How 50 People From Reddit and YOUTUBE Cleared Their Fungal Acne!

by | Last updated Nov 25, 2019 | 51 comments

If you saw my first post about how 50 redditors cleared their acne…. well, here we are again! Only this time we’re doing a fungal acne version. 😉

Below you’ll find the skincare routines of 50 different people who’ve managed to kill the beast (malassezia). Feel free to add yours in the comment section as well! 

Since these are all case studies it’s only fair I post my own, so next week I’ll be going over my updated skincare routine, and how I’m managing to keep my fungal acne in check with only two products! Yes, you read that right. TWO PRODUCTS.

There will also be a super cool announcement being made in that article that you won’t want to miss. Stay tuned….

Secondly, thank you for all the shout outs! It is truly humbling and I do not take it for granted. Your support is very much appreciated, and isn’t going unnoticed. THANK YOU!!

I’ve tried to include everyone that’s tagged me below, but if I missed you I’m sorry! I swear I’m not ignoring you, I simply put together the first 50 people I came across.

If you would rather NOT be on this list, let me know and I’ll remove it…. in the meantime, let’s get crack-a-lackin! 😀

What do the asterisks mean?

As always, the asterisk system used in the FA treatment guide applies here too. 🙂 That means the following if there is a little star next to a product:

  • One asterisk (*) = contains fatty alcohols. These may or may not feed malassezia.
  • Two asterisks (**) = contains esters or polysorbates. These DO feed malassezia.
  • Three asterisks (***) = contains both esters and fatty alcohols.
  • Four asterisks (****) = contains a concoction of unsafe ingredients.

For more information about what ingredients promote or inhibit the growth of malassezia, please see the original blog post.

Best Products for Fungal Acne (The Results)

In case you missed it, this community has managed to compile a list of over 1,400 skincare products that are safe for malassezia! That means there is A TON of variation when it comes to what products people use to treat this bad boy.

But…. for your convenience, I’ve combed through the list below to find the most commonly used items. You’re welcome. 😎 They are:

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**drum roll please**

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Despite the fact that A LOT of people used Nizoral (i.e. ketoconazole) to initially treat their malassezia, I don’t recommend using this for longterm maintenance therapy since there’s a risk of microbial resistance.

Most people eventually stopped using it anyway (or heavily reduced its frequency), in favor of other keratolytic agents like salicylic acid, azelaic acid, benzoyl peroxide, or sulfur.

In my opinion, that’s the way to go! In other words, use Nizoral as a mask initially. Once your fungal acne has cleared up, transition to a safer treatment option.

The Case Studies

**This list in no particular order.**

Without further ado….


1) SECRET TO CLEARING TINY FOREHEAD BUMPS! + UPDATE: HOW I CLEARED TINY FOREHEAD BUMPS!  + my kinda-affordable skincare routine that actually works.

Began a reset period where she only used **Nizoral Shampoo mask twice daily for 2 weeks, along with 150 mg of fluconazole weekly (used only two tablets total). Once her skin had cleared up she introduced the following items:

As for makeup….


2) [B&A] 2 years on Tretinoin and just treated my fungal acne with Ketoconzaole. I also have water on my face in the first picture which makes my skin look worse than it was. The lighting in the 2 pictures is also very different.

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3) [B&A] 3 weeks to win a battle I’ve fought for two years! Fungal Acne results and future routine help.

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(Note: I recommend using sugarcane derived squalane instead, you can read more about why here)


4) My journey with tretinoin and fungal acne (with pictures)

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“It’s also important to note that I wasn’t bombaring my skin with actives everyday. I was / am using tret 3 – 4 times a week, and azelaic acid 4 – 5. I did experience some flaking on my chin early on when I began combining the two, which caused me to dial it back and use much less frequently. My skin has since adjusted, but chin does still get dry from time to time. I’ve also gone from an oily skin type to normal / dry.”—u/alexandraenagy


5) HOW TO GET RID OF TINY FOREHEAD BUMPS! | SKIN UPDATE!!!!!! + HOW TO GET RID OF TINY FOREHEAD BUMPS! | MIRACLE CURE?! + FOUNDATION ROUTINE TO PREVENT FOREHEAD BUMPS | Pityrosporum/Malassezia Folliculitis

Began with a reset period and used nothing but Nizoral Shampoo mask twice daily to clear her bumps. After several days she introduced the following routine:

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6) fungal acne update. april vs now. ✨


7) [B&A] After a year or two of everyone’s favorite ~Fungal Acne

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Note: I recommend using Dr Eddie’s Happy Cappy Medicated Shampoo instead. It’s safer and gentler.


8) Sudden encounter with fungal acne, but soothed in just a few days!

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9) [B&A] cleared fungal acne

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Note: CeraVe Baby Cream was used “extremely sparingly if at all on [the] forehead, [her] most malassezia prone area.”


10) [B&A] I cured facial sebhorreic dermatitis using a raw honey mask!

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11) [B&A] Fungal acne after 2 weeks of treatment.

