Even the most diligent skin cleansing routine can fall short of the goal of healthy, balanced skin. A range of topical creams formulated to reduce oily skin is available for use once the standard skin care measures have failed. Retinoid creams, vitamin A creams and sulfur creams are a few of the over-the-counter options for people with excessively oily skin. If these alternatives do little to bring skin into balance, a trip to the dermatologist is probably the next logical step. Dermatologists are specially trained to identify problem areas and prescribe stronger skin care and cleansing measures than are available in stores.