What to use for baby eczema on the face

Which moisturiser should you choose?

Look for a product formulated for a baby's sensitive skin, without fragrance, perfume or dyes. An emollient is simply a moisturising treatment that traps moisture in the skin, which is a modest job for such a formal title. Ointments suit very dry or cracked skin and are less likely to sting than creams, but should not be used on weeping eczema. A cream is less greasy than an ointment, which is a texture difference rather than a contest for the most impressive tub. A hypoallergenic label does not rule out a reaction.123

How to care for your baby's face

1. 1Wash gently with warm water and a mild soap free cleanser or an emollient soap substitute. Avoid hot water, harsh soaps and bubble baths, and keep bathing brief.
2. 2Pat the skin dry with a clean, soft towel rather than rubbing. Apply moisturiser immediately afterwards.
3. 3Smooth the moisturiser gently over the skin rather than rubbing it in. If it comes in a tub, use a clean spoon or spatula to remove it.
4. 4Reapply regularly through the day whenever the face feels dry. General emollient guidance suggests at least three or four applications daily; the face often needs more frequent care than the body.
5. 5Apply an emollient to your baby's cheeks before meals to protect them from food and drink.

What if moisturiser is not enough?

During a flare, anti inflammatory treatment can be needed as well as daily moisturising. Ask your baby's doctor which treatment is suitable for the face and how long to use it. Corticosteroid creams, such as hydrocortisone, are generally used for short courses. If a steroid or another skin treatment is prescribed, leave 20 to 30 minutes between it and the emollient, and ask the doctor which should go first.24

What improvement should you expect?

Bathing and moisturising as directed can ease discomfort, decrease flares, improve the response to treatment and reduce the need for medicine. Continue moisturising even when the eczema looks clear. Eczema has no cure, but treatment can lead to clearer skin. Some children outgrow it, while others have symptoms for longer; there is no way to predict which course your baby will have.135

When should you get medical help?

Arrange an assessment if the facial rash has not been diagnosed or is not responding to treatment. Yellow crusts, pus filled spots, sore or hot skin, and broken, weeping areas can signal infection. Seek urgent medical attention for painful small blisters that spread, especially around the face or eyes. Avoid contact with active or healing cold sores. If an emollient causes persistent burning, stinging or inflamed hair follicles, speak to a doctor or pharmacist about changing it. Keep emollient coated clothing and bedding away from flames and cigarettes.123

Can you use Eucerin for baby eczema?

Yes, Eucerin has products intended for baby eczema, but the UK AtoControl range and US Baby Eczema Relief range have different product names and directions. Eucerin's US baby range includes a hydrogel, body creme and wash. In the UK, AtoControl Body Care Lotion and Acute Care Cream are described as suitable for babies over three months. For younger babies, ask your doctor which products to use. Check the exact product's directions for facial application. Acute Care Cream supports care during flares but does not replace medical treatment.46