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12) [B&A] Beating fungal acne’s (Pityrosporum Folliculitis) derriere! Simpleskincarescience’s post did wonders!

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“Once a week Makeup Artists Choice 25% Mandelic Acid Peel, 5 minutes. Stridex + French Green Clay mask once a week, as far away from the peel as possible.”—u/svvaffles


13) [B&A][Possibly NSFW] A year long struggle with fungal acne, tret, and sensitive skin.

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Spot treat with Clindamyacin 1% and Benzoyl Peroxide.


14) [B&A] fungal acne! 4 weeks

“I try to use honey on my face as a mask at least 3x a week depending on how lazy I am. If I’m feeling really productive I will do this every night, but of course life gets in the way. I literally just apply honey, any honey, even the cheapest I can get from the grocery store, and let it sit for as long as I can, always a minimum of 20 minutes.”—u/nananananatty


15) [B&A] One week after switching to FA-approved skincare and introducing antifungal treatments for fungal acne

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Squalane Oil has made all the difference in maintaining my moisture barrier. The Nizoral can be particularly drying. I don’t think I can ever go back to life before Squalane.”—u/johnnaboo


16) [B&A] Pityrosporum folliculitis, a.k.a fungal acne – Routine in comments

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Sulfur Ointment mask occasionally.


17) [B&A] Me 10 min ago VS. me 6.5 weeks ago!! Today I have no active pimples after almost 14 years of acne. I owe it to ScA and F.C. lol, current routine below

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Twice weekly she’d also use Stridex Pads for 30 minutes before rinsing it off.


18) [B&A] [review] Last night vs. tonight after two ten minute sessions of using 10% sulfur ointment

Note: mostly attributed the overnight success solely to De La Cruz Sulfur Ointment.

“Here’s the rest of my ever changing routine if you’re curious.”—u/neslynn

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19) HOW I CLEARED TINY BUMPS ON MY FACE AND SUPER DUPER TEXTURED SKIN | it’s NOT acne | SHAMPOO MASK

**Nizoral Shampoo face masks (twice weekly, eventually reduced to once weekly)

Note: this routine is a bit intensive, I recommend alternating BHA / AHA and introducing each slowly.


20) [B&A] 1 Month After Discovering This Subreddit!

Note: he eventually stopped stridex from dryness and kept using the Nizoral and Cerave combo.


21) MALASSEZIA FOLLICULITIS/FUNGAL ACNE (Tiny Forehead Bumps) – My Experience and Treatment | jskavee + 6 MONTH UPDATE ON MY FUNGAL ACNE | jskavee

Began with **Nizoral Shampoo mask (5-10 minutes) every day for about a week, then reduced it to every other day. Currently uses it “whenever [she] remembers.” Followed up Nizoral with raw aloe vera gel. Her current skincare routine now consists of:

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22) [B&A] Fungal acne on shoulders

“I made a post about the fungal acne on my shoulders. So I went out and bought Nizoral Shampoo and lather it on my shoulders and leave it for 5 mins. My closed comedones opened up and blackheads fell out and I no longer have a red itchy shoulder. Unfortunately I’m left with PIH.”–u/Sweatyskin


23) [B&A] After four years of struggling with fungal acne, I’m finally FA-free! <3 (x-post from /r/AsianBeauty)

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24) [Before&After] Recently diagnosing and treating my fungal acne

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Other things:

**The Ordinary Peeling solution once weekly.

Sheet masks 1-2 times weekly.

**Nizoral Shampoo mask 2-3 times week (10-15 minutes)


25) [B&A] – 1 Month’s of progress after adding Sulfur, Azelaic Acid, Squalane Oil, and Urea into my routine.

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 Once weekly he does this in the AM, and no acids in the PM.

Eventually reduced sulfur to once a day or less.


26) [B&A][Selfie] Finally cleared up my skin!

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“Every other day I switch using TO niacinamide and TO vitamin C suspension 30% in silicone. I don’t use the azelaic acid when I use the vitamin C because it dries out my skin.”—u/julieannbee

As for her body routine….

“Wash chest, neck, and back with ZnP soap every time I shower, I use the Stridex Pads on my chest, neck, and back after I shower/in the morning.”—u/julieannbee


27) [Before&After] Almost finished on my journey to beat fungal acne/malassezia folliculitis

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Right now, I’m preparing to go back to school so I actually do steps 1, 2, & 5 before I work out. Then I do contact therapy with the Noble Formula Soap and do steps 3, 4, & 5. On days where I don’t have time, I just do the above minus the Stridex pads.”—u/wakemeupinjanuary

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28) [Acne] My Personal Road To Recovery from Malassezia Folliculitis (AKA Fungal Acne):The Battle is Coming to an End, but the War is Just Beginning. (Before & After Pics)

This one was quite simple! Haha 🙂

“Current Medications Being Used: 150mg fluconazole daily and Nizoral Shampoo used as a body wash daily.”—u/kylaayubi


29) TREATING MY FUNGAL ACNE + FULL SKINCARE ROUTINE

Began with a reset period where she did **Nizoral Shampoo mask for about a minute every other day, alternating with De La Cruz Sulfur masks. After two weeks, she introduced the following routine:

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Note: Azclear Action Medicated Lotion is a 100% safe alternative to Melazepam if you’re trying to completely avoid malassezia triggers.


