Do I Have Psoriasis on My Face?

facial psoriasis

Facial psoriasis occurs on the eyebrows, the skin between the nose and upper lip, the forehead, and the hairline.

Before treatment can begin, you need a biopsy to confirm that it is psoriasis.

There should be a careful treatment for psoriasis on and around the face as the skin here is delicate. Treatment options include:

  • Corticosteroids
  • Keratolytic products to remove scales
  • UVB Phototherapy
  • Elidel and Protopic – FDA-approved drugs for eczema that have found to work for some psoriasis patients

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Using DermaHealer to Treat Psoriasis and Vitiligo

DermaHealer is a conveniently portable and cost-effective UVB phototherapy lamp that can be used to treat different skin disorders, including psoriasis and vitiligo.

dermahealerIt is lightweight and handy that is why the normally difficult task of treating the scalp becomes easy, especially with the help of its slip-on comb attachment.

With the DermaHealer, UVB therapy is attainable. Given the most recent data in photo-dermatology, it can successfully treat psoriasis and vitiligo, as well as alopecia areata, wrinkles, and other skin problems all over the body.

Below are some therapy examples using the DermaHealer to guide you in using your own UVB lamp to treat your skin condition. These examples are to be seen as standard values, but you would have to coordinate with your dermatologist to check if you need more or less of this exposure.

In order to attain stable irradiation intensity at short irradiation times, the lamp must be switched on approximately 30 seconds before starting with treatment. Also, for it to be more effective, pre-treat your scalp and/or skin by removing the scales.

For the sake of simplification, the descriptions below are based on type 2 skin, which applies to most Central Europeans.

Guide values for type 2 skin, first exposure :

• Approximately 60 seconds for each irradiated area of the body

• Approximately 5 to 6 minutes for the entire hair-covered scalp

The duration of the first exposure for hair-covered scalp relies upon the amount of hair and its thickness. The comb is meant to partition the hair and let the UV irradiation to get through to the scalp.

The guide value for the percentage increase per exposure for type 2 skin is 25 to 30 percent.

Guide values for the maximum final exposure time to complete the irradiation treatment are:

• Approximately 3 to 4 minutes for each irradiated area

• Approximately 20 minutes, 2 times a day for the entire hair-covered scalp (preferably once in the morning and once in the evening)

Treatment Samples

Please note that your dermatologist should be the one to determine the initial treatment time, and the increase or decrease of treatment time.

Sample 1: Psoriasis of a hair-covered scalp

Therapy: UVB-311nm therapy

Unit: DermaHealer with comb attachment

Patient’s skin type: Type 2

Irradiation distance: 2-3 cm (kept automatically by the comb attachment)

Duration of first exposure: 5-6 minutes for the entire scalp

Increase of exposure time per follow-up exposure: 20%-30% of previous exposure time

Maximum exposure time: 20 minutes, 2 times a day for the entire scalp (one in the morning and one in the evening)

Duration of treatment: 4-6 weeks, longer for more severe cases

Frequency of irradiation: 4-7 times per week

Decrease the next treatment time by 2 minutes if skin irritations appear. Try to increase the time again after two further treatments.

Sample 2: Psoriasis of a small circumscribed area of skin

Therapy: UVB-311nm therapy

Unit: DermaHealer with comb attachment

Patient’s skin type: Type 2

Irradiation distance: 2-3 cm

Duration of first exposure: 45-60 seconds per irradiated area

Increase of exposure time per follow-up exposure: 20%-30 % of previous exposure time

Maximum exposure time: 3-4 minutes per irradiated area

Duration of treatment: 3-4 weeks, longer for more severe cases

Frequency of irradiation: 4-5 times a week

Decrease the next treatment time by 20 seconds if skin irritations appear. Try to increase the time again after two further treatments.

Sample 3: Vitiligo

Distance: 3 cm. Use the comb attachment as a distance holder. The comb attachment does not affect the treatment.

Frequency: 3 times a week

Maximum exposure time: 4 minutes, 40 seconds

Decrease the next treatment time by 20 seconds if skin irritations appear. Try to increase the time again after two further treatments.

Alternative Remedies for Psoriasis

Psoriasis is a common skin problem that influences the life cycle of skin cells. This skin disease compels the cells to develop very quickly on the surface of the skin, making thick, silvery scales and dry, red patches to appear, which can also be itchy and painful.

Psoriasis patches may arise as minor spots with scaling, but may also come out as major flare-ups on large areas of the skin. Mild cases of psoriasis can be annoying, and more severe cases can be disabling and disfiguring.

The real cause of psoriasis is unknown, but it is thought to be associated with genetic susceptibility and the immune system.

Systemic medications and topical treatments are frequently used to treat psoriasis, but there are several alternative remedies that may be employed to cure this skin condition.

Light Therapy (Phototherapy)

This alternative treatment for psoriasis uses natural or artificial ultraviolet light. The easiest and simplest mode of light therapy is exposing the skin to restrained amounts of natural sunlight. When exposed to UV rays, the activated T cells in the skin are eradicated. This delays skin cell turnover and lessens inflammation and scaling. Short, everyday exposure to tiny amounts of sunlight may help treat psoriasis.

Other methods of phototherapy involve ultraviolet B (UVB) light. Controlled quantities of UVB light from an artificial light source may promote healing of mild to moderate psoriasis. UVB phototherapy (broadband UVB) can be manipulated to medicate psoriasis that does not respond to topical treatments.

A more recent type of light therapy makes use of narrowband UVB, which is said to be more effective than broadband UVB. Examples of these are the Dermalight 80 and DermaHealer Handheld UV-B Phototherapy Lamp, which utilize UV-B/311nm narrowband lamps, minimizing potential side effects like itching and redness.

Wet Therapy

Applying wet compress, showering, soaking in a tub, and swimming all help rehydrate and soften dry skin, removing thick scales without much damage to the skin. Thick psoriasis scales block the entry of topical medications and ultraviolet light into the skin, which is why it is vital to get rid of as much scale as possible. Regular soaking also eases redness and itching. Use lukewarm water since hot water can actually intensify the itch. Also, it is important to moisturize your skin immediately after soaking or washing to protect your skin against moisture loss.

Herbal Topicals

Many herbal treatments help relieve psoriasis. Aloe soothes the skin, helping reduce redness and scaling associated with psoriasis. Oat extracts ease itching and also soothe the skin, which is why they are used as an ingredient in numerous skin care products. Countless people with psoriasis attest that lightly rubbing oat paste on their skin or soaking in an oatmeal bath reduces redness and relieves itchy skin. Tea tree oil can help with psoriasis of the scalp; as well as apple cider vinegar that can also relieve scalp itch.

Adding Dead Sea salts or Epsom salts to your warm bath water and soaking in it for about 15 minutes can ease itching and remove scales.