How do you fix a dry, flaky, itchy scalp? Very simply, just shampoo it. What do flakes represent, whether they’re on your face or on your scalp? Flakes represent large clumps of dead cells. Normally, as your skin matures, and the dead cells fall off, they fall off in very tiny, microscopic cells. You can’t see them. But when they come off prematurely, before they have a chance to separate one from the other, then they come off in clumps, and these clumps are recognized as flakes. And flaking is actually usually caused by inflammation, not by dryness, so what does flaking from the scalp represent? It’s actually dandruff, and dandruff is the result of inflammation from excess oil. The excess oil on the bottom of the scalp causes inflammation and that results in a little bit of redness, a little bit of swelling, and actually the skin is then shed prematurely in these flakes. How do we control this inflammation and the oil imbalance? Very simply, by shampooing. Start with your regular shampoo. Shampoo every day. Lather up for a minute, rinse it out. Lather up for another minute. And don’t be concerned that you’re going to cause dryness in your scalp because the flaking that you see, it’s not dryness, it’s really inflammation. If your regular shampoo doesn’t do the trick after about two weeks, then try a medicated shampoo. There are many over-the-counter medicated shampoos that work. They are aesthetically elegant. They often contain either tar, salicylic acid, selenium or zinc. Again, give them two weeks and, if that doesn’t solve your problem of dry, flaking or itching in your scalp, it’s time to see your dermatologist who will prescribe topical medications to control your problem.