30) [acne] Fungal Acne Routine. Skin is finally cleared up.

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“On no makeup days, I will dust Mario Badescu Special Healing Powder over throughout the day to control any shine or if needed. I purchased this because it had SULFUR in it and ended up really liking it. When applying, you have to dust it on lightly because it is really yellow tinted and can be noticeable with a heavy hand.”—quote from reddit user

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Other treatments:


31) [B&A] Thanks to this sub I receive compliments on my skin again! Fungal acne success 🙂

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32) [B&A] After just twelve days of using Nizoral masks and a FA safe routine.

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“I wash my face before I get in the shower and while I’m in I‘ll put a layer of Nizoral on my face (and now my back/shoulders, too), and let it sit while I wash my hair and then rinse it off using cooler water. Total time on my face is approximately 3-5 minutes about two or three times a week. I notice the difference in texture more than anything and I’m super stoked about it. Definitely keeping this in my routine!”—u/smdpanda3


33) HOW TO CURE FUNGAL ACNE IN JUST ONE WEEK!


34) [Acne] Sometimes, you need to listen more to yourself.

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35) MY 100% FUNGAL ACNE-SAFE SKINCARE ROUTINE

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Alternates the following actives in the morning:

Follows up with….

Note: did not explain her PM routine, but mentioned using Stratia Soft Touch AHA  once weekly.


36) MY STUBBORN ACNE CLEARED IN 3 WEEKS!! (very detailed)

Note: didn’t disclose morning routine.

**Nizoral Shampoo face masks twice a week.


37) How to Get Rid of Fungal Acne // BEAT TINY BUMPS

Did not disclose her entire skincare routine but recommended the following:


38) How to clear Tiny Red Bumps on your face | Fungal Acne Skin Care Routine

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Started with daily **Nizoral Shampoo face masks, then tapered off to using them weekly. Eventually monthly.


39) [B&A] Fungal Acne 1 week & a half progress + FA progress jan-july.

Her first routine was:

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She then updated to this because Head & Shoulders was too drying:

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40) My skincare journey from fungal (??) acne to relatively clear skin [B&A] [Acne]

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  • Remove makeup with Costco brand wipes
  • ****DermaHarmony 2% Pyrithione Zinc
  • Curology (4% azelaic acid, 1% clindamycin, 4% niacinamide)
  • Clinique Dramatically Different Moisturizing Lotion (Note: no longer safe)
  • Isle of Paradise Self Tanning Drops

“Twice a week – gently physically exfoliate my skin (GASP) with a wet wash cloth.”—u/liftcali93


41) 6-day progress with treating it as FA with Head and Shoulders Shampoo and Clotrimazole. Thank you so much to everyone who replied to my previous post!!! :)<3

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42) I HAVE FOUND THE HOLY GRAIL OF FA PRODUCTS FOR MY SKIN. These pictures are a week apart.

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43) Before & After I learned I had fungal acne

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On days that she showers, she replaces Cetaphil Gentle Cleansing Cloths with one of the following: RX Ketoconazole shampoo, RX Selenium Sulfide shampoo, or **Head and Shoulders Shampoo.

Occasionally, Stridex Pads.


44) I used head and shoulders and cerave for 2 days and it’s just WOW, most of the bumps are gone all that’s left is to clean up those dark spots, any suggestions?

As the name implies, she just used *CeraVe Cream and **Head and Shoulders Shampoo, but I do recommend using Dr Eddie’s Happy Cappy Medicated Shampoo instead. It’s safer and gentler 🙂


45) [fungal acne] 10 day transformation!

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46) HOW I GOT RID OF TEXTURED SKIN AND TINY BUMPS / FUNGAL ACNE 

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  • Rinse with water
  • Undisclosed Sunscreen

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47) [B&A] Not perfect, but grateful to have come this far

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Once a week, **The Ordinary 30% AHA 2% BHA peel.


48) MORNING + NIGHT SKINCARE ROUTINE | treating my fungal ACNE

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She also does one hour manuka honey face mask once weekly.


49) SKINCARE FOR FUNGAL ACNE | elle rene

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Note: did not disclose her nighttime routine.


50) GET RID OF TINY BUMPS ON FOREHEAD FAST | HOW TO TREAT FUNGAL ACNE (MALASSEZIA) | BEING MRS DUDLEY + *2 MONTH UPDATE* GET RID OF TINY BUMPS ON FOREHEAD FAST | HOW TO TREAT FUNGAL ACNE (MALASSEZIA)

“In my opinion, I think it’s so clear! Not only is it so clear, I actually feel like this is the clearest my skin has every been.”—Being Mrs Dudley

Began using **Nizoral Shampoo mask twice a day, then introduced the following routine after a few days.

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I hope you enjoyed this post! 🙂

Cheers,

—f.c.

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