How can one treat Demodex Folliculitis on the scalp? (Photo)

The key question is whether the Demodex is causing a problem or not. Demodex is often found in biopsies. I advise working with a specialist to determine if this finding is relevant or not. We don’t always treat this - it depends on the specific clinical scenario.

The following was taken from Dermnet NZDemodex can only live in the human hair follicle and when kept in check they cause no problems.  Home treatment and prevention strategies include:
Using mild shampoo on hair and eye lashes every dayCleansing the face twice daily with a non-soap cleanserAvoiding oil-based cleansers and greasy makeupExfoliating periodically to remove dead skin cellsTreatment with acaricides is aimed at reducing excessive proliferation of the mites, and by clinical cure of symptoms and signs. Options include:
Benzyl benzoate solutionPermethrin creamSulfur ointmentCrotamiton creamSelenium sulfide washMetronidazole gelSalicylic acid creamIvermectin cream