Face Being Flaky? it Could Be Facial Psoriasis

Curated by Claudia Shannon / Research Scientist / ishonest

Wondering if your irritated skin is actually facial psoriasis? Here’s how to decipher the symptoms, and top-notch treatments that can help keep your facial psoriasis in check.

What’s it like to have psoriasis symptoms on your face?

Facial psoriasis is usually reddish or purplish in color, depending on your skin tone. You may also have silver or white scaling on the edges of the lesions. If it affects your peepers, you may experience visible inflammation or crusting .

ishonest No.333 - Terminate Acne

No.333 - Terminate Acne

Facial psoriasis is most common on the:

  • eyelids
  • hairline
  • forehead
  • skin between nose and upper lip
  • eyebrows

Due to its appearance, facial psoriasis sometimes gets mixed up with other skin conditions like dandruff, dry skin, eczema, or even herpes. But it’s def its own thing.

Flare-ups can also be super hard to predict. Some can last for weeks or even months before they chill out.

Types of facial psoriasis explained

True facial psoriasis

True facial psoriasis plaques can show up anywhere on your face and tend to be symmetrical. It’s often associated with psoriasis on other parts of the body like the ears, genitals, elbows, knees, or scalp.

1 Natural Way to Get Rid of Pimples as Fast as Possible

Learn more

This is where seborrheic dermatitis and psoriasis meet. The result? Patchy, flaky spots along the hairline. It can also appear on the eyebrows, eyelids, facial hair area, or T-zone.

Hairline psoriasis

This is scalp psoriasis that spreads to the face. It usually hits the forehead or ears the hardest. In severe cases, it can even lead to clogged ear canals.

So what causes facial psoriasis anyway?

We still don’t know the exact cause of psoriasis. But we do know it’s a chronic immune-mediated disorder, according to the American College of Rheumatology and National Psoriasis Foundation.

Psoriasis can happen when your immune system attack yours body’s cells. This can lead to a surplus of skin cells that build up on top of each other.

ishonest No.232 - Pigmentation & Blemishes

No.232 - Pigmentation & Blemishes

Research shows genetics also plays a role. You’re more likely to have psoriasis if it runs in your fam (like if one or both of your parents has it).

How can you treat facial psoriasis?

Facial psoriasis can be tricky to treat. The skin on your face is thinner and more sensitive than the rest of your skin. That means you have to be extra careful with your skin care.

Here are some of best treatment options.


Over-the-counter (OTC) topical corticosteroids like hydrocortisone can help reduce itching and discomfort. They can be applied directly to the skin, but you shouldn’t use them near your eyes.

How to Get Rid of Blackheads Without Damaging Your Skin

Learn more

PSA: Topical steroids can only be used as a short-term solution to ease symptoms. Overuse can lead to:

  • thinning skin
  • easy bruising
  • easy-to-tear skin
  • contact dermatitis
  • changes in skin color
  • inflamed hair follicles (folliculitis)
Other OTC options:

Your doc may suggest another type of OTC treatment if corticosteroids don’t work 10/10. This includes:

Scale lifters (keratolytics). They can help loosen and remove scales. OTC products that have lactic acid, salicylic acid, urea, or phenol can do the job. Just be sure to ask your doc before use as these can be quite irritating to skin on the face.

Anti-itch treatments. Products that have camphor, calamine, diphenhydramine hydrochloride (HCl), menthol, or benzocaine can help you ditch your itch. Just keep in mind some of these ingredients can cause dryness or irritation.

ishonest No.142 - Humectant

No.142 - Humectant

Occlusion. Some topical meds or creams can be occluded. This is when you apply a topical psoriasis treatment to the skin then wrap it with a medical dressing. Pro tip: This is a little hard to do on the face, but a clean cotton sock and plastic wrap can also do the trick .


Your doc might recommend a medication if your psoriasis doesn’t respond to other treatments. Biologics are a popular option. They help keep the immune system in check and can help prevent inflammation.

Your doc can administer biologics through injection or infusion. While it’s not a cure-all, it can slow psoriasis growth and slash your risk of flare-ups.

More meds

Biologics aren’t the only medication that can help curb your facial psoriasis. Your doc might prescribe:

  • crisaborole (Eucrisa)
  • tazarotene (Tazorac)
  • tacrolimus (Protopic)
  • pimecrolimus (Elidel)
  • calcitriol (Vectical, Rocaltrol)
  • calcipotriene (Sorilux, Dovonex)
DIY remedies and skin care
What can clear severe acne?

Learn more

Skin care is self-care, fam. A bomb skin care routine can totes help you manage psoriasis symptoms.

Here are some DIY treatments that can help:

  • Salicylic acid can slough off dead skin cells.
  • Rinse with a saline solution to ease pain and discomfort.
  • Look for soaps and shampoos designed with psoriasis in mind.
  • Humectants (think glycerin and aloe vera) are hella good at hydrating your skin.
  • Some oils (like hempseed oil or coconut) might help soothe sad skin. But there’s little research to back this up.
  • Coal tar used to be one of the go-to remedies for psoriasis. But TBH, there’s little evidence to prove it’s legit.
  • For sebopsoriasis in particular, it can be helpful to use anti-dandruff shampoos as face wash (just don’t get it in your eyes!).

P.S. Finding the right skin care routine will prob take some trial and error. So don’t worry if your skin doesn’t bounce back ASAP!

Lifestyle ch-ch-changes

Sometimes a simple tweak to your daily routine can make a big difference.

ishonest No.231 - Pigmentation & Blemishes

No.231 - Pigmentation & Blemishes

Here are some top tips:

  • Adios stress! Stress is a major psoriasis trigger. Try to add relaxing activities — like meditation or yoga — to your routine to help you chill out.
  • Keep away from triggers. Take note of any foods or activities that trigger a flare-up.
  • No picking! We know the temptation is REAL. But picking and scratching at scales increases your risk of infection or bleeding.
  • Hello hydration. Ask your doc which moisturizer can quench dry, scaling skin. They might suggest a medicated cream or an OTC lotion.

When should you see a doc?

If your skin is looking a little sus, it’s time to hit up your dermatologist.

It’s also a good idea to call your doc if you have:

  • anxiousness about how your skin looks
  • joint problems along with a facial lesions
  • lesions that are heading toward your eyes
  • discomfort that makes day-to-day stuff tough
  • itchy, painful, or uncomfortable lesions on your face

Your dermatologist can see if it’s facial psoriasis. Then they can help you come up with a treatment plan.

Read more on: psoriasis

Learn about unknown needs of your skin for free