Treatment Overview
Ketoconazole Shampoo Therapy is one of the most widely used dermatology treatments in Korea for seborrheic dermatitis, particularly when it affects the scalp. Seborrheic dermatitis is linked to the overgrowth of Malassezia yeast, which causes redness, itching, flaking, and greasy scales.
Ketoconazole is an antifungal agent that reduces yeast activity, calms inflammation, and restores scalp health. In Korea, ketoconazole shampoos are available in 1–2% concentrations, and are often recommended by dermatologists as a first-line treatment for both flare-ups and long-term maintenance.
For seborrheic dermatitis, Ketoconazole Shampoo Therapy:
- Controls Malassezia yeast overgrowth.
- Reduces flaking, itching, and irritation.
- Helps restore a healthier scalp environment.
- Prevents recurrence when used as maintenance.
Purpose & Benefits
- Antifungal Action: Directly targets the yeast responsible for seborrheic dermatitis.
- Anti-Inflammatory Effect: Soothes itching and irritation.
- Flake Control: Reduces dandruff-like scaling.
- Long-Term Prevention: Maintains scalp balance when used intermittently.
- Combination-Friendly: Works well with creams, barrier lotions, and cooling care.
- Safe for Chronic Use: Dermatologist-guided maintenance minimizes relapses.
Ideal Candidates
Ketoconazole Shampoo Therapy in Korea is recommended for:
- Patients with scalp seborrheic dermatitis (flaking, itching, redness).
- Individuals with chronic dandruff linked to yeast imbalance.
- Adults needing preventive care to stop relapses.
- Patients with facial seborrheic dermatitis (sometimes used as a gentle wash for eyebrows or beard areas under dermatologist guidance).
- Those who prefer non-steroid long-term therapy.
Comparison with Other Treatments
- Ketoconazole Shampoo: Best for scalp-focused seborrheic dermatitis.
- Ciclopirox Cream / Shampoo: Broader antifungal + anti-inflammatory effect.
- Topical Steroids (Hydrocortisone, Desonide): Fast relief, but not for long-term scalp use.
- Calcineurin Inhibitors (Tacrolimus, Pimecrolimus): Steroid-sparing, used mainly for face.
- Barrier Creams (Panthenol, Centella, Propolis): Good for sensitive areas, less effective on scalp yeast.
- Laser / Cooling Programs: For redness, not yeast control.
Possible Risks & Complications
Ketoconazole Shampoo is safe but may occasionally cause:
- Mild Irritation: Burning, itching, or dryness on scalp.
- Hair Texture Change: Temporary dryness if overused.
- Rare Allergic Reaction: Very uncommon in medical-grade formulas.
Treatment Techniques Used
- Shampoo Application: Applied to wet scalp, massaged, and left for 3–5 minutes before rinsing.
- Frequency: Used 2–3 times per week during flare-ups, then reduced to once weekly for maintenance.
- Combination Therapy: Often paired with antifungal creams for facial areas and barrier care for sensitivity.
- Clinic Integration: Korean clinics may combine with cooling scalp therapy, LED light care, or medicated scalp scaling.
Recovery & Aftercare
- First Week: Itching and flaking visibly reduced.
- 2–4 Weeks: Redness improves, scalp looks healthier.
- Maintenance Use: Weekly use prevents relapses.
Aftercare Tips:
- Use gentle, fragrance-free conditioners to avoid scalp irritation.
- Avoid heavy hair oils or styling products that worsen flaking.
- Combine with dermatologist-prescribed antifungal creams if face/chest is affected.
- Apply SPF 50+ sunscreen on hairline or facial areas treated with antifungals.
Results & Longevity
- Short-Term (1–2 Weeks): Rapid reduction in flaking and itching.
- Medium-Term (1–2 Months): Clearer, healthier scalp with reduced inflammation.
- Long-Term: Maintenance use prevents frequent flare-ups.
Treatment Process in Korea
- Consultation & Diagnosis – Dermatologist confirms seborrheic dermatitis.
- Prescription or Recommendation – Ketoconazole shampoo chosen (1% OTC, 2% prescription).
- Usage Instruction – Typically 2–3 times weekly during flares.
- Adjunctive Care – Barrier creams, cooling masks, or antifungal creams for facial areas.
- Follow-Up – Adjust frequency for long-term maintenance.
Why Korea is a Top Destination
- Korean dermatologists use standardized seborrheic dermatitis protocols with ketoconazole as first-line care.
- Clinics integrate scalp cooling programs and medicated scalp scaling for enhanced results.
- Medical-grade shampoos available through both dermatology clinics and pharmacies.
- Affordable compared to Western countries, with easy access to combination care.
- Seoul is known for its advanced scalp and skin clinics, especially for chronic conditions.
Cost Range (Detailed Breakdown)
Pricing for Ketoconazole Shampoo Therapy in Korea for seborrheic dermatitis:
- OTC Ketoconazole Shampoo (1%): USD 10 – 20.
- Prescription Ketoconazole Shampoo (2%): USD 20 – 40.
- Consultation Fee: USD 20 – 40.
- Combination Session (Shampoo + Scalp Cooling / Scaling Therapy): USD 80 – 200.
- Premium Seborrheic Dermatitis Package (Shampoo + Cream + Infusions): USD 500 – 1,200 (4–6 sessions).
Additional Costs in Korea:
- Add-ons (Centella or propolis scalp tonics, hyaluronic acid boosters): USD 50 – 120.
- Barrier-support skincare (panthenol or ceramide creams): USD 30 – 80.
💡 Patients often call ketoconazole shampoo the “scalp stabilizer”, since it directly addresses the root cause (yeast imbalance) while being safe for long-term maintenance.
Popular Clinics in Seoul
- Oracle Dermatology – Ketoconazole shampoo + scalp cooling programs.
- Banobagi Dermatology – Seborrheic dermatitis care with medicated shampoos and barrier boosters.
- Renewme Skin Clinic – Scalp and facial programs with ketoconazole-based antifungal therapy.
- View Plastic & Dermatology – Ketoconazole shampoo with scalp scaling and laser options.
- Chaum Anti-Aging Center – Premium scalp dermatitis care with antifungal shampoos, infusions, and multi-step soothing therapies.



