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Understanding Facial Psoriasis: Symptoms, Treatments, and Management

Are you tired of dealing with dry, irritated skin on your face? If you’re experiencing red, scaly patches, it could be facial psoriasis. This chronic skin condition affects over 8 million Americans each year, and flare-ups can occur anywhere on the body, including the face. In fact, about 50% of people with psoriasis will experience facial psoriasis.

What Are the Symptoms of Facial Psoriasis?

Facial psoriasis typically appears as reddish or purplish patches, depending on your skin tone. You may also notice silver or white scaling on the edges of the lesions. If it affects your eyes, you may experience visible inflammation or crusting. Facial psoriasis often occurs on the ears, neck, eyelids, hairline, forehead, and skin between the nose and upper lip.

Types of Facial Psoriasis

There are three main types of facial psoriasis: true facial psoriasis, sebopsoriasis, and hairline psoriasis. True facial psoriasis plaques can appear anywhere on the face and tend to be symmetrical. Sebopsoriasis is a combination of seborrheic dermatitis and psoriasis, resulting in patchy, flaky spots along the hairline. Hairline psoriasis is a type of scalp psoriasis that spreads to the face.

What Causes Facial Psoriasis?

While the exact cause of psoriasis is unknown, it’s believed to be a chronic immune-mediated disorder. Genetics play a role, and certain risk factors can trigger flare-ups, including stress, smoking, sunburn, skin injuries, heavy alcohol use, cold or dry weather, yeast infections, and certain medications.

Treating Facial Psoriasis

Facial psoriasis can be challenging to treat due to the sensitive skin on your face. Here are some effective treatment options:

• Corticosteroids: Over-the-counter (OTC) topical corticosteroids like hydrocortisone can reduce itching and discomfort. However, they should be used with caution and only as a short-term solution.
• Other OTC Options: Scale lifters, anti-itch treatments, and occlusion can also help manage symptoms.
• Biologics: Medications like biologics can help regulate the immune system and prevent inflammation.
• DIY Remedies and Skin Care: A gentle skin care routine, salicylic acid, humectants, and certain oils can help soothe and hydrate the skin.

Lifestyle Changes to Manage Facial Psoriasis

Simple changes to your daily routine can make a big difference:

• Manage Stress: Stress is a major psoriasis trigger. Try relaxation techniques like meditation or yoga to help you chill out.
• Avoid Triggers: Take note of any foods or activities that trigger flare-ups.
• Don’t Pick or Scratch: Resist the temptation to pick or scratch at scales, as this can lead to infection or bleeding.
• Stay Hydrated: Ask your doctor which moisturizer can quench dry, scaling skin.

You’re Not Alone

Psoriasis can be emotionally taxing. Remember, you’re not alone, and there are many online support groups and mental health resources available.

When to See a Doctor

If you’re experiencing anxiousness about your skin, joint problems, or discomfort that makes daily activities tough, it’s time to see a dermatologist. They can help diagnose facial psoriasis and develop a treatment plan tailored to your needs.