Lucid Dermatology


Facial eczema, characterized by red, inflamed, and itchy patches on the face, can be a source of discomfort and self-consciousness for those affected. While eczema is a common skin condition, its presence on the face presents unique challenges and concerns. Some people have facial eczema for only a short time, maybe a week or two, while others have it for much longer. Just like eczema on other parts of the body, the affected skin on the face tends to look redder or darker than usual, depending on the skin tone. It also gets dry and flaky and can sometimes even get weepy, crusty, or blistered.

A person have Eczema on his face

Facial eczema isn’t just a fleeting inconvenience; it’s a persistent challenge that can significantly impact your daily life. From the sensitivity of facial skin to the visible nature of the condition, navigating facial eczema requires a deep understanding of its nuances and effective strategies for management.

Types of Facial Eczema

Facial eczema encompasses several types, each with its own distinct characteristics:

  1. Atopic Dermatitis: Atopic dermatitis is the most common form of eczema and often affects the face, particularly the cheeks, forehead, and chin. It is characterized by dry, itchy, and inflamed patches that may ooze or crust over time.
  2. Contact Dermatitis: Contact dermatitis occurs when the skin comes into contact with irritants or allergens, triggering an inflammatory response. Facial contact dermatitis can result from exposure to cosmetics, skincare products, fragrances, or certain fabrics.
  3. Seborrheic Dermatitis: Seborrheic dermatitis typically affects areas rich in oil glands, such as the scalp, eyebrows, and sides of the nose. On the face, it presents as red, scaly patches, often accompanied by greasy or flaky skin.
  4. Nummular Eczema: Nummular eczema, characterized by coin-shaped lesions, can occur on the face and other parts of the body. These patches may be intensely itchy and prone to secondary infection.

Facial Eczema Symptoms

 The symptoms may vary depending on the type and severity of the condition but commonly include:

What Causes Eczema on the Face? 

The exact cause of facial eczema remains unclear, but several factors may contribute to its development:

  1. Genetics: A family history of eczema, allergies, or asthma increases the likelihood of developing facial eczema.
  2. Environmental Triggers: Exposure to irritants, allergens, harsh weather conditions, or pollutants can exacerbate facial eczema symptoms. Hygiene habits including hot frequent washing and lack of moisturizer also can worsen the manifestation of eczema. Recent studies find a connection to pollution in the air and adult onset eczema.
  3. Skin Barrier Dysfunction: Impairment of the skin’s protective barrier allows irritants, allergens, and microbes to penetrate more easily, leading to inflammation and eczema flare-ups.
  4. Stress: Psychological stress or emotional factors can exacerbate eczema symptoms by triggering inflammatory responses in the body.


Diagnosing facial eczema typically involves a comprehensive evaluation by a dermatologist or healthcare professional. The diagnostic process may include:

Treatment of Facial Eczema

Treatment strategies for facial eczema aim to alleviate symptoms, reduce inflammation, and restore the skin’s barrier function. Depending on the type and severity of eczema, treatment options may include:

  1. Topical Steroids: Corticosteroid creams or ointments are commonly prescribed to reduce inflammation and relieve itching. These medications are available in varying strengths and should be used under the guidance of a healthcare professional.
  2. Topical Calcineurin Inhibitors: Non-steroidal creams or ointments containing calcineurin inhibitors, such as tacrolimus or pimecrolimus, can be effective in managing facial eczema, particularly in sensitive areas like the eyelids or around the mouth.
  3. Moisturizers: Regular application of moisturizers helps hydrate the skin, strengthen the skin barrier, and reduce dryness and itching. Opt for fragrance-free, hypoallergenic moisturizers that are suitable for sensitive skin.
  4. Antihistamines: Oral antihistamines may be prescribed to alleviate itching and promote better sleep, especially during eczema flare-ups.
  5. Phototherapy: In cases of severe or resistant eczema, phototherapy or light therapy may be recommended. This treatment involves exposing the skin to ultraviolet (UV) light under medical supervision.

Skin Care tips for Facial Eczema

Proper skincare plays a crucial role in managing facial eczema and preventing flare-ups. Here are some skincare tips for individuals with facial eczema:

  1. Gentle Cleansing: Use a mild, fragrance-free cleanser to wash your face twice daily. Avoid hot water and harsh scrubbing, as these can strip the skin of its natural oils and exacerbate eczema symptoms.
  2. Hydration: Apply a thick layer of moisturizer to the face immediately after cleansing to lock in moisture and prevent dryness. Look for moisturizers containing ceramides, hyaluronic acid, or shea butter, which help repair the skin barrier.
  3. Avoid Irritants: Be mindful of skincare products, cosmetics, and household items that may contain potential irritants or allergens. Choose products labeled as hypoallergenic, non-comedogenic, and fragrance-free.
  4. Sun Protection: Protect your skin from the sun’s harmful UV rays by wearing a broad-spectrum sunscreen with SPF 30 or higher daily. Opt for sunscreens specifically formulated for sensitive or eczema-prone skin.
  5. Patch Test New Products: Before introducing new skincare products or cosmetics, perform a patch test on a small area of skin to check for any adverse reactions or sensitivity.

FAQs about Facial Eczema

  1. Can facial eczema be cured? While there is no cure for eczema, proper management and skincare can help control symptoms, prevent flare-ups and result in periods of time of remission.
  2. Is facial eczema contagious? No, facial eczema is not contagious and cannot be spread from person to person through contact.
  3. Can diet affect facial eczema? Some individuals may find that certain foods or dietary triggers exacerbate their eczema symptoms. Keeping a food diary can help identify potential triggers.
  4. Can stress worsen facial eczema? Yes, stress and emotional factors can exacerbate eczema symptoms by triggering inflammatory responses in the body. Practicing stress management techniques such as mindfulness, meditation, or yoga may help reduce flares.
  5. When should I see a doctor about my facial eczema? It is advisable to consult a dermatologist or healthcare professional if you experience persistent or severe eczema symptoms, or if your condition is not well managed by proper skin care practices at home.

Lucid Approach:

At Lucid Dermatology, we believe it is imperative to gather background information from our patients which offers clues towards the trigger of our patient’s eczema along with a physical exam. Due to the many potential triggers of eczema we generally have our patients undergo allergy testing, among other diagnostic procedures, so we can assist our patients in avoiding further flares and to get to the root cause of the issue.