[MUSIC PLAYING]
BARNEY KENET: Dry skin
is ubiquitous.
It's a common problem
that patients call me for all
the time.
It's sort of a combination
of too much bathing,
too much drying soap.
Other factors like age
and menopause and sun exposure
also play a role.
But really the number one driver
of dry skin in our communities
is long, hot showers, lots
of soap, and too little
moisturizer.
So the type of soap
matters a lot, in addition,
how much of it you use
and where you use it.
So bar soaps and fragrance soaps
are drying,
and I don't recommend them.
I generally like
a fragrance-free product, which,
by the way,
is different than unscented.
Unscented products have
a little bit of perfume.
Fragrance-free products are
completely free of all scent
and are, therefore, less
strong and irritating.
Your skin could be dry
because there's lack
of moisture.
But it also could be
dry from dead skin cells
on the surface.
So it's a little
counterintuitive, but some fruit
acid moisturizers containing
ingredients such as lactic acid
or urea are especially
good at taking off
the dead cells.
Once those dry, older cells are
exfoliated, you can moisturize
over the damp, remaining cells
and really feel great.
It will give your skin
a dewy feel, and it will feel
softer to the touch.
Brushes and loofahs are OK,
but they tend to collect
bacteria in the shower.
They're good for elbows, knees,
feet, but they're not
great for large body surfaces
like the back or chest.
They're a little bit harsh.
Some people just get
a little sense of dryness.
Some people get a lot
of itching.
And some people even get cracks
or fissures around their hands
and feet.
So there's a wide variety in how
dry the skin can become.
And in that regard, there's
a wide variety of products
to help treat dry skin.
And that spans the gamut
from lighter moisturizers that
are liquid at room temperature
to creams that are solid at room
temperature.
The most important feature
is that you use these products
on your damp skin
so that they'll trap a little
of that moisture
in the top layer.
Well, it can be confusing
because there are so many types
of moisturizers to choose from,
but I generally like to make it
simple.
One for the face.
One for the body.
While you're not going to get
a systemic illness
from dry skin,
although some people
with illnesses
show that with dryness.
For instance, one
of the main features
of hypothyroidism or low thyroid
is dry skin.
So that's one thing your doctor
would consider if drawing
a blood test
or during your checkup.
But the take home messages
are the same for everybody.
Not too much soap.
No fragrance.
Shorter, cooler showers.
And lots of moisturizer
on your damp skin.
And for the most part,
you're going to get some relief
immediately.
For most people, beauty products are a quick, simple way to look great. But if you notice that you have skin reactions -- like irritation, rashes, or allergies -- to certain ingredients, these tips can help you steer clear.
1. Check the label. Look for products with the fewest ingredients. This will make a bad reaction less likely.
2. Do a patch test first. Before you start to use a new product, place a small amount on the inside of your elbow and wait 48 to 72 hours. If you notice no redness, swelling, itching, or burning on that spot, it’s OK for you to use.
3. Spritz the smart way. Always put fragrance on your clothes, not your skin. You’ll be less likely to have a skin reaction to it. It also helps prevent the fragrance from having a bad reaction with other products you use.
4. Be true to yourself. See how your skin responds. The labels "hypoallergenic," "dermatologist tested," "sensitivity tested," or "non-irritating" don't guarantee that your skin won't react.
5. Stop and soothe. If your skin reacts badly to a beauty product, stop using it immediately. You can sometimes use an over-the-counter hydrocortisone cream to help ease inflammation. In some cases, you might need a prescription-strength cream.
Top 2 Skin Reactions to Beauty Products
1. Irritation. Your doctor may call this “irritant contact dermatitis.” It’s the most common skin reaction to a beauty product. It can cause burning, stinging, itching, and redness in the area where you apply the product.
If your skin is dry or injured, it loses some of its natural protection against irritants. This means reactions can be harsher or happen more easily.
2. Skin allergies (allergic contact dermatitis). Sensitivity or a true allergy to a specific ingredient in the product causes redness, swelling, itching, or blisters on the skin. Fragrances and preservatives are some of the biggest culprits.
Even products that say they're unscented could contain a “masking agent,” which is a fragrance that covers up chemical scents. Though you may not smell it, it still could be there and cause an allergic reaction in some people.
To make sure no perfume is included, look for products marked “fragrance-free” or “without perfume.”
Preservatives are in almost every product that contains water. They need to be there, so it doesn’t spoil. All of the most common preservatives have been linked to skin allergies. But that doesn't mean they cause allergic reactions in everyone. They might not bother your skin at all.
Beauty Products Most Likely to Cause a Skin Reaction
These include:
- Bath soaps
- Detergents
- Antiperspirants
- Eye makeup
- Moisturizers
- Permanent wave lotion (particularly those containing the chemical glyceryl monothioglycolate)
- Shampoos
- Long-wearing lip stains
- Nail polish (particularly those containing formaldehyde)
- Fingernail glue containing methacrylate
Hair dyes can also be the source of skin reactions, especially those containing p-phenylenediamine as well as ammonium persulfate used to lighten hair.
Also, beauty products containing alpha-hydroxy acids (AHAs) may cause problems -- such as redness, swelling, blisters, rash, or itch -- for some people. It’s more likely with strong products, which have a concentration of AHAs over 10% or with a pH (acid level) of 3.5 or less.
For some people, tretinoin wrinkle creams and serums can cause irritant contact dermatitis.
Many people are sensitive to sunscreen. If that's true for you, talk to a dermatologist about how to best protect your skin from the sun. Look for sunscreens with very few ingredients and that are physical blockers (made with zinc oxide and/or titanium dioxide), which usually don’t cause allergic reactions.