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This article was co-written by Luba Lee, FNP-BC, MS. Luba Lee is a licensed family physician practicing in Tennessee. She received her MSN from the University of Tennessee in 2006.
There are 8 references cited in this article that you can see at the bottom of the page.
This article has been viewed 9,204 times.
Scalp acne is as painful and itchy as acne on the face or back, but is more difficult to treat because it is covered by hair. The only advantage of scalp acne is that most of it is covered by hair. However, the amount of natural oil from your hair or hat/headwear can make old pimples worse or new ones form. Learning how to treat scalp acne and taking precautions can ensure breakouts don’t come back.
Steps
Use topical products
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Use benzoyl peroxide. Benzoyl peroxide is a common ingredient in facial cleansers and lotions for acne-prone skin. This ingredient works by killing the bacteria that clog pores and cause new acne to form. Besides, benzoyl peroxide also helps remove excess oil and dead skin cells on acne skin. Benzoyl peroxide is commonly found in over-the-counter products in concentrations of 2.5-10%. [1] X Trusted Source Mayo Clinic Go to Source
- Potential side effects of benzoyl peroxide include bleaching of hair and clothing if too much benzoyl peroxide is used. Use caution when applying the product to your hair or scalp. [2] X Trusted Source Mayo Clinic Go to Source
- Other side effects include dryness, redness, burning, and possibly peeling of the skin. [3] X Trusted Source Mayo Clinic Go to Source
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Apply salicylic acid. Salicylic acid is one of the most commonly used topical acne ingredients, found in most face washes and acne wipes. This ingredient prevents clogged pores and can even help clear clogged pores, shrinking the size of acne on the scalp or other parts of the body. [4] X Source of Research Salicylic acid is found in most over-the-counter topical products in concentrations ranging from 0.5-5. [5] X Trusted Source Mayo Clinic Go to Source
- Potential side effects include skin irritation and a slight stinging sensation. [6] X Trusted Source Mayo Clinic Go to Source
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Use alpha hydroxy acids. There are 2 types of alpha hydroxy acids: glycpic acid and lactic acid. Both forms of these alpha hydroxy acids are commonly found in over-the-counter acne products because they help remove dead skin cells and reduce inflammation. Some studies suggest that alpha hydroxy acids may even stimulate the growth of new, smoother skin. [7] X Trusted Source Mayo Clinic Go to Source
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Try sulfur. Some people with acne find sulfur a helpful acne treatment option. It can help remove dead skin cells and excess body oil. Sulfur is often combined with other over-the-counter ingredients found in skin cleansers or topical acne products. [8] X Trusted Source Mayo Clinic Go to Source
- Note that because some products contain sulfur there may be an unpleasant odor. [9] X Trusted Source Mayo Clinic Go to Source
Use stronger prescription products
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Apply retinoids. A retinoid is a topical medication derived from vitamin A. Retinoids block hair follicles to reduce the appearance of acne. [10] X Trusted Source Mayo Clinic Go to Source
- Use a product containing a retinoid at night. Start with 3 times per week and increase to daily use as your skin gets used to it. [11] X Trusted Source Mayo Clinic Go to Source
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Try Dapsone. Dapsone (Aczone) is an antibiotic ointment combined with an anti-inflammatory drug. This gel helps treat acne by killing bacteria and cleaning, while helping to unclog pores. [12] X Trusted Source Mayo Clinic Go to Source Dapsone is often combined with a topical retinoid to optimize the effectiveness of both drugs. Potential side effects are dryness and redness/irritation. [13] X Trusted Source Mayo Clinic Go to Source
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Use topical antibiotics. Severe cases of acne may require antibiotics to treat old acne and prevent new ones. Antibiotics are often given with benzoyl peroxide to reduce the risk of developing antibiotic-resistant bacteria on the skin and can be combined with a retinoid for optimal effectiveness. [14] X Trusted Source Mayo Clinic Go to Source
- Some common antibiotics prescribed to treat acne include clindamycin with benzoyl peroxide (Benzaclin, Duac) and erythromycin with benzoyl peroxide (Benzamycin). [15] X Trusted Source Mayo Clinic Go to Source
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Take antibiotics. Oral antibiotics may be prescribed for moderate or severe acne to reduce the growth of acne-causing bacteria in the body. Antibiotics can also help reduce inflammation caused by acne. The most common oral antibiotics prescribed to treat acne are the Tetracycline group, which includes Minocycline and Moxycycline. [16] X Trusted Source Mayo Clinic Go to Source
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Try the combined oral contraceptive pill. Some women and girls who often suffer from acne find the combined oral contraceptive pill can help with acne. These drugs combine estrogen with a progestin to both prevent pregnancy and protect against acne. [17] X Trusted Source Mayo Clinic Go to Source
- Three oral contraceptives are currently available in some countries such as the US: Ortho Tri-Cyclen, Estrostep and Yaz. [18] X Trusted Source Mayo Clinic Go to Source
- Common side effects include headache, chest tightness, nausea, weight gain, and occasional sudden bleeding, although some people may experience more serious side effects such as an increased risk of blood clots. . [19] X Trusted Source Mayo Clinic Go to Source Talk to your doctor to determine if combined oral contraceptives are right for you.
