Do you suffer from breakouts on your scalp? It could be your shampoo

Posted by Admin September 27, 2024 Shopping

When it comes to acne, nowhere on your body is safe — breakouts can appear on your scalp or hairline, felt, but not seen. As its name suggests, scalp acne consists of whiteheads and blemishes directly on the scalp caused by excess sebum, explains board-certified dermatologist Dr. Steven Shapiro, founder of Shapiro MD hair care line.

To help you heal your scalp, we interviewed dermatologists and hair experts about the best ways to treat and prevent scalp acne, including which ingredients to look out for and avoid, along with our go-to product recommendations.

SKIP AHEAD Best scalp acne shampoos and treatments in 2024 | How to shop for scalp acne shampoo | Why trust NBC Select?

The best scalp acne shampoos in 2024

Eight products made with common pimple-fighting ingredients, including salicylic acid and glycolic acid, come recommended by the doctors and hair experts we consulted. Regardless of which product you use, board-certified dermatologist Dr. Jessie Cheung, MD notes that you may notice a drying effect “immediately,” but don’t worry — scalp acne can take a few days to heal.

Best overall scalp acne shampoo: Dove

Dove Dermacare Shampoo

What we like

Very affordable
pH-balancing formula
Safe for color-treated hair

When board-certified dermatologist Dr. Joshua Zeichner wants his patients to address scalp acne, he suggests Dove Dermacare shampoo, which has a 4.5-star average rating from 4,527 reviews on Amazon. It contains zinc pyrithione, which lowers yeast on the scalp, reduces inflammation and decreases the number of scalp bumps, pimples and flakes, according to Zeichner. He suggests letting it sit on the scalp for five minutes before rinsing to “allow it enough contact time for it to do its job.” As one of our favorite shampoos, this drugstore option also received a recommendation from board-certified dermatologist Dr. Hadley King, who lauds its “mild” formula that “can decrease yeast on the skin without causing irritation.”

Active ingredients: Zinc pyrithione

Best splurge scalp acne shampoo: CLn

CLn Shampoo

Something to note

More expensive than other options

Cheung recommends CLn’s shampoo because it has salicylic acid, a common hair and skin care ingredient, unclogs hair follicles, removing excess sebum. Though this shampoo is more expensive than the drugstore options on this list, Cheung feels its gentle lather that cleanses your scalp without over-drying makes it a worthy investment. Plus, it has a 4.3-star average rating from 4,520 reviews on Amazon.

Active ingredients: Salicylic acid

Best scalp acne shampoo for oily hair: Garnier Fructis

Garnier Fructis Pure Clean Shampoo

Something to note

Can leave scalp feeling dry

For those with oily hair, King also likes Garnier’s Pure Clean Shampoo, which has a 4.5-star average rating from 18,850 reviews on Amazon. Salicylic acid helps to exfoliate the scalp and remove residue, she says, and it also contains niacinamide, which helps support scalp health. It’s also formulated with glycerin and aloe, which King says hydrates and soothes the scalp.

Active ingredients: Salicylic acid, niacinamide

Best scalp acne shampoo for dry scalps: Neutrogena

Neutrogena T/Sal Therapeutic Shampoo

Jaliman recommends Neutrogena’s T/Sal Therapeutic Shampoo due to its salicylic acid formula and 4.5-star average rating from 9,155 reviews on Amazon. T/Sal is also dermatologist Dr. Rina Allawh’s favorite shampoo option for dandruff in our guide to the best shampoos for every scalp and hair type, because it’s “a powerful keratolytic, meaning it helps to remove the thick scale from the scalp,” she says.

Active ingredients: Salicylic acid

Best color-safe scalp acne shampoo: Paul Mitchell

Paul Mitchell Tea Tree Special Shampoo

What we like

Relieves general scalp irritation
Treats and softens hair

Certified trichologist (hair health expert) William Gaunitz calls this highly rated shampoo — it has a 4.7-star average rating from 58,285 reviews on Amazon — a “go-to” for scalp acne. The paraben-free, color-safe shampoo relies on tea tree oil, which Cheung also notes decreases surface bacteria, to rid hair of impurities and soothe the scalp, according to the brand.

