flakes? Hi guys, it’s Dr. Sandra Lee here! You guys
also know me as Dr. Pimple Popper. Well, I get a lot of questions about Dandruff on my
channel. People want to know exactly what it is and how to treat it. A lot of us know
what it is because a lot of us live with it. But, actually a lot of us think we know what
it is and we might not actually have it. As a Dermatologist I try to reassure my patients
who come in complaining of Dandruff that this is something that’s very normal, it’s extremely
common. It’s not life threatening, and it’s something that can be controlled. That can
be treated with the right tips. So let’s talk a little bit about Dandruff. Let’s talk about
what it is, who gets it, why we get it and how to treat it. What is Dandruff? The medical term for Dandruff is Seborrheic Dermatitis and this when you get a kind of greasy, scaly,
flaky, itchiness of the skin. Dandruff occurs in areas where there is hair. Because on a
hair follicle there is an oil gland attached. What this Sebaceous Glands do is they secrete
oil to lubricate the skin, and they kind of escape from under the skin through our hair
follicles. That’s why we see it very commonly on the scalp, but we see in a lot of hair
bearing areas. We’ll see it in the eyebrows, and kind of around these… these are called
the nasolabial folds. And what we’ll see is a little bit of redness, some scaly kind of
greasy, flaky scale and it can be itchy. We also see it in men if they have a lot of hair
around the chest. They can have some of this Seborrheic Dermatitis there as well. And that
is all Dandruff! Who gets Dandruff? Dandruff can occur in all ethnicities, in
all ages, but I’d say we probably see an increase in Dandruff in people who are going through
puberty. They have more hormones going through their system, they have more oil production
and this is usually what is associated with Dandruff. Many of you guys might know that
babies can get Seborrheic Dermatitis, they get Dandruff. It’s in the form of Cradle Cap,
where you get this thick scale on your scalp. Cradle Cap is a really common condition in
babies, it is not life threatening and it usually clears up without seeing a doctor, but there are prescription medications if you have a tough case. Dandruff is a very
chronic condition. It is something that comes and goes. It is not something that we can
treat. There’s no magic pill, or magic cream that I can give you that can make it go away
and have it never come back. We know what Dandruff looks like, but we don’t know exactly
what causes it. There’s a lot of theories that we have. We think that maybe it has to
do with a fungus that lives in our skin. This fungus is called Malassezia. And we think
that people that are more sensitive to it can get more flakiness, more of this greasy,
flaky, kind of scale. Genetics plays a role and it has a lot to do with whether we have
parents who have really oily skin or have really dry skin. Whether they are really hairy
or not very hairy at all, all these sorts of things come into play. So, certainly genetics
can play a role in how much Dandruff you might get. Even your environment can affect your
level of Dandruff. If you live in a really humid environment, if you live in a really
dry environment, these things can actually factor into how bad your Dandruff is. Because
we think that Dandruff is caused by a yeast or a fungus, there are many over the counter
medicated shampoos that really specifically target this. So that’s why they have ingredients
like Ketoconazole, Ciclopirox, Zinc Pyrithione, Selenium Sulfide, Coal Tar, Salicylic Acid… Most of these are anti-fungal or anti-yeast medications and some of them are really targeted
to kind of exfoliate or decrease the flakes on our skin. But we also use steroids. Topical
steroids will help to decrease the inflammation, decrease the desire to scratch the area. That’s
going to help you as well. One of the big mistakes that people make is they think that a Dandruff shampoo is not working for them but they might not be using it properly. You really
have to remember: your hair is not what you’re treating when you’re treating Dandruff. You’re
treating your scalp. So you want to massage that Dandruff shampoo into your scalp. You
don’t really have to care about getting it onto your hair. You can use your regular shampoo
to wash your hair so it smells nice, but use that anti-Dandruff shampoo to massage your
scalp. Let it sit for 5 minutes, let it soak in to that area, and help to destroy that
yeast or that fungus, or whatever might be there that’s causing this. And if you what
you have is truly Dandruff, you actually want to wash your hair more often. Washing your
hair more often is not drying out your skin to create more of these flakes. Washing your
hair more often is removing some of these oils that are secreted by these oil glands,
which is creating this greasy, flaky, scale that is Dandruff. In actually, in general,
the more often you wash your hair, probably the less Dandruff you’re going to have. And
I’m not talking about washing your hair 5 times a day or anything. Once a day, once
every other day… I wash my hair every other day and I pay attention to that. If I notice
that I tend to be getting a little bit more flaking or a little bit more Dandruff, I’ll
wash it a little more often. Dandruff is probably an overused term. You really want to know
whether you have Dandruff or something else. I think sometimes people think that they have
Dandruff but they might have another condition, another skin condition that creates dry skin
and flaking on the scalp. There are certain medical conditions that can cause a dry, flaky
scalp, very similar to Dandruff. One of the main ones is Psoriasis. That’s a condition
where you get these kind of red patches on your skin mainly, a lot of times in your elbows,
on your knees, but one of the very common areas that you get this is actually on your
scalp. And you can get these thick patches of skin with big flakes that come off and
that’s not Dandruff, that’s Psoriasis. You probably need to see a Dermatologist to get
a firm diagnosis, but that is something that people may mistake for Dandruff. A condition
called Tinea Capitis can cause a same kind of look. Usually that’s associated with a
bald patch of hair. And these kinds of things are treated differently, so it’s important
to identify or if you feel like you’re using some over the counter anti-Dandruff shampoo
or any kind of topical treatment and it’s not working, to please see a Dermatologist. So that’s it! Pretty easy. Seborrheic Dermatitis, that’s Dandruff. There are treatment options available for Dandruff that are right there. out in the supermarket or in the pharmacy. You just need to know how to treat it in the right way.

