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Hello, I’m Dr. Neal Schultz
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and welcome to DermTV.
How do you fix a dry, flaky, itchy scalp?
Very simply, just shampoo it.
What do flakes represent, whether they’re
on your face or on your scalp?
Flakes represent large clumps of dead cells.
Normally, as your skin
matures, and the dead cells fall off, they
fall off in very tiny,
microscopic cells. You can’t see them. But
when they come off prematurely,
before they have a chance to separate one
from the other, then they come
off in clumps, and these clumps are recognized
as flakes. And flaking is
actually usually caused by inflammation, not
by dryness, so what does
flaking from the scalp represent? It’s actually
dandruff, and dandruff is
the result of inflammation from excess oil.
The excess oil on the bottom of
the scalp causes inflammation and that results
in a little bit of redness,
a little bit of swelling, and actually the
skin is then shed prematurely in
these flakes. How do we control this inflammation
and the oil imbalance?
Very simply, by shampooing. Start with your
regular shampoo. Shampoo every
day. Lather up for a minute, rinse it out.
Lather up for another minute.
And don’t be concerned that you’re going
to cause dryness in your scalp
because the flaking that you see, it’s not
dryness, it’s really
inflammation. If your regular shampoo doesn’t
do the trick after about two
weeks, then try a medicated shampoo. There
are many over-the-counter
medicated shampoos that work. They are aesthetically
elegant. They often
contain either tar, salicylic acid, selenium
or zinc. Again, give them two
weeks and, if that doesn’t solve your problem
of dry, flaking or itching in
your scalp, it’s time to see your dermatologist
who will prescribe topical
medications to control
your problem.