Monthly Archives: November 2016

The common problems of winter skin

Winters here and with it come the harsh winds of irritated skin. The routine of cold and dry outside and hot and dry inside is wreaking havoc on our precious skin. So, what’s a girl to do? Thankfully, a lot according to Dr. Doris Day, MD, FAAD, New York dermatologist and author of Forget the Facelift (Avery Books) and Dr. Loretta Ciraldo Miami dermatologist and author of Six Weeks to Sensational Skin (Rodale) who share their winter-protecting secrets.

Be on a hot bath boycott.

In certain parts of the country, it’s chillingly cold. And it is precisely those cold temperatures that may lead many to a huge dry skin culprit:hot, long, baths. “Hot showers strip away your body’s natural oils,” says Dr. Day, leaving your skin dry and tight. Instead Dr. Day recommends taking not-so-hot showers, and then patting dry rubbing totally dry after so your body is a bit damp. “It’s about water retention,” says Dr. Day.

Still using summer products? Aint gonna cut it.

Using a rich cream instead of a lotion will make a huge difference in your skin,” says Dr Day, as lotions are thinner and not as emollient as their thicker cream counterparts. Instead, Dr. Day suggests switching out your light warm weather lotion for a richer, more penetrating cream.

Don’t worry about wrinkles.

“Women often see an exaggeration of wrinkles in the winter,” says Dr. Ciraldo, “because of skins dryness.” So if you look in the mirror and see more fine lines around your eyes and mouth, don’t add more stress to your sensitive skin by freaking out. It is most likely a temporary thing. Instead, defend yourself with a hydrating night cream and a good night’s sleep.

Soak in it.

“It’s important to put moisture back in your body,” says Dr. Ciraldo, and she means literally. Dr. Ciraldo recommends relaxing in a bathtub of tepid water until your fingertips are wrinkled, however long that takes “Your skin has a great capacity for holding water,” says Dr. Ciraldo, “it’s important to get re-hydrated.”

Read ingredients.

Because our skin loses lipids in the winter (the barrier that keeps water in) it’s important to use products that contain lipids, like the ever-popular Ceramides. Dr. Ciraldo also recommends looking for products with Stearic Acid (an animal fat) and Glyco-Lipids, that can also help in preventing moisture loss.

Get oily.

This is a good time to get on the Flaxseed oil and Fish oil bandwagon. Besides, being high in good-for-you Omega-3’s, these oils help keep the skin supple. Fish oil and flax seed oil supplements can also help improve skin’s appearance and reduce the pain of stiff sore joints, caused by the winter cold and possible the increase of you staying indoors and couch surfing.

Lets make the right decision

Feel overwhelmed when you want to buy skin moisturizer for your dry skin? That’s no surprise, as there are dozens to choose from at the drugstore and hundreds more at high-end cosmetics and department stores — creams, lotions, ointments, some with sunscreen, others with an exfoliant. Choices range from the basic $1.50 jar of petroleum jelly to a $500 five-ounce tub of designer skin moisturizer. And all the options in between can make your head spin.

While choosing the right skin moisturizer may seem confusing, it’s actually very simple if you follow a few guidelines, says dermatologist Monica Halem, MD, of ColumbiaDoctors Eastside in New York City. Dr. Halem’s first rule of thumb? Don’t spend too much money.

How a Skin Moisturizer Works

Cleansers and moisturizers are the most important skin products, particularly for softening dry skin. A skin moisturizer works by sealing moisture into the outer layer of the skin and by pulling moisture from the inner layers of skin to the outer layer.

Key ingredients that seal in moisture are petrolatum, mineral oil, lanolin, and dimethicone. Glycerin, propylene glycol, proteins, urea, and vitamins help attract water into the outer layer of the skin.

Some skin moisturizers also contain an alpha hydroxy acid (AHA), which exfoliates dead skin, says Francesca Fusco, MD, assistant clinical professor of dermatology at Mount Sinai School of Medicine in New York City and a spokeswoman for the Skin Cancer Foundation. AHAs are a good choice if you have very dry skin.

Finding the Skin Moisturizer For You

It may take some trial and error, Halem says, so be patient. Follow these guidelines as you shop and, if you’re not getting the results you want, try a new one the next time:

  • Note the first five ingredients. Look for common active ingredients, such as lanolin, glycerin, or petrolatum, Dr. Fusco says. Glycerin is less likely than lanolin to cause an allergic reaction, she says. She also recommends picking a moisturizer that’s made by a reputable company.
  • Go for added sunscreen. Protecting your skin from harmful sun damage is one of the best things you can do to keep your skin looking young, so buy a moisturizer with a sun protection factor of at least 30. You’ll have to do some searching, but more companies are offering face and body moisturizers with sunscreen, Halem says.
  • Make it skin-type appropriate. The skin on your face is thinner and more sensitive, so it’s a good idea to use a different moisturizer on your face than you do on your body, Fusco says and recommends buying one that’s labeled “non-comedogenic” because it won’t clog your pores. Of course, choose one that’s right for your skin type. If you know you have sensitive skin, it’s always a good idea to look for a moisturizer labeled hypoallergenic. If you have oily skin, go with a light, oil-free moisturizer. If you have dry skin, get something richer.

