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The Basics: Your Newborn's Skin

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The Basics: Your Newborn's Skin

Feb 26, 2025

Newborns often do not have the perfect skin we expect. Pediatrician Cindy Gellner, MD, explains some of the common skin conditions that newborns face, including seborrhea—often referred to as cradle cap—and newborn acne. Both conditions are usually temporary and part of normal development. Learn what causes these conditions and why frequent bathing is not recommended for newborns.

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    Newborn Skin Changes Are Completely Normal

    Newborn baby skin—everyone thinks that babies should have this smooth, soft, clear skin from day one, and that's just not the case. A baby's skin goes through a lot of changes as they are exposed to the world, and they lose hormones that they got from mom through the placenta and as their own oil glands and skin pigment cells turn on.

    Cradle Cap: The Flaky, Yellow Rash on Baby’s Scalp

    One rash that many babies get is called seborrhea, but most people know it as cradle cap. It's that flaky, yellow, scaly rash on their heads that shows up at a few weeks old, that can even extend down to their eyebrows and the sides of their face and on to their cheeks and even to the top of their chest. While we're not sure why some babies get it and others don't, it's thought to be due to the skin having too much oil produced by the oil glands near the hair follicles. It's not contagious, and it's not because your baby is dirty or you are not washing your baby enough. In fact, babies should not be bathed more than two to three times a week when they're first born. If cradle cap is really bad, your pediatrician may recommend anti-dandruff shampoos to be used very carefully, one to two times a week, or over-the-counter-strength hydrocortisone.

    Baby Acne: A Temporary Skin Condition

    Newborn acne is another skin issue that some babies get and some babies don't. Baby acne also shows up a few weeks after they're born, but it goes away by 4 months old. The current theory is that it is because of the hormone withdrawal because they aren't getting those hormones that they got through the placenta before they were born. There's really no good treatment for this, and the severity, luckily, does not indicate how bad acne will be when the baby becomes a teenager.

    While baby skin will eventually become nice and soft, the first few weeks to months can be a little rough. Know that many of your baby's skin changes are normal and will go away in time.

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