Dry skin is a very common skin problem and is often worse during the winter when environmental humidity is low (i.e., "winter itch"). It can occur at all ages and in people with or without other skin problems. This newsletter discusses the causes of dry skin and how to treat and prevent this problem. We hope you find it useful.
What does dry skin look like?
Everyone is familiar to some degree with the appearance of dry skin. The normally fine lines in the skin become more visible, the skin feels rough and appears dull and flaky. In more advanced cases, fish net-like cracks resembling the fine fracture lines of cracked porcelain can occur. Dry skin occurs most commonly on the arms and legs, but can also affect the trunk of the body. Dermatologists often call dry skin "xerosis" or "asteatosis".
Problems associated with dry skin.
Dry skin very commonly produces itching, which can be severe and interfere with sleep and other daily activities. Repeated rubbing and scratching can produce areas of thickened, rough skin (lichenification). Dry, thickened skin can crack, especially in areas subject to chronic trauma (e.g., hands and feet), causing painful cracks in the skin (fissures). Dry skin and scratching may result in a dermatitis when the skin becomes red (inflamed) in addition to dry and scaly. Round, scaly, itchy, red patches scattered over the legs, arms and trunk (nummular eczema) may also appear. The appearance of yellow crusts or pus in these areas indicates that a bacterial infection is developing. This would require specific antibiotic therapy from your dermatologist or family physician.
If your skin is very dry, or if you have an associated red dermatitis, it is a good idea to seek the advice of your dermatologist or family physician. Severe dry skin is a feature of certain genetic diseases such as atopic dermatitis and ichthyosis (fish scale-like skin). In addition, people with hormone imbalances such as underactivity of the thyroid gland can also experience severe skin dryness (there are other changes in the body that accompany dry skin in this setting that helps doctors recognize this problem).
For many people, the cold clear days of winter bring more than just a rosy glow to the cheeks. They also bring uncomfortable dryness to the skin of the face, hands, and feet. For some people, the problem is worse than just a general tight, dry feeling: They get skin so dry it results in flaking, cracking, even eczema (in which the skin becomes inflamed).
"As soon as you turn the heat on indoors, the skin starts to dry out," Bonnie LaPlante, an esthetician with the Canyon Ranch resort in Lenox, Mass., tells WebMD. "It doesn't matter if you heat your home using oil, wood, or electricity. The skin gets dry."
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Sound familiar? Read on to get WebMD's top 10 tips for boosting your winter skin care regimen, so that your skin stays moist and healthy through the winter months.
1. Seek a Specialist
If you go to your local drugstore, you'll be hard put to find a salesperson who can give you good advice. That's why going to an esthetician or dermatologist even once is a good investment. Such a specialist can analyze your skin type, troubleshoot your current skin care regimen, and give you advice on the skin care products you should be using.
But that doesn't mean you'll be stuck buying high-end products. "Inexpensive products work just as well as high-end ones," says David Voron, MD, a dermatologist in Arcadia, Calif. "In fact, the extra price you pay for the expensive stuff is often just for packaging and marketing. What's most important is how your skin responds to the product -- and how you like its feel, not how much money you paid for it."
2. Moisturize More
You may have found a moisturizer that works just fine in spring and summer. But as weather conditions change, so, too, should your skin care routine. Find an "ointment" moisturizer that's oil-based, rather than water-based, as the oil will create a protective layer on the skin that retains more moisture than a cream or lotion. (Hint: Many lotions labeled as "night creams" are oil-based.)
But choose your oils with care because not all oils are appropriate for the face. Instead, look for "nonclogging" oils, like avocado oil, mineral oil, primrose oil, or almond oil. Shea oil -- or butter -- is controversial, because it can clog facial pores. And vegetable shortening, LaPlante says, is a really bad idea. "It would just sit on the skin," she says. "And it would be really greasy."
You can also look for lotions containing "humectants," a class of substances (including glycerine, sorbitol, and alpha-hydroxy acids) that attract moisture to your skin.
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