General Dermatology
Seborrheic Dermatitis Treatment in Tampa
Seborrheic dermatitis causes stubborn flaking, redness, and itching on the scalp, face, and body. Often mistaken for psoriasis or eczema, it requires targeted treatment to control. Dr. Sergay creates personalized plans that reduce flares and maintain long-term skin health.
Dr. Sergay's Approach
Understanding Seborrheic Dermatitis
Seborrheic dermatitis is a common inflammatory skin condition that affects areas rich in sebaceous (oil) glands — the scalp, face (eyebrows, nose folds, ears), and sometimes the chest and back. It causes greasy scales, flaking, and redness that can be persistent and embarrassing.
The condition is linked to an overgrowth of Malassezia, a yeast that naturally lives on skin. While not contagious or dangerous, seborrheic dermatitis is chronic and tends to flare with stress, cold weather, illness, and hormonal changes. It's different from — but sometimes confused with — psoriasis and eczema.
Dr. Sergay will evaluate the distribution and pattern of your skin findings, confirm the diagnosis, and build a maintenance routine that keeps seborrheic dermatitis under control long-term — not just during flares.
Accurate Diagnosis
Distinguish from psoriasis & eczema
Long-Term Control
Maintenance strategy, not just flare care
Where It Appears
Affected Areas & Presentations
Seborrheic dermatitis can appear in multiple locations simultaneously. Treatment approach varies by site.
Scalp
Most Common- Ranges from fine dandruff to thick, adherent scales
- Itching, often worse in winter months
- Cradle cap is the infant equivalent
- Can affect the hairline, behind ears, and nape of neck
Face
Very Common- Eyebrows, brow ridge, and eyelid margins (blepharitis)
- Nasolabial folds (sides of nose)
- External ear canals and behind ears
- Redness and greasy yellow-white scales
Chest & Back
Less Common- Petaloid (petal-shaped) scaling on central chest
- Interscapular back involvement
- More common in men and in severe cases
- Often coincides with significant scalp involvement
Infants (Cradle Cap)
Pediatric Form- Thick, yellowish, waxy scales on scalp
- Usually appears in first weeks of life
- Often resolves by 12 months without treatment
- Gentle medicated shampoo may speed resolution
Treatment Options
How Dr. Sergay Treats Seborrheic Dermatitis
Treatment combines antifungal agents to address the yeast overgrowth with anti-inflammatory therapies to reduce redness and scaling. The goal is not just clearance but sustained remission.
Antifungal Shampoos
Ketoconazole, selenium sulfide, and zinc pyrithione shampoos reduce Malassezia yeast overgrowth on the scalp. Used 2–3x per week during flares, then maintained weekly. Over-the-counter options are available, but prescription-strength formulations offer faster, more reliable results.
Topical Antifungal Creams
Ketoconazole 2% cream or ciclopirox cream applied to facial and body areas clears scales and redness quickly. Safe for use on the face, nasolabial folds, and behind the ears with proper guidance on frequency and duration.
Low-Potency Topical Steroids
Mild corticosteroid creams or solutions (hydrocortisone, desonide) reduce inflammation and itch during active flares. Used sparingly and short-term on the face to avoid skin thinning. Often combined with an antifungal for a synergistic effect.
Calcineurin Inhibitors
Tacrolimus ointment or pimecrolimus cream are non-steroidal alternatives ideal for the face and skin folds. Particularly useful for maintenance therapy where ongoing steroid use would be inappropriate. Reduce inflammation without the risk of skin thinning.
Oral Antifungals
For widespread or treatment-resistant seborrheic dermatitis, short courses of oral antifungal medications (itraconazole, fluconazole) can provide rapid improvement. Reserved for cases not responding adequately to topical treatments.
Maintenance Regimen
Because seborrheic dermatitis is a chronic condition, a maintenance routine is essential to prevent relapse. Dr. Sergay will design a sustainable schedule — often once or twice weekly antifungal use — to keep the condition under control between flares.
Your Dermatologist
About Amanda Sergay, MD
Board Certified
American Board of Dermatology
Specialties
Medical · Surgical · Cosmetic
Location
South Tampa, FL
Board-Certified Dermatologist · Medical · Surgical · Cosmetic
Amanda Sergay, MD is a board-certified dermatologist committed to excellence in comprehensive dermatological care. Originally from the Tampa area, Dr. Sergay received her undergraduate degree from Emory University and earned her medical degree from the University of Miami Miller School of Medicine.
She completed her residency in dermatology at Mount Sinai St. Luke's-Roosevelt Hospital Center in New York City, where she served as Chief Resident during her final year. Her practice encompasses medical, surgical, and cosmetic dermatology, treating both adults and children.
Dr. Sergay has been named to Tampa Magazine's Top Docs Edition in 2019, 2020, 2021, 2022, 2023, 2024 and 2025, and was twice named to New York Magazine's New York Rising Star list.
Awards & Recognition
Tampa Magazine Top Docs
2019202020212022202320242025Super Doctors
Emory University
Undergraduate
Univ. of Miami Miller
Medical Degree
Mount Sinai NYC
Residency · Chief Resident
Patient Reviews
What Our Patients Say
Real Google reviews from patients who trust Dr. Sergay with their skin health.
“Dr. Sergay was just fabulous. Thorough for our skincare check and so informative. Highly recommend for anyone looking to get an established, yearly dermatologist for skin cancer checks.”
Iris Moore
9 reviews
“Now this is a medical practice done right! I love how they don't play the insurance game and are a privately owned practice. This allows them to provide top notch care and a patient experience that is hard to find anywhere else. Dr. Sergay is extremely thorough during her exams and so kind. Trust her with your care!”
Victoria Hansen
Local Guide · 123 reviews · 144 photos
“Dr. Sergay is awesome! I am a new patient and very much appreciated her approach, thoughtfulness and attention to detail. Highly recommend!”
Chad Panton
Local Guide · 36 reviews · 2 photos
“Warm welcome to a nice office. Seen quickly by very proficient and kind Dr Sergay and staff. Great follow up with care plan and prescriptions. Highly recommended.”
Frank King
5 reviews
“Dr Sergay is wonderful. She's deeply knowledgeable about her field, and also has a wonderful, attentive manner. She and her staff are so caring and responsive. I highly recommend.”
Dana Whiting
3 reviews
“First time appointment — Dr. Sergay was amazing. Very easy to talk to and she told me the choices I had and got the procedure done. Highly recommend.”
Darren Finebloom
Local Guide · 21 reviews
Common Questions
Seborrheic Dermatitis FAQ
Get Control
Tired of the Flaking & Redness?
Seborrheic dermatitis is very treatable. Dr. Sergay will confirm your diagnosis and build a routine that gets it under control — and keeps it that way.