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Not just in winter: How to prevent dry skin

Our skin dries out more quickly, especially in the cold season. The cold, dry air is only one of many causes of dry skin. How xeroderma develops, what really helps against it and when a skin check makes sense.

In winter, many people experience dry skin on their faces or hands. No wonder, because the dry air in heated rooms and the cold, dry air outside deprive our skin of a lot of moisture.

Dry skin is typically characterized by flaking, when the top layer of skin peels off with a delay and an unpleasant feeling of tightness occurs. It is also referred to as xeroderma or skin dryness. It occurs when the skin’s natural fat and moisture regulation is disturbed or overburdened.

Healthy, normal skin is soft and elastic thanks to its water content. The top layer of skin contains fats that reduce evaporation. This retains moisture in the deeper layers of the skin and protects the skin from water loss. If there is too little oil, the skin dries out more quickly – especially in dry air such as in winter or in cold regions.

The most common causes of dry skin

In addition to the cold season, there are numerous other causes of dry skin. Age plays an important role: from the second half of life onwards, the skin’s moisture content decreases. The production of oil and sebum gradually decreases and the skin binds less moisture.

However, dry skin can also simply be genetic. For example, low fat production in the skin can run in the family.

Christian Greis, senior physician at the Dermatology Clinic of the University Hospital Zurich, mentions another common cause that sounds paradoxical at first: Water. “Water doesn’t moisturize the skin, it dissolves oils. People who frequently take long, hot showers or baths tend to have dry skin,” says Greis. “If you then use conventional or even aggressive soap, this also removes important lipids from the skin and the skin loses more moisture.”

There are also less common causes. These include diseases such as neurodermatitis, psoriasis or diabetes, but also medications such as those that lower blood lipid levels. “Put simply, they also reduce the fat content of the skin as a side effect,” says Greis.

Good to know: In summer or in hot regions where the humidity is high, the skin releases less moisture. However, the skin can still dry out if you are constantly swimming in salt water and lying in the sun on a beach vacation.

Why some parts of the body are affected more than others

Dry skin is particularly common on the face, hands and feet, elbows, forearms, lower legs and shins. There are several reasons for this: “On the one hand, certain areas of skin such as the face or hands are more frequently exposed to external influences, on the other hand, the skin is thinner in some areas and therefore more susceptible, or it has fewer sebaceous glands, which makes it less greasy,” Greis explains. These factors can occur individually or in combination.

The skin loses its barrier function

If the skin is very dry, brittle and flaky, this impairs its natural barrier function. “This can lead to itchy inflammation and small cracks in the skin. Bacteria and viruses can multiply and penetrate the skin more easily,” explains Greis. Examples include bacterial impetigo and viral warts. “That’s why it’s important to take action at the first sign of dry skin,” emphasizes Greis.

What helps and what doesn’t?

If you want to prevent dry skin or already have dry skin, you should take the following three tips to heart.

  1. As water and conventional soap remove both oil and moisture from the skin, you should not shower or bathe too long or too hot. Use a mild, pH-neutral soap that is gentle on the skin. The same applies to hand washing. Cold or lukewarm water is sufficient.
  2. After showering or washing your hands, use a moisturizing body lotion and face or hand cream. If you already suffer from dry skin, you should apply moisturizing lotion two to three times a day. “Studies show that applying cream to the skin once a day is of little benefit,” says Greis. You have to be patient and apply cream several times a day for three to four weeks.

Even those who go swimming in the pool several times a week should apply sunscreen liberally. “Otherwise, sporting activities such as jogging or strength training have no significant influence on skin moisture,” adds Greis.

  1. As the body conducts fluid to the skin from the inside, it is important that you drink enough. Especially in stressful times, drinking is all too often forgotten and the feeling of thirst decreases with age, with the result that people tend to drink too little. Make sure you drink about two liters of water or unsweetened tea a day.

Although a balanced diet is generally important, healthy foods cannot make up for xeroderma.

When should you see a doctor?

  • If you suffer from persistently from dry skin, which does not improve even with conscientious care and the skin becomes tight again shortly after applying the cream.
  • If the dry skin itches or even hurts, is reddened or inflamed in places, cracks or other forms of rash form.
  • If your skin becomes visibly drier shortly after taking a new medication or if you experience other symptoms in addition to dry skin, such as dizziness, headaches, tiredness, severe thirst, hair loss or changes to your nails.

The Dermatology Clinic offers an online skin check for such cases. “Patients can simply submit a photo of their skin change, briefly describe it and receive an assessment from a dermatology specialist from our clinic within 24 hours,” explains Greis.

Christian Greis, MBA, Dr. med.

Senior Attending Physician, Department of Dermatology

Tel. +41 44 255 11 11
Specialties: Dermatosurgery, General dermatology, Telemedicine

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