Episode 23: Scalp Check — Dandruff, Psoriasis & What's Actually Going On

Episode 23: Scalp Check — Dandruff, Psoriasis & What's Actually Going On

Your scalp is skin too, and it can face just as many problems as the rest of your body. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common scalp conditions, including dandruff, seborrheic dermatitis, and psoriasis—explaining what causes them, how they're different, and the treatments that actually work.

They also share surprising connections between scalp health and other conditions, from Parkinson's disease to psoriatic arthritis, and explain why product buildup isn't the same as dandruff. You'll learn about the best over-the-counter shampoos, when prescriptions are needed, and why rotating products can make a big difference. Plus, this week's "Did You Know?" covers the unexpected link between scalp oil glands and the greasiness you feel by the end of the day.

Whether you're battling flakes, itch, or irritation, this episode offers clarity, practical advice, and a few laughs along the way.

Follow Us:
Dr. Portela
TikTok: @drdustinportela
Instagram: @drdustinportela
YouTube (Reactions): @208SkinDoc
YouTube (Educational): @drdustinportela
Pinterest: @DrDustinPortela

Austin Lee
TikTok: @austinleepac
Instagram: @austinleepac

Product of the Week — CeraVe Hydrating Anti-Dandruff Shampoo & Conditioner
Formulated with 1% pyrithione zinc and ceramides, this dermatologist-tested duo helps fight flakes while restoring your skin barrier. For stubborn cases, the team also recommends Ducray shampoos, selenium sulfide options, or prescription-strength ketoconazole.

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Avsnitt(78)

EP 55: Derm Confessions — The Weirdest Things We've Seen in Practice — Part 1

EP 55: Derm Confessions — The Weirdest Things We've Seen in Practice — Part 1

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EP 54: Ozempic Face — What GLP-1 Drugs Do to Your Skin, Hair and Appearance

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EP 53: Derm Myth Court: Tanning for Vitamin D? Oily Skin Doesn't Need Moisturizer? — Part 2

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Some skincare myths are easy to knock down. The ones in this episode are trickier, because the prosecution actually has a case. Round two of Derm Myth Court brings three myths that feel more defensibl...

27 Aug 32min

EP 52: Derm Myth Court: Does Sunscreen Cause Cancer? Beef Tallow? Lemon Juice for Acne? — Part 1

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12 Aug 18min

Guest Episode: Dr. Mary Alice Mina on Perimenopause, Collagen Loss and What Women in Midlife Actually Need

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At 40, Dr. Mary Alice Mina noticed her neck for the first time. She was a dermatologist, she knew the science, and it still caught her off guard. That moment of recognition is exactly what she now bui...

6 Aug 30min

EP 51: Sunburn, Sweat Acne and Summer Skin Damage — What Dermatologists See Every July

EP 51: Sunburn, Sweat Acne and Summer Skin Damage — What Dermatologists See Every July

Summer has a way of reminding people that their skin has limits. Every July, the same things land in Dr. Dustin Portela and Austin Lee's clinic: sunburns that crossed a line, back acne that appeared o...

30 Juli 38min

EP 50: When Your Skin Is Trying to Tell You Something Is Wrong Inside

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Your skin is not just your largest organ. It is also, occasionally, a window into something going wrong much deeper than the surface. Autoimmune disease has a reputation for being mysterious, slow to ...

23 Juli 42min

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