Dandruff shampoo has recently gained attention on social media as a potential treatment for acne. But can a shampoo designed to treat scalp flakes really help clear breakouts on your face? The short answer is: it depends on the type of acne you have.

Let’s explore how dandruff shampoo works, what kind of acne it may treat, and safer, more effective alternatives you should consider.

Understanding Acne Types

Fungal acne vs. acne vulgaris

Most people are familiar with acne vulgaris — the most common form of acne caused by clogged pores due to a combination of excess oil (sebum), dead skin cells, and acne-causing bacteria. However, some people experience a lesser-known type of breakout called fungal acne, or more precisely, Malassezia folliculitis.

Fungal acne occurs when there’s an overgrowth of yeast (Malassezia furfur) on the skin, particularly in hair follicles. Though it resembles typical acne, it’s caused by yeast, not bacteria. That distinction is important because treatment methods differ.

Why zinc pyrithione matters

Dandruff shampoos like Head & Shoulders often contain zinc pyrithione as an active ingredient. Zinc pyrithione is antifungal — meaning it helps suppress yeast overgrowth. This is why it’s effective against dandruff, which is also yeast-related. It’s also why dandruff shampoo may be helpful for treating fungal acne, but it likely won’t do much for acne vulgaris.

How Dandruff Shampoo Works on Skin

Targets yeast, not bacteria

If your breakouts are due to fungal acne, using dandruff shampoo with zinc pyrithione may reduce the yeast on your skin, thereby calming the breakouts. However, if your acne is bacterial — as in most cases — the shampoo won’t address the root cause.

Not a cure-all

It’s worth noting that even for fungal acne, dandruff shampoo is not a one-size-fits-all solution. It can help suppress yeast, but won’t replace a complete skincare or medical treatment plan.

How To Use Dandruff Shampoo For Acne

Apply like a facial cleanser

  • Choose a fragrance-free dandruff shampoo to avoid irritation, especially if you have sensitive skin.

  • Wet your face with lukewarm water.

  • Use your fingertips to gently apply a small amount of shampoo to your face.

  • Let it sit for 1–2 minutes, allowing the zinc pyrithione to work.

  • Rinse thoroughly and pat dry with a soft towel.

  • Always apply a gentle moisturizer afterward to rehydrate your skin.

Frequency of use

Start with once daily or every other day, depending on your skin’s tolerance. If your skin becomes dry or irritated, reduce frequency.

Is It Safe For All Skin Types?

Caution for eczema-prone skin

If you have eczema (atopic dermatitis) or naturally dry skin, dandruff shampoo could be irritating. The zinc pyrithione or other soap ingredients may worsen dryness or cause cracking, which increases the risk of infection, inflammation, and flare-ups.

Potential side effects

  • Dryness

  • Flaky skin

  • Redness or irritation

  • Sensitivity to other skincare products

To avoid these issues, always patch-test a small area before applying any new product to your face.

Natural Ingredients That Might Help

Some natural ingredients show promise

Studies suggest that ingredients like tea tree oil, aloe vera, and propolis may reduce redness and acne lesions. These natural agents have antimicrobial and anti-inflammatory properties.

  • Tea tree oil: Antifungal and antibacterial.

  • Curcumin (from turmeric): Anti-inflammatory and wound healing support.

  • Propolis: Antioxidant and antimicrobial effects.

However, natural doesn’t always mean safe or effective. Ingredients like lemon juice or vinegar may irritate the skin or worsen breakouts. Always consult a dermatologist before applying homemade treatments.

Other Effective Acne Treatments

Topical and oral medications

  • Antibiotics: Oral (like doxycycline) or topical (like clindamycin) to kill acne-causing bacteria.

  • Antifungal medications: Oral antifungals (like fluconazole) for fungal acne.

  • Retinoids: Vitamin A derivatives that unclog pores and boost cell turnover (e.g., tretinoin, adapalene).

  • Hormonal therapy: Birth control pills or spironolactone for people with hormonal acne.

Skincare ingredients that work

  • Salicylic acid: Helps unclog pores and reduce inflammation.

  • Benzoyl peroxide: Kills bacteria and clears dead skin.

  • Sulfur and resorcinol: Peels the top layer of skin and reduces oil production.

  • Niacinamide: Reduces inflammation and improves skin tone.

In-office treatments

  • Chemical peels: Help fade acne scars and improve texture.

  • Laser therapy: Targets pigmentation or bacteria.

  • Photodynamic therapy: Uses light and topical medicine to reduce acne.

  • Microneedling: Stimulates collagen production to treat scars.

  • Cortisone injections: Reduce cystic acne swelling and redness.

When To See A Dermatologist

You may need medical help if:

  • Your acne is severe or painful.

  • You suspect it might be fungal but aren’t sure.

  • Over-the-counter treatments are not working.

  • Acne is affecting your confidence or quality of life.

Dermatologists can help accurately diagnose your acne type and suggest a treatment tailored to your skin condition and history.

Can Acne Clear On Its Own?

In mild cases, acne may clear up over time with good skincare practices and patience. However, most acne requires consistent treatment for several weeks to see improvement.

  • Stick to a skincare routine: Wash your face twice a day with a gentle cleanser.

  • Use noncomedogenic products: These won’t clog your pores.

  • Don’t pick or squeeze pimples: This can cause scarring.

  • Remove makeup before bed: Let your skin breathe at night.

A Quick Recap

Dandruff shampoo may help clear fungal acne due to its antifungal ingredient, zinc pyrithione, but it is not effective for most people who have bacterial acne vulgaris. While it can be a useful short-term remedy, it’s not a substitute for a long-term acne management plan. For most acne sufferers, there are better options such as retinoids, antibiotics, or hormonal treatments.

If you’re struggling with acne, the safest and most effective route is to consult a dermatologist for an accurate diagnosis and personalized treatment plan.