Active ingredients: Tea tree oil

Best scalp acne dry shampoo: Carter + Jane

Carter + Jane Scalpfix

What we like

Quick and easy to use
Can also be used as a toner

Something to note

Not as effective for severe cases

Zeichner recommends using Carter + Jane’s Scalp Fix dry shampoo if you’re unable to shampoo your hair frequently. Witch hazel and peppermint oil help soothe the scalp and remove excess oil, according to Zeichner, which can improve both flakes and scalp acne. It’s also formulated with rosemary oil, which he says has astringent benefits. Plus, it has a 4.5-star average rating from 141 reviews on Carter + Jane.

Active ingredients: Witch hazel, peppermint oil, rosemary oil

Best scalp acne treatment gel: Differin

Differin Acne Gel

What we like

Safe for sensitive skin and all skin types
Helps to treat scarring left behind by acne as well

Something to note

May take longer to see results
Messy application process

Before you ask — yes, you can use acne spot treatments formulated for your face on your scalp. Cheung notes that these treatments might be “messy,” because they likely won’t blend into your hair, but says they’re still functional against scalp acne “in a pinch.” Differin, which has a 4.5-star average rating from 80,819 reviews on Amazon, utilizes adapalene, a popular retinoid known for treating blackheads, teen acne and adult acne. The brand says results are not immediate, but can take up to twelve weeks for acne to be significantly reduced.

Active ingredients: Adapalene

Best tea tree oil scalp acne shampoo: Ovante

Ovante Folliculit Solution Shampoo

What we like

Can help with scalp pain relief

Something to note

Very strong smell
More expensive than other options

This shampoo is great for treating scalp acne because it is formulated with tea tree oil, which has antibacterial properties, according to board-certified dermatologist Dr. Debra Jaliman. It also has lactic acid, a popular type of alpha hydroxy acid, that helps unclog pores, she says. Ovante advises using one to two tablespoons of shampoo on your wet hair and scalp and letting it soak for up to five minutes before rinsing. This option has a 4.0-star average rating from 1,768 reviews on Amazon.

Active ingredients: Lactic acid, sulfur, tea tree oil

How to shop for scalp acne shampoo

Clarifying shampoos help to remove buildup on your scalp, says Cheung. She and other dermatologists recommend focusing on specific ingredients when shopping for shampoos, gels, sprays and other scalp acne treatments.

Ingredients to look for

King says that salicylic acid is key: “It penetrates into pores to gently exfoliate and remove excess oils,” and is an “excellent comedolytic,” meaning it inhibits the formation of blemishes. “If you are prone to acne on the scalp and/or body areas adjacent to the scalp, then try a shampoo that contains salicylic acid.”

Cheung is also a fan of hair care products that utilize tea tree oil, sulfur and benzoyl peroxide, all of which “decrease surface bacteria.” Shampoo made with coal tar “decreases inflammation while exfoliating the scalp” and dandruff shampoos will minimize oil production, adds Cheung.

Lastly, Zeichner recommends keeping an eye out for zinc pyrithione, which he says “helps lower levels of yeast on the scalp that contribute to pimples to begin with.”

Ingredients to avoid

As for the worst ingredients in acne shampoos, Cheung cautions against:

Sulfates, which produce lather to clean the scalp but “can cause excessive drying which leads to irritation,” she says.
Dimethicone, which smoothes dry hair but can cause build up on the scalp.
Triclosan, a “controversial antimicrobial” because it can act as a hormone disruptor, says Cheung.

