The Independent Pharmacy

The Best Ways To Deal With Eczema On Your Face

Donald Grant
Dr Donald Grant
MB ChB DRCOG MRCGP Dip.orth.med GMC 3058367
GP & Clinical Advisor

Eczema isn’t life-threatening, but it can be life-altering because of how it recurs and affects your everyday life as a chronic condition — not to mention its potential to leave marks or scars. It’s bad enough when you can hide it under clothing, but so much worse when it appears on your face.

Facial eczema is particularly frustrating. Like acne, it can damage your confidence, leaving you self-conscious. You never know when a flare-up will strike, so you can’t fully plan for anything. One day your skin looks fine, and the next — at the worst time — it’s cracked, red, and sore.

At The Independent Pharmacy, we understand how difficult it is to deal with eczema, and we want to help as much as we can. That’s why (in addition to our main piece about how to deal with eczema) we put together this piece specifically about dealing with face eczema: how you can get rid of it, how you can stop it from coming back, and what your treatment options (and alternatives) are.

Key Takeaway 1

Facial eczema appears as dry, flaky, itchy patches that can damage confidence and self-esteem.

Key Takeaway 2

Treatment options include regular emollients for prevention and mild cases, and prescription steroids for flare-ups.

Key Takeaway 3

Avoiding triggers like makeup, harsh weather and known allergens can help prevent facial eczema outbreaks.

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Identifying eczema (atopic dermatitis) outbreaks

There are various types of eczema, but the most common is the type we’re discussing here known as atopic dermatitis or atopic eczema. It often affects children (1 in every 5) before clearing up by adulthood, but it also affects a lot of adults (1 in every 12, in fact) — though, contact dermatitis is the type of eczema that most commonly affects adults.

Atopic dermatitis usually appears as a dry, flaky and itchy rash of thick, bumpy skin. If scratched or damaged in some other way, it may become infected and ooze a substance that will subsequently crust over. It commonly appears in skin creases but can affect almost any area of skin.

If you notice that a patch of skin on your face is getting itchy and starting to flake, you haven’t come into contact with an irritant, damaged that skin, or been exposed to any extreme conditions, and there are no other symptoms suggestive of a broader problem, then it could be that you’re dealing with eczema.

Before you reach any conclusions about how to proceed, consult a medical professional for some advice. They’ll be able to diagnose any new skin condition and confirm if you have atopic skin. You can always start a free consultation with one of our doctors online, by going to one of our treatment pages like Hydrocortisone and starting a free assessment with our medical team.

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How to treat facial eczema

If you do indeed have eczema on your face, you’ll want to reduce or eliminate it as quickly as possible so you can go back to living your normal life. There are two ways that you can directly treat eczema: with regular moisturisers (emollients), and with topical steroid creams.

Moisturising with an emollient is a safe option for sensitive skin. It should be done regularly as a preventative measure and will help relieve some symptoms of mild eczema on your face, rather than curing a flare-up. However, it is still important to use an emollient during a flare-up to prevent the skin from becoming even more dry, cracked and broken.

Topical steroids are stronger. They will reliably make an impact when a flare-up is present and you have more severe symptoms. Topical steroids should be used sparingly, only for courses of 7-14 days when your eczema flares, as they can carry risks including skin thinning or damage and even topical steroid withdrawal if used excessively. When an infection is also present, a combination product will be more appropriate. Click the link to find out more about Fucidin H cream and its uses for severe facial eczema.

In the event that eczema has spread to your scalp (a condition known as seborrheic dermatitis), the Betnovate Scalp Application will help in relieving discomfort.

Different levels of eczema severity

Remember that eczema can be hugely variable, ranging from very mild dryness to extremely-sore patches of weeping, sore or dry skin. You need to choose your treatment accordingly. Very mild eczema can clear up with some good skincare, while a more serious case may require the application of steroids.

In addition to using these treatments, you can take action to address the root causes through your general habits — adjusting what you eat, what types of clothes you wear, and how you approach life, can all play a part. We’ll look at this in more detail next.

How to avoid developing eczema on your facial skin

Whether you’re currently suffering from eczema on your face, or you’re eager to reduce the chances of developing it because you’ve dealt with it before, there are various things you can do to keep it at bay. Here are some eczema triggers and suggestions for avoiding them:

How to treat babies or toddlers with eczema on their face

Babies often develop eczema, and it can cause them a lot of discomfort and distress, so it’s understandable to want to do everything you can to treat it. That said, babies have thinner skin than adults, so you need to be even more careful.

Typical treatment of a baby’s eczema will involve consistent moisturising and, only at the direction of a doctor, limited use of weak corticosteroid treatment. If you’ve been prescribed treatment for your eczema, do not use it on a baby’s eczema - the strongest eczema steroids, in particular, can cause a lot of harm when used inappropriately.

Are natural remedies worth trying?

Some people strongly recommend natural remedies instead of the treatments usually prescribed by medical professionals, with examples including aloe vera gel and coconut oil. Most of these substances are harmless, and some do possess antibacterial and/or antimicrobial properties, but be warned: much of what they’re claimed to do has never been verified.

Prescribed treatments don’t sound exotic or fancy, but that’s because they’ve been purpose-developed to achieve specific goals safely and effectively. If you’re sure that it will be safe to try a natural remedy, then you’re welcome to try - but don’t expect to get results similar to those you’d get from prescribed medication.

Summary

Let’s recap what we’ve looked at in this article:

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Donald Grant

Authored by

Dr Donald Grant
Donald Grant
MB ChB DRCOG MRCGP Dip.orth.med
3058367
GP & Clinical Advisor

Dr Don Grant is The Independent Pharmacy's original online prescriber and has advanced in his role to become the Clinical Advisor, using his wealth of experience to advise on our clinical polices and prescribing guidelines.

Daniel Hurley

Reviewed by

Daniel Hurley
Daniel Hurley
MPharm IP
2078790
Pharmacist Independent Prescriber

Dan is an experienced pharmacist having spent time working in both primary and secondary care. He currently supports our clinical team by providing robust clinical governance review of our internal processes and information.