Head and face grease can be caused by physiological and pathological reasons. 1. Physiological reasons: may be due to irregular work and rest, love of sweets, spicy food and other reasons lead to sebaceous gland secretion, manifested in the head and face greasy. This kind of reason needs to adjust the routine and diet, the oily situation will slowly improve. 2. Pathological causes: seborrheic dermatitis, hyperandrogenemia and other causes of sebaceous gland secretion of the head and face, such causes are mostly due to the high level of androgen in the body. Need to follow the doctor’s prescription anti-androgen treatment, such as oral spironolactone. If you have a greasy head and face, it is recommended that you seek medical attention and follow the doctor’s instructions to deal with the cause of the problem.