The best way tips for dry skin

“The most important part of the skin barrier is lipids, including phospholipids, free fatty acids, cholesterol, and ceramides,” says Amy Newburger, MD, an attending physician in the Dermatology Department at St. Luke’s Roosevelt Medical Center. “Skin without enough fat in it has a protein predominance and is kind of like a mess made just of twigs with no glue between them.” Water easily escapes through a barrier without lipids, allowing skin to become dehydrated.

Polyunsaturated fatty acids are necessary for the production of intercellular lipids — the “glue” between the “twigs” in the stratum corneum, or surface of the skin. They also have an anti-inflammatory effect on irritated skin. Two types of fatty acids that are “essential” — that is, they must be obtained through the diet — are omega-3s, and omega-6s.

Foods that are high in omega-3 fatty acids include fatty fish like salmon, herring, mackerel, anchovies, and sardines, as well as flaxseed oil, some types of eggs, and grass-fed beef. Evening primrose oil and borage seed oil, which are high in omega-6s, help hydrate the skin and prevent water from evaporating, says Leslie Baumann, director of the University of Miami Cosmetic Medicine and Research Institute. “If you don’t like fish or are pregnant and can’t eat it, omega-3 supplements are a good option.” Most Americans get enough omega-6s through their diet because they’re contained in corn and safflower oils.

While anecdotal success of fatty acids for alleviating dry skin has not been conclusively bolstered by research, several studies have shown significant positive effects: In a 2006 study of 50 patients with atopic dermatitis, 96 percent of those given capsules of evening primrose oil for five months showed notable reduction in intensity, itching, and dryness of the skin. In another study, of 29 elderly patients, borage seed oil supplements taken in pill form helped reduce water loss from the skin by 10.8 percent. And in a study of 118 infants with high risk of developing atopic dermatitis, those who were given borage seed oil and went on to develop the condition experienced a lower severity of the disorder than those in a placebo group. On the other hand, a 2006 meta-analysis of 22 studies that tested the effects of essential fatty acid supplementation found that no significant benefit was conferred on people with atopic dematitis by plant and fish oil supplements. More studies must be conducted before conclusions can be reached.

How To Take Care for Skin on Winter

The telltale symptoms of dry skin are easy to spot: Skin just generally feels drier and tighter. Other signs may include roughness, itching, severe redness, flaking and scaling. Sometimes pores become less visible or skin may look dull. In severe cases, skin may crack and bleed, especially on the hands and fingertips.

Why does it happen?

Sun exposure or cold, dry air can cause skin to become dehydrated. Dry skin is more common in the winter because the air contains less humidity. It can also be genetic or hereditary, or a natural effect of aging.

What are your options?

  • Over-the-counter lotions, such as Eucerin and Curél, can relieve dryness and flaking. Or try a body cream that contains oil to help seal in moisture. Look for fragrance-free products with alpha hydroxy acids, which gently exfoliate to allow more water and moisture into the skin.
  • Avoid antibacterial and deodorant soaps, which can be harsh and drying. Instead, use a gentle cleanser, such as Dove or Aveeno, or a mild shower gel with added moisturizers.
  • Don’t take extremely hot baths, or shower or soak in the tub for more than 10 minutes. Doing so breaks down your skin’s natural protective oils, which keep it soft and smooth.
  • Use a humidifier during the winter. Central heating and space heaters can dry out the air in your home.
  • Choose natural, breathable fabrics, such as cotton and silk, for your bedding and innermost layer of clothing.
  • Drink plenty of water and other liquids to keep skin hydrated from the inside out. Omega-3s (essential fatty acids found in foods such as salmon, walnuts, flaxseed, soybeans and broccoli) can also help keep skin supple.

When should you worry?

See a dermatologist if dryness and itching keep you awake at night, if OTC lotions aren’t working, if you have open sores or large areas of scaling or peeling skin, or if you develop an infection from scratching. You could have a more serious condition such as eczema, psoriasis or another skin disorder.

Did you know?

  • Although everyone’s skin changes with age, a man’s skin tends to stay moist longer. That’s because a woman’s skin becomes much drier after menopause.
  • The best time to apply lotion is immediately after a shower or bath, when skin is still damp.