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Ask your doctor about antiandrogens. An anti-androgen such as spironpactone (Aldactone) may be prescribed for women and girls who have failed to treat acne with oral antibiotics. This class of drugs works by preventing androgens from affecting the sebaceous glands in the skin. [20] X Trusted Source Mayo Clinic Go to Source
- Common side effects include breast tenderness, pain during menstruation, and the risk of a buildup of potassium in the body. [21] X Trusted Source Mayo Clinic Go to Source
Prevent scalp acne
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Wash your hair daily. Some people only wash their hair every few days, but if you often experience scalp breakouts, this frequency may not be enough. Instead, you should try to wash your hair daily with your regular shampoo. This helps reduce the amount of oil in the hair, thereby reducing the risk of acne on the scalp. [22] X Trusted Source Mayo Clinic Go to Source
- Avoid using conditioner to see if scalp condition improves. Conditioners that moisturize the hair can cause too much oil/sebum to get trapped in the scalp.
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Avoid triggers that you know well. If you wash your hair every day and still get scalp breakouts, it could be due to something you put on your hair. Try avoiding styling products to see if your scalp acne goes away. After determining the cause, you can try different styling products to see if the ingredients in these products work for your scalp. [23] X Trusted Source Mayo Clinic Go to Source
- Try using a water-based product or one that’s labeled non-comedogenic, which means it’s less likely to cause acne. [24] X Trusted Source Mayo Clinic Go to Source
- Avoid applying hair care products too close to the roots. You can use hair gel or wax, but try to only apply it to the hair, avoiding the scalp or near the roots. [25] X Research Sources
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Let the scalp clear. Some people who are prone to scalp acne and who often wear caps or sports hats (such as helmets) are at increased risk of heat/friction/pressure acne, sometimes called muscle acne. learn. If you think wearing a hat or helmet can cause scalp acne, you should let your scalp air out more often. Or if you must wear a helmet, you should wear an extra absorbent headband underneath the helmet. [26] X Research Source
- Showering immediately after removing your hat/helmet and washing your hair can help reduce the risk of scalp breakouts. [27] X Research Source
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Comb your hair every day. Brushing helps to remove dead skin cells and loosen hair strands that are stuck together due to the natural oils from the scalp. This prevents scalp breakouts by removing dead skin cells that clog pores and removing oil-carrying hairs trapped in the scalp. [28] X Research Sources
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Consider getting a haircut. If you are prone to scalp breakouts, you should cut your hair to a manageable length and thickness to reduce breakouts. Cutting short and/or thin hair can reduce the amount of oil, dirt, and bacteria on the hair and in the hair follicles.
Warning
- Do not swallow salicylic acid, but only apply it externally. In addition, the medicine should be kept out of reach of children. Salicylic acid is banned for children with flu symptoms because the drug can lead to Reye’s syndrome, potentially fatal for children.
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This article was co-written by Luba Lee, FNP-BC, MS. Luba Lee is a licensed family physician practicing in Tennessee. She received her MSN from the University of Tennessee in 2006.
There are 8 references cited in this article that you can see at the bottom of the page.
This article has been viewed 9,204 times.
Scalp acne is as painful and itchy as acne on the face or back, but is more difficult to treat because it is covered by hair. The only advantage of scalp acne is that most of it is covered by hair. However, the amount of natural oil from your hair or hat/headwear can make old pimples worse or new ones form. Learning how to treat scalp acne and taking precautions can ensure breakouts don’t come back.
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