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100 Replies to “How To Get Rid of Dandruff | Seborrheic Dermatitis | with Dr. Sandra Lee”

  1. Buy NIZORAL shampoo. OTC is 1%. Rx is 2%. It's a Ketocozanol shampoo & it works well for anyone who has "Dandruff". Sunlight or artificial SAD lights work well also. If you swim in the ocean daily & get just a little sun & your hair is cut short you pretty much will cure or never get dandruff. Remember, buy OTC (Over The Counter) Nizoral shampoo to start & shampoo every other day for a few weeks & let it sit & soak for 10 minutes after a good hard SCRUBBING of your entire scalp. For bad cases get an Rx for 2% Ketocozanol shampoo & a tube of 2% Ketocozanol cream 60 gram. Sunlight is a necessity especially if you have psoriasis or eczema. Organic Coconut oil can be used to treat bad spots & it works wonders!!!
    ALSO, Tee Tree Essential Oil & Neem Oil can be added to NIZORAL SHAMPOO or apply directly to scalp. I add Tea Tree oil to my 2% Ketocozanol shampoo, use a sun lamp used for SAD & use Organic Coconut Oil on my scalp before bed. I also use Ketocozanol 2% Cream for bad spots daily.
    OBVIOUSLY I AM TREATING A SYMPTOM!!! WHEN I WAS A VEGETARIAN FOR YEARS & JUICED DAILY I HAD ZERO DANDRUFF ISSUES.

  2. The anti-dandruff shampoo, even the non-prescription strength was too aggressive. I was using it correctly but it still aggravated my dandruff by making my scalp too dry and hence causing overactive sebaceous glands to produce more oil. I was depressed to the point of shaving my head. Then, I followed my grandma's advice of ancient Indian ayurvedic treatment. I used combination of various roots, medicinal plants extracts on my scalp. But if I was busy, the most basic care was: First, I would comb through my scalp and get rid of chunky flakes. Then, I used coconut oil with tea tree oil. I massaged those oils onto my scalp, let it absorb overnight as I slept, so that by next morning, my scalp would be well hydrated, and I would rinse my hair with natural herbal shampoo from India. Even after, drying and straightening my hair, I limited use of unnecessary artificial products like hairsprays, etc. To set my hair, I just lightly used non-sticky, jasmine scented oil onto my scalp and hair to keep it well hydrated. I get compliments about my hair and I love how my hair always smells fresh. I'm just so happy that I no longer have dandruff thanks to my grandma's advice!

  3. Guys, here is another tip, if you don't want to use all these chemicals in shampoos and other products, go natural.
    Wash your hair with water and lemon, so take a glass of water, add half or full slice of lemon juice in it, and massage that water into your scalp. Let it stay there for 10 minutes. Then go take a bath or shower, and wash your hair with cold water, to make sure the lemon is off your scalp. Do this every day, or three times a week, or however times you can manage. But in short amount of time after couple days of doing this, you will notice your dandruff going away.
    Lemon exfoliates your skin, kills any bacteria or fungus on your scalp, and removes all oil and residue in your hair and scalp. That is why it works. And once you notice no more dandruff, you can either stop this, or continue to apply this treatment once a week to keep your scalp and hair healthier.

  4. The only dandruff shampoo that works for me is the one with ketoconazol. I was truly surprised by it's effect within a week. No more itching and flaking. Now I can go a week without washing my hair and still no flakes, even though by that time my hair would be oily and dirty. The lesson I learned was that dandruff is caused by fungal infection of the scalp. So use a shampoo that has an active ingredient that kills the fungal growth.

