How Dermatologists Treat Dandruff & Itchy Scalp

Flakes on your shoulders, constant itching, and an irritated scalp—dandruff can be more than just a minor inconvenience. It affects millions of people worldwide, often leading to discomfort and embarrassment. If over-the-counter shampoos and home remedies haven’t worked for you, it might be time to consult the Best Dermatologist in Dubai to get to the root of the issue and find lasting relief.

Understanding the Root Cause

Dermatologists approach dandruff and itchy scalp not just as surface-level symptoms, but as signs of deeper imbalances in the skin. Common causes include:

• Seborrheic dermatitis – an inflammatory skin condition that causes red, greasy patches and white or yellow flakes.

• Dry scalp – often confused with dandruff, it occurs when the scalp lacks moisture.

• Malassezia overgrowth – a yeast that lives on the scalp and can trigger inflammation when it grows out of control.

• Contact dermatitis – an allergic reaction to hair products.

• Psoriasis or eczema – chronic skin conditions that may also affect the scalp.

Accurate diagnosis is the first step. A dermatologist will examine your scalp and may ask about your lifestyle, diet, stress levels, and haircare routine to identify the trigger.

Personalized Treatment Plans

Unlike generic shampoos, dermatological treatments are tailored to the individual’s scalp condition, hair type, and lifestyle. Here's how professionals typically treat dandruff and itchy scalp:

1. Prescription-Strength Shampoos

These shampoos contain active ingredients like ketoconazole, selenium sulfide, or zinc pyrithione, which target fungi, reduce inflammation, and slow skin cell turnover. Dermatologists recommend using these as part of a rotation to prevent resistance.

2. Topical Steroids or Antifungal Creams

For inflamed or severely itchy areas, topical treatments help calm the skin. Low-dose corticosteroids or antifungal creams are often prescribed for short-term use to reduce redness and discomfort.

3. Scalp Exfoliation and Peels

Build-up on the scalp can block follicles and worsen itching. Dermatologists may recommend professional scalp exfoliation or chemical peels to remove dead skin cells and improve scalp health.

4. Lifestyle and Haircare Adjustments

Sometimes, the solution lies in changing habits—switching to gentle, fragrance-free shampoos, avoiding frequent heat styling, or managing stress. A Dermatologist Dubai helps identify and adjust these triggers for long-term relief.

5. Treating Underlying Conditions

If scalp psoriasis, eczema, or hormonal imbalances are the culprit, treating the underlying condition is crucial. Dermatologists coordinate care to address these factors holistically.

Prevention is Part of the Cure

Even after symptoms improve, maintenance is key. Dermatologists often advise:

• Regular use of medicated shampoos.

• Washing hair after sweating or applying heavy products.

• Using scalp oils or moisturizers to prevent dryness.

• Staying hydrated and eating a balanced, nutrient-rich diet.

When to See a Dermatologist

If your scalp is persistently itchy, flaky, sore, or shows signs of infection (like oozing or crusting), it's time to seek professional help. Dandruff might seem harmless, but it can significantly impact confidence and comfort if left untreated.