What’s tricky about fungal acne is it looks the same as forehead bumps caused by regular acne, but they’re not the same.
Frustrating, right?
The key difference is the fact that
fungal acne is caused by an overgrowth of a yeast that naturally occurs on our skin, instead of bacteria.
Specifically, it’s caused by the Malassezia yeast, and the condition is called Malassezia Folliculitis.
Trying to treat fungal acne with the same methods as regular acne is kind of like trying to treat a virus with antibiotics—it’s just not going to work.
So, if you’re still trying to get rid of your forehead bumps, but after a few months they’re still hanging around, it could be fungal acne.
This can become a vicious cycle when antibiotics are prescribed for acne—without the balance of good bacteria on the skin, Malassezia can get out of control, leading to unbridled fungal acne.
Another tell that your bumps on forehead (not pimples!) are actually fungal acne is that they’re itchy.
Because regular comedonal acne isn’t inflammatory, it shouldn’t itch.
(Go here to learn more about skin inflammation and hydrogen)
So the checklist for fungal acne looks like this:
• Smaller bumps causing visible texture
• Flesh-colored with no apparent head
• Not painful or tender
• Shallow and superficial
• Itchy, especially after sweating/exercise
If all of these sound familiar, it’s likely you’ve got some Malassezia issues going on.
So how do you get rid of the tiny bumps on forehead caused by it?
This little yeast actually loves sebum—yep, that’s right.
The natural oils we produce on our skin are one of their preferred food sources, so it’s no wonder they sometimes get out of hand if they basically have access to an all-you-can-eat buffet!
The thing is, it’s just not feasible to get rid of sebum on our skin—it’s an essential part of our skin’s health.
The solution? Anti-dandruff shampoo.
Hear me out—in studies where suspected cases of fungal acne were treated with ketoconazole, a common anti-fungal in anti-dandruff shampoo,
the presence of forehead bumps decreased by more than 50%!
It’s suggested to use dandruff shampoo as a wash-off mask of sorts, leaving it on targeted areas for five minutes then rinse off daily until the bumps are under control.
Other than ketoconazole, other great over-the-counter antifungals are zinc pyrithione and selenium sulfide. They're both found in anti-dandruff shampoos and specifically target fungal overgrowth.
Because fungal acne is caused by an organism, not true pore blockage, the results will be seen much faster as the Malassezia gets killed off and reveals smooth, bump-free forehead skin.