  5. I moved almost two years ago and the water here is HORRIBLE it's soooo hard. Ever since I moved I've had HORRIBLE dry skin including on my scalp. My scalp looks like I have a coat of dead skin ALL over it. Everytime I would go to shave my legs it would burn like I was shaving without soap and I wasn't. I actually started using hair conditioner to shave to put some moisture back into my skin. It actually really helped and there was no more burning. But my poor scalp is soooo BAD. I know it's from the water but Idk what to do. Any suggestions?

  6. I got a quick for you peoples. Do Selsen Blue Shampoo 🧴works for men’s scalps ? Because, I never tried it before at all.

  7. I’m going through puberty and I do have dandruff and it gets itchy when I am running or playing sports

  8. all this crap shes saying is bull.. it starts in your gut people. dont listen to these dumbass “doctors” the more they give false info the more you go to them for treatments giving them more money in the long run. they dont care about you they care about making money.

  9. My wife was prescribed a ointment for yeast infection, l used it on my head to get rid of my dandruff and it worked..

  10. I used to not even have a single flake of dandruff in my hair but after I dyed it I stared having crazy amounts of dandruff

  11. Wash everyweek once with Baking Soda. It works. Drandruff and the itchiness comes back when you stop the Baking soda. Put Baking Soda in a metal bowl with very little water to make it "pasty-like" and apply with a brush, the same method when you dye your hair. I use it also on some areas of my skin where I had acnea. Medications didnt work for dandruff and my skin. Good luck.

  12. What about people with eczema? I’ve been with it since I’ve been born and it’s getting hard to control and my body feels hot most of the time and I feel itchy.

  13. I was using a ginger shampoo for ages then it suddenly stopped working so well. Since then ive started using jojoba oil mixed with it and i wash it twice- that seems to have done the trick, think its the washing it twice thats done it really!

  14. Dr Eric Berg recommends mixing a few drops of origanum oil into one tablespoon of flax seed oil. I tried it and it works but has to be repeated. It is not a permanent solution.

  15. I had dandruff most of my adult life. I’m sensitive to shampoos & skin cosmetics. The only thing that helped me is apple cider vinegar. I rinse my hair in the shower with apple cider vinegar once or twice a week or every time I shampoo.

  16. I got rid of mines with a spray bottle of olive oil mixture, water and peppermint oil , mostly water and I would spray on my scalp every couple of days. I still have dry scaly ears but not severe

  17. How about pimples on the scalp from excessive oily hair? I can wash my hair and come the next day it looks like I haven’t washed my hair in a week.

  18. Only someone who has dermatitis or psoriasis of the scalp can truly recommend the proper treatment. Her recommending to wash your hair more often will only make either of the disorders worsen. The oils that our scalps produce naturally moisturize the skin. The more you wash it ,the more you’re drying the scalp and removing the natural oils that your scalp needs.

  19. My 6 month old had a severe case of cradle cap and eczema that was covering a good 70% of his body by the time he was a month old. I had to make a 50/50 mixture of eucerin eczema cream and triamcinolone for his body, ears and forehead and put straight hydrocortisone cream on his head. It's finally under control at 6 months old

  20. There's a difference between dandruff and dry scalp. Dandruff comes from oily skin. Dry scalp causes dry flakes just like any dry skin area.

  21. 1990: we will ah w flying cars in future

    Future:we don’t know what is the curse of dandruff

    1990:I hate future

  22. dandruff isn’t something that I get often, but just recently I got it really badly, and I wanted to tell you guys exactly how I managed to get rid of it super quickly. Dandruff, aka a flaky scalp, can feel a bit embarrassing as it’s so hard to hide, especially if you have dark hair like mine, it’s really obvious!

    The thing is, dandruff is super common, and there are a ton of things that can cause it; from too much stress or new hair products to not washing your hair enough or the overgrowth of a yeast-like fungus. Some people are more prone to it than others, but most people will experience it at some point in their life.

    in this article http://evassmat.com/Z04x will find some of the things I’ve used to get rid of dandruff, which have always worked really well for me.

    have a nice day

  23. I wash my hair every day and I never suffer from dandruff. I have tried washing it every other day but after some time my hair will begin to get itchy and flaky again. People say washing the hair every day is bad however it works for me.

  24. I got dandruff for the first time in my life. I had to start using a dandruff shampoo. Because I have thick hair I have to work in sections so this let's the shampoo sit for a while. I can't wash my hair that often though due to time and it will dry out my hair really bad. But I will try to wash it every week until it disappears. But I agree on leaving it on a while. It has minimized a lot.
    I use one from my pharmacy called daxxin. 😍🙏🏿

  25. On Nov 3, 2016, I was told I will not be getting a kidney transplant because I have blood circulation problems. I live in the US.i have had this TMAU (odor)from my early 20s

    In my 20's , I developed venous statis in which the capillaries pop and my skin darkens on both my legs below my knees and above my ankles.

