Eczema, also known as atopic dermatitis, is a common skin condition that affects people of all ages. While it can appear on various parts of the body, eczema on the face can be particularly distressing due to its visibility. There are also limited treatment options due to the sensitivity of the skin of the face.
The redness, itching, and discomfort associated with facial eczema can take a toll on one's self-esteem and overall well-being. In this article, we'll delve into 9 effective strategies for treating eczema on the face, including the role of prescription medications available from us here at DigiDerm, helping you manage your symptoms and regain confidence in your skin.
1. Gentle Skincare Routine:
The foundation of managing facial eczema lies in adopting a gentle skincare routine. Opt for fragrance-free, hypoallergenic cleansers and moisturisers to minimise the risk of irritation. Harsh soaps and excessive cleansing can strip the skin of its natural oils, exacerbating eczema symptoms. Instead, cleanse your face with lukewarm water and pat it dry gently with a soft towel.
2. Moisturise, Moisturise, Moisturise:
Regular moisturising is essential for maintaining the skin barrier and preventing moisture loss. Look for emollient-rich creams or ointments containing ceramides, hyaluronic acid, or shea butter. Applying moisturiser immediately after bathing while the skin is slightly damp can help seal in hydration. For those with facial eczema, consider patch testing new products on a small area to ensure they don't trigger a reaction.
3. Topical Steroids and Non-Steroidal Options:
In cases of moderate to severe facial eczema flare-ups, we often recommend the short-term use of mild to moderate steroid creams and ointments. These are anti-inflammatory treatments that can effectively reduce redness, itching, and inflammation. However, long-term or excessive use of potent steroids can lead to skin thinning, so it's crucial to speak to a clinician if your using a lot of steroid cream on your face. You can message us on WhatsApp at any time and we’d be happy to answer any questions you may have about this. Non-steroidal options like calcineurin inhibitors are an additional option recommended for sensitive areas such as the face.
4. Embracing Topical Calcineurin Inhibitors:
Topical calcineurin inhibitors (TCIs) are a class of medications that target the immune response involved in eczema. TCIs, such as tacrolimus and pimecrolimus, are especially valuable for treating facial eczema due to their reduced risk of skin thinning. They work by modifying the immune system's activity in the skin, reducing inflammation and easing symptoms. TCIs are considered safe for short- and long-term use, making them a preferred option for sensitive areas like the face. Here at DigiDerm we are happy to offer these treatments and would love to chat to you about them. If you have tried steroid creams for your facial eczema and not had any luck these new treatments might be a great option for you!
5. Identify and Avoid Triggers:
Facial eczema triggers can vary from person to person. Common triggers include harsh weather conditions, allergens, stress, certain skincare products, and dietary factors. Keeping a journal to track flare-ups and potential triggers can help identify patterns, enabling you to make informed lifestyle adjustments.
6. Cool Compresses:
Cool, damp compresses can provide relief from itching and soothe inflamed skin. Use a clean cloth soaked in cold water and gently press it against the affected areas for a few minutes. Avoid rubbing the skin, as it can worsen irritation.
7. Manage Stress:
Stress is known to exacerbate eczema symptoms. Engage in stress-reduction techniques such as meditation, yoga, deep breathing exercises, and mindfulness to help keep flare-ups at bay.
8. Sun Protection:
Sunlight can both help and worsen eczema. While controlled exposure to sunlight can have a positive effect on eczema, excessive sun exposure can lead to further irritation. Use a broad-spectrum sunscreen with an SPF of 30 or higher when spending time outdoors. Choose sunscreens labeled as suitable for sensitive or eczema-prone skin.
9. Speak to a professional:
Here at DigiDerm we’ve helped thousands of patients get control of their skin and we regularly see patients struggling with facial eczema, so don’t feel like you’re doing this alone. We understand that a skin issue on the face can be embarrassing and impact your quality of life, and we know how important it is to our patients to get their condition under control as quickly as possible.
That’s why you can message us at any time on our WhatsApp or other social media pages and we will be happy to provide free advice. If you want more tailored advice head to our appointments section to book in for a chat with one of our dermatology specialists.
Summary
In summary, eczema on the face can be managed effectively through a combination of gentle skincare, regular moisturising, targeted treatments like steroids and topical calcineurin inhibitors, and lifestyle adjustments. By identifying triggers, managing stress, and seeking professional guidance when needed, you can alleviate symptoms and improve the overall health and appearance of your skin. Remember, each individual's skin is unique, so finding the right approach may require some trial and error. With consistent care and patience, we are confident you can take control of your facial eczema and put your best face forward.
References:
Primary Care Dermatology Society. (n.d.). Eczema and Dermatitis. Retrieved from [https://www.pcds.org.uk/clinical-guidance/atopic-eczema]
British Association of Dermatologists. (2019). Guidelines for the management of atopic eczema. Retrieved from [https://www.bad.org.uk/pils/atopic-eczema/]
