Very oily skin: what to know

Sebum helps protect the skin, but excess production can create persistent shine, a greasy feel, and easier congestion around pores. Acne may appear when oil, dead skin, and inflammation affect follicles. Hormonal changes can influence oil production, and seborrheic dermatitis can cause greasy scale and redness in areas such as the nose folds, eyebrows, ears, or scalp. Skincare products, heat, stress, and medication changes may also alter how oily skin feels. Oiliness alone does not prove a hormonal condition.

A clinician can assess whether you have comedones, inflamed spots, irritation, or dermatitis and can build a routine that does not strip the skin.

Use a gentle cleanser and avoid scrubbing, alcohol-heavy products, and repeated washing that leaves skin tight or burning. Choose a light, non-comedogenic moisturiser and sunscreen. Remove makeup before sleep and avoid squeezing blocked pores. If acne is persistent, a clinician may discuss prescription options, including topical treatment or isotretinoin treatment for selected cases. Isotretinoin requires medical supervision, pregnancy precautions where relevant, and monitoring for dryness and other adverse effects.

Arrange an assessment for painful acne, scarring, recurring greasy redness or scale, sudden worsening, or oiliness that began after a medication change. Seek prompt care for severe swelling, extensive blistering, or signs of skin infection. Early advice can prevent harsh self-treatment from adding irritation to the problem.

Ask: Is my oiliness linked to acne, hormones, seborrheic dermatitis, or irritation? Which cleanser and moisturiser fit my skin? Should I use a topical medicine? If isotretinoin is considered, what monitoring, pregnancy precautions, dryness care, and interactions apply?