    I have a inherited kidney disease as FSGS and minimal change , two kidney disorders. At that time, there was no treatment for me because my blood was normal but I had proteinuria alot of it.

    My kidney disease didn't really getbad until 2006, then I was referred to a kidney doctor. He prescribed predisone. It didn't work on me. It was supposed to slow down the disease. But my problems befan to appear in 2012, when I started to gain weight, I thought at the time I was eating too much, but I later discovered it was excess water. Because later that year, my legs started to leak water. I actually had to squeeze the water out of my socks and trousers. Then I developed claudication which causes pain on my calf muscles in the back of my legs. I would walk a few steps and they would seize up. I would rest a few moments and the pain would go away. Then walk a few more steps and again experience pain.

    Then in February 2014, my kidneys finally failed and I was put on haemodialysis. Then I lost circulation in my toes, then gangrene then amputations in May 2014 on my left foot then my left leg below the knee in June 2014Then my big toe on my right leg, on October 2014, and theno the rest of my toes in Nov 2014.

    By July 2014, I lost 40 liters of of water or 88 pounds of water through haemodialysis.

    I thought since I had 20 other medical problems besides my 2 kidney disorders that I wouldn't qualify for a kidney transplant. Plus I have 47 chromosomes.

    But at least, I now know, I won't be getting a kidney.Unless someone invents a cure for poor blood circulation.

    Not every one who has a chronic kidney disorder will have the kind of problems I have had.recently I was introduced to a herbalist from China by a doctor friend from India, we have to fly from India where I went for the treatment to meet with the herbalist dr sale bashiru in China.just in about two months later I was cured of this disease with herbs and oil.and my wife was also cured. We are few years without pain and symptoms now.here is my email address if you need information [email protected]

  26. I have a question if I use a dandruff shampoo do I need to put regular shampoo on my hair after I wash out the dandruff shampoo

  27. I tried sooo many things & expensive shampoos & then I tried head & shoulders…H & Sh was the only shampoo that got rid of my dandruff. I love it and will never go without it. I use it every 3-4 days followed by any conditioner I like for my ends.

  28. I have extremely thick hair so it’s really hard to wash it and get all the shampoo and dandruff out. My mom thinks it’s only bc I can’t wash it all out but I don’t know. I’m seriously suffering and my dandruff is awful😭😫😩😖😣

  29. Of course she doesn't know.
    Your lymphatic system is clogged up from head to toe, we just need to detox It, easier said than done, follow Dr Robert Morse channel.

  30. When I was researching causes of dandruff I came across vitamin deficiency.. dermatologist never mention the wonders vitamins do..

  31. Sometimes the dandruff because of dry scalp and this dandruff is white and small flakes and need to be removed by shampoo and moisturize the scalp to keep it healthy.

  32. Any ‘treatment’ is more like a bandaid. Dandruff is caused from yeast. Over growth of yeast is caused by diet. Change your diet and it will clear. Dermatologist refuse to acknowledge that diet effects the skin, but anyone that actually has a skin condition will tell you otherwise. You need to heal your gut flora.

    i.e. no sugar, processed foods, gluten or dairy.

  33. I have been recently diagnosed with seborrheic dermatitis by a doctor, after having months of really itchy rash on face, ears, top of shoulders and chest. Have no dandruff as such in my scalp. He gave me a ketoconazole shampoo (Nizoral) (can be bought over the counter in the UK) which I use every other day massaged into my scalp and left for 5 mins and rinsed off and also I have a cream which has a steroid and anti fungal combined for my skin (prescription only in the UK). Used it 3 times a day the first week, twice a day the second and then one a day the third week. So far all rashes gone and only occasional itch on my head!!

  34. My pharmacist made me this topical finasteride for my hairloss because none of finasteride dutasteride avodart done anything for my hair loss

    With this ingredients
    Caffeine
    Theophylline
    Spironolactone
    Finasteride
    Capsicum ext.
    Cantheridis ext.
    Ginco biloba
    Collagen
    Salicylic acid
    Dexa
    Menthol

  35. Guys! Use this;
    Spray bottle- half apple cider vinegar and half water, spray on scalp- leave in for 20-30mins, rinse then wash as normal!😊👍 natural and cheap, and it frigin works guys i swear lol

  36. I had not been able to solve the problem in the right hand during the last Six month with bad skin breakouts. But subsequently after attempting to employ this unique eczema guide “Rαsοkο Kuzo” (Gοοgle it) which was recommended with a colleague of mine, results were impressive. There were no more skin rashes soon after 2-3 weeks of trying it.. .

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