Fungal Acne: How to Treat it From a Dermatologist

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Channel: Dr. Shereene Idriss

If you’ve been treating tiny, uniform bumps with retinol and nothing is changing, you may not be dealing with traditional acne at all.

What the internet commonly calls “fungal acne” is actually Malassezia folliculitis, a condition caused by an overgrowth of yeast around the hair follicle. And because it isn’t the same thing as typical acne, your usual acne routine may not be enough.

I’m Dr. Shereene Idriss, board-certified dermatologist, and in this video I’m breaking down 4 ways I approach Malassezia folliculitis and acne-prone skin, including:

• Why ketoconazole can help target Malassezia
• How to use an antifungal shampoo like Nizoral as a face wash
• Why you may still want a retinoid if you’re acne-prone
• When salicylic acid can help with clogged pores and congestion
• Why picking these bumps can leave behind stubborn dark spots
• The biggest clue that your tiny bumps may be Malassezia folliculitis instead of regular acne

One major clue? Malassezia folliculitis often shows up as lots of small bumps that look very similar to each other.

If your “acne” treatment isn’t working, the first step may be figuring out whether you’re treating the right problem.

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Video length: 1:29