Cradle Cap in Newborns

Cradle cap is a common skin condition that affects many newborns and young babies. While the thick, flaky scales may look concerning, cradle cap is typically harmless and manageable with gentle care. 

If you ever have concerns about your baby’s cradle cap, Bootin and Savrick Pediatric Associates in Houston is here to help. Our team has experience treating a wide range of childhood skin conditions and supporting parents with compassionate, evidence-based guidance. Contact us today to schedule an appointment.

A doctor examining a bay for cradle cap and teaching the mother how to manage it in Houston, Texas.

Topic at a Glance

  • Cradle cap is a harmless, temporary form of infantile seborrheic dermatitis.
  • Symptoms include yellow scales, scaly patches, and thick crusts on a baby’s scalp.
  • Causes may include too much oil, yeast growth, and an immature skin barrier.
  • Gentle washing, oils, and a soft-bristle brush help manage baby’s cradle cap.

What is Cradle Cap?

Cradle cap is the common name for infantile seborrheic dermatitis, a condition that causes greasy, flaky, or crusty patches on a baby’s scalp. Although the appearance can be worrisome, cradle cap is not dangerous, contagious, or a sign of poor hygiene. It is a temporary condition that improves with time and gentle care.

What Are the Symptoms of Cradle Cap?

The symptoms of cradle cap may vary, but most babies develop:

  • Yellow scales or flakes
  • Greasy or dry scaly patches on the scalp
  • Thick crusts that cling to the skin
  • A mild scaly rash around the eyebrows, ears, or nose (less common)
 

Cradle cap usually does not cause itching or discomfort, and most babies remain happy and unbothered by it.

What Causes Cradle Cap?

The exact cause of cradle cap isn’t fully understood, but several factors may contribute:

  • Overactive oil glands: Some babies produce too much oil (sebum) due to temporary hormonal influences from pregnancy. Excess oil traps dead skin cells, leading to the thick, scaly buildup.
  • Yeast growth: A natural yeast on the skin, Malassezia, may grow more easily in oily environments, contributing to seborrheic dermatitis.
  • Immature skin barrier: Because a baby’s skin is still developing, it can be more prone to irritation and buildup. Importantly, cradle cap is not caused by infection, allergies, or anything a parent did wrong.

How is Cradle Cap Diagnosed?

Cradle cap is usually diagnosed during a physical exam. A healthcare provider will look at your newborn and examine their scalp and any affected areas to confirm the typical pattern of scaly patches or yellow scales. No tests are needed unless symptoms are unusual or resistant to treatment.

What is the Treatment for Cradle Cap?

Most cases of cradle cap can be treated at home using gentle, safe techniques:

  1. Wash with a mild baby shampoo – Using baby shampoo once a day or a few times a week helps loosen flakes and reduce oil buildup. Lather gently and rinse well.
  2. Gently massage the scalp – You can gently massage your baby’s scalp with your fingers to help lift loosened scales.
  3. Soften scales before washing – Before shampooing, apply a small amount of baby oil, mineral oil, olive oil, or petroleum jelly to soften the crusts. Let it sit for 10–15 minutes.
  4. Use a soft brush – After softening, gently lift flakes with a soft-bristle brush or a soft brush designed for baby’s hair. Avoid picking at scales, which can irritate the skin.
  5. Medical treatment – If cradle cap is severe, persistent, or spreading beyond the scalp, your provider may recommend medical treatment, such as a medicated shampoo or mild topical medication. Treatment is tailored to your baby’s age and skin needs.

How Long Does Cradle Cap Last?

Cradle cap usually begins in the first few weeks of life and improves over weeks to months. Most cases resolve completely by 6–12 months, though some babies may experience mild patches longer.

Is There a Way to Prevent Cradle Cap?

While cradle cap can’t always be prevented, you can help reduce buildup by:

  • Washing your baby’s scalp regularly with a gentle baby shampoo
  • Avoiding heavy lotions or oils on the scalp unless using them specifically to loosen scales
  • Using a soft brush during baths to remove loose flakes
  • Keeping your routine consistent to prevent excess oil or debris

When Should I Seek Medical Care?

Contact your healthcare provider if:

  • The cradle cap spreads to the face or body
  • You see signs of infection (oozing, spreading redness, or warmth)
  • Your baby seems uncomfortable or the skin looks irritated
  • Home care doesn’t improve the condition
  • The flakes become extremely thick or hard to remove

Schedule an Appointment Today

Cradle cap is a normal, manageable part of life for many young babies. With gentle care, patience, and the right information, you can help improve your baby’s skin while keeping them comfortable and safe. If you ever have worries or simply want guidance tailored to your baby, your pediatric team is always here to support you.

If you have questions about your baby’s skin or want help managing cradle cap, Bootin and Savrick Pediatric Associates in Houston is here to support your family with experienced, nurturing pediatric care. Schedule an appointment today to give your newborn the healthiest start.

Medically reviewed by Dr. Patti Savrick

 

FAQs About Cradle Cap in Newborns

Is cradle cap harmful to my baby?

No, cradle cap is a harmless and temporary skin condition known as infantile seborrheic dermatitis. It is not contagious, does not cause pain or itching in most babies, and is not a sign of poor hygiene or parenting. 

Cradle cap commonly appears as yellow scales or flakes, greasy or dry scaly patches, and thick crusts on a baby’s scalp. In some cases, mild scaling may also appear around the eyebrows, ears, or nose. 

Washing your baby’s scalp with a mild baby shampoo, gently massaging the scalp, softening scales with baby oil or mineral oil before washing, and using a soft-bristle brush can help loosen and remove flakes safely. Avoid picking at the scales, as this can irritate the skin.

You should contact your healthcare provider if the cradle cap spreads beyond the scalp, shows signs of infection such as redness or oozing, causes irritation or discomfort, or does not improve with home care. A provider can confirm the diagnosis and recommend medical treatment if needed.