Frequently asked questions

Tucked under your hair, scalp acne might not be as glaring as a huge zit on your nose, but it’s still a nuisance. Sometimes, what looks like acne on your scalp could be folliculitis , according to the American Academy of Dermatology (folliculitis is the catch-all medical term for the number of ways a hair follicle can become inflamed). Or, it could just be regular acne. Scalps are “loaded with oil glands” and the buildup of dead skin, oil and hair products can “create a perfect environment for bacterial overgrowth” that leads to pimples, according to Cheung, who adds that sweat, friction and humidity can also cause scalp acne.

Zeichner also lists an overgrowth of yeast as a potential trigger for scalp acne: “this is the same thing that contributes to flaking and dandruff,” he says.

An easy way to prevent scalp acne is to switch up the products you use or modify how you use them. Oil-based hair care products“block oil from being released from pore or follicular openings,” says board-certified dermatologist Dr. Lindsey Bordone of Columbia University Medical Center. She advises swapping out such oil-based items for lighter, water-based styling products. If you prefer using thicker hair styling products, apply them at least an inch away from your scalp to prevent acne, she says.

Speaking of application, how you apply your treatments can also make a big difference in their effectiveness. Zeichner says that although a lot of the products are technically called shampoos, “it’s important to use them as scalp treatments.” He recommends rubbing them onto your scalp and letting them sit for at least five minutes before rinsing — this “allows the active ingredient to exert its effect on the skin,” he says.

The bad news is that if your scalp acne is genetic or hormonal, it’s a bit trickier to remedy. Pregnant women, for example, can produce progesterone, a hormone that can cause oil glands to secrete more sebum, which builds up on your scalp, congests your pores and leads to scalp acne, says Shapiro. In those instances, the safest and most effective solution is to book an appointment with a board-certified dermatologist who can help you figure out treatment options.

And one last thing: picking. “Don’t do it!” says King. “It will only aggravate the problem, prolonging the time to heal and increasing the risk of infection, inflammation, discoloration and scarring,” she says.

In mild cases, usually it doesn’t. However, experts warn that severe cases can lead to hair loss due to scarring, hair follicle damage and more. “If there are very inflammatory nodulocystic acne lesions, there could be enough inflammation to lead to scarring, and this could include scarring of hair follicles, which would lead to hair loss,” says King. If hair loss becomes an issue, Zeichner recommends that for those “experiencing scalp, pimples or flaking it’s important to treat it as part of any regimen that treats thinning hair ”.

Meet our experts

At NBC Select, we work with experts who have specialized knowledge and authority based on relevant training and/or experience. We also take steps to ensure all expert advice and recommendations are made independently and without undisclosed financial conflicts of interest.

Dr. Steven Shapiro is a board-certified dermatologist and founder of Shapiro MD hair care line.
Dr. Jessie Cheung is a board-certified dermatologist with practices in Chicago, Illinois and New York City. She has also offered her guidance in Select’s guides to the best clarifying shampoos and scalp scrubs.
Dr. Hadley King is a board-certified dermatologist in New York City. She has also offered her guidance in Select’s guides to the best drugstore shampoos and razor burn treatments.
Dr. Joshua Zeichner is an Associate Professor of Dermatology and the Director of Cosmetic & Clinical Research in Dermatology at Mount Sinai Hospital in New York City. He has also offered his guidance in Select’s articles on treating razor burn and preventing adult acne.
Dr. Debra Jaliman is a board-certified dermatologist in New York City. She offered her guidance in Select’s guide to the best shampoos for dry scalp.
William Gaunitz is a certified trichologist (hair health expert). He has also offered his guidance in Select’s guide to the best drugstore shampoos.
Dr. Lindsey Bordone is a board-certified dermatologist in the Department of Dermatology of Columbia University Medical Center.

Why trust NBC Select?

Nicole Saunders is a former associate commerce editor for Select on NBC News, covering wellness and lifestyle.

Ashley Morris is an associate SEO reporter covering skin care, wellness, and more for NBC Select. For this piece, they spoke to experts — including trichologists and board-certified dermatologists — to find out everything you need to know about scalp acne shampoos and treatments.