Seborrheic skin

Sebor­rho­eic skin, also known as oily skin or sebor­rhoea ole­osa, is a skin con­di­ti­on cha­rac­te­ri­zed by exces­si­ve sebum pro­duc­tion by the sebace­ous glands. This leads to an oily sheen to the skin, enlar­ged pores and an increased ten­den­cy to ble­mis­hes. The so-cal­led T‑zone on the face, which includes the fore­head, nose and chin, is par­ti­cu­lar­ly affec­ted, but the back and chest can also pro­du­ce more sebum. The cau­ses are mani­fold: gene­tic pre­dis­po­si­ti­on plays an important role, and the­re is often a fami­li­al clus­te­ring. Hor­mo­n­al fac­tors are decisi­ve; male sex hor­mo­nes in par­ti­cu­lar sti­mu­la­te sebum pro­duc­tion. This is why sebor­rho­eic skin often occurs during puber­ty and can impro­ve with the meno­pau­se. Stress, an unba­lan­ced diet, cer­tain medi­ca­ti­ons and cli­ma­tic fac­tors such as heat and humi­di­ty can also increase sebum pro­duc­tion. The appearance is cha­rac­te­ri­zed by shi­ny, oily-loo­king skin, espe­ci­al­ly in the T‑zone, enlar­ged, high­ly visi­ble pores, a ten­den­cy to black­heads, spots and acne, thi­c­ker, more robust skin and some­ti­mes coar­se-pored skin. One advan­ta­ge of sebor­rheic skin is that it ages more slow­ly and deve­lo­ps wrink­les later than dry skin. The dia­gno­sis is made by obser­va­ti­on and can be objec­ti­fied by mea­su­ring the skin’s oil con­tent. Tre­at­ment and care is aimed at regu­la­ting excess sebum pro­duc­tion wit­hout dry­ing out the skin. Gent­le but tho­rough cle­an­sing twice a day with mild, soap-free pro­ducts is important. Use light, oil-free, non-come­do­ge­nic mois­tu­ri­zers. Regu­lar exfo­li­a­ti­on remo­ves dead skin cells and pre­vents clog­ged pores. Pro­ducts with sali­cy­lic acid, nia­cin­ami­de or zinc can regu­la­te sebum pro­duc­tion. Reti­no­ids or ben­zoyl per­oxi­de can be used for acne. Mat­ti­fy­ing pow­ders or pri­mers can visual­ly redu­ce shi­ne. It is important not to use pro­ducts that are too aggres­si­ve, as this can para­do­xi­cal­ly sti­mu­la­te sebum production. 

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