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January 14, 2022Whether you’re a winter sports enthusiast or spend the season curled up by the fireplace, the low humidity, bitter winds, and dry indoor heat that accompany cold weather can deplete your skin’s natural moisture. Dry skin is not only painful, uncomfortable, and irritating; it also can lead to skin conditions such as eczema, which results in itchy, red, bumpy skin patches.
Follow these six tips to prevent and treat skin damage caused by winter dryness.
1. Do: Wear sunscreen all year long.
UV rays can easily penetrate cloudy skies to dry out exposed skin. And when the sun is shining, snow and ice reflect its rays, increasing UV exposure.
Getting a sunburn can cause severe dryness, premature aging of the skin, and skin cancer. Snow or shine, apply sunscreen before participating in any outdoor activity during the winter—especially if you take a tropical vacation to escape the cold; your skin is less accustomed to sunlight and more likely to burn quickly.
The American Academy of Dermatology (AAD) recommends sunscreen that offers protection against both UVA and UVB rays, and offers a sun protection factor (SPF) of at least 30.
That being said, if you are considering laser skin treatments to reduce wrinkles, hair, blemishes, or acne scars, winter is a better time to receive these procedures. Sun exposure shortly after a treatment increases the risk of hyperpigmentation (darkening of the skin), and people are less likely to spend time outside during the winter.
Related reading: 7 Simple Ways to Protect Your Skin in the Sun2. Do: Skip products with drying ingredients.
Soaps or facial products you use in warm weather with no issues may irritate your skin during colder seasons. This is because they contain ingredients that can cause dryness, but the effects aren’t noticeable until they’re worsened by the dry winter climate.
You may need to take a break from:
- Anti-acne medications containing benzoyl peroxide or salicylic acid
- Antibacterial and detergent-based soap
- Anything containing fragrance, from soap to hand sanitizer
Hand washing and the use of hand sanitizer, which contains a high level of skin-drying alcohol, cannot be avoided; we need to maintain good hand hygiene to stop the spread of germs. If your job or lifestyle requires frequent hand washing or sanitizing, routinely apply hand cream throughout the day as well.
During the COVID-19 pandemic, I have seen a lot of people develop hand dermatitis—a condition with itchy, burning skin that can swell and blister—due to constant hand washing. Sometimes the fix is as simple as changing the soap they're using. Sensitive-skin soap is the best product for dry skin; it typically foams up less but still cleans the skin efficiently.
3. Do: Pay closer attention to thick skin.
Areas of thin skin, such as the face and backs of your hands, are usually exposed to the wind and sun the most. It’s easy to tell when they start drying out. But the thick skin on your palms and bottoms of your feet is also prone to dryness—and tends to receive less attention.
When thick skin gets dry, fissures form. You’ll see the surface turn white and scaly; then deep, linear cracks will appear. It isn’t as pliable as thin skin. When you’re constantly on your feet or using your hands to work, cook, and everything in between, dry thick skin cracks instead of flexing with your movements.
To soften cracked skin, gently massage a heavy-duty moisturizer—such as Vaseline—into the affected area once or twice a day. You can also talk with your doctor about using a skin-safe adhesive to close the fissures and help them heal faster.
Related reading: Follow these 5 Tips for Healthy Skin4. Don’t believe the myth that drinking more water will fix dry skin.
Contrary to popular belief, the amount of water or fluids you drink does not play a major role in skin hydration—unless you’re severely dehydrated. In the winter, especially, dry skin is caused by external elements; it should be treated from the outside as well.
The best way to keep skin hydrated and healthy is to apply fragrance-free cream or ointment—not lotion—to damp skin after a shower or bath. Some people need additional moisturizers for their hands, legs, or other areas prone to dryness.While some lotions are made better than others, most are a combination of water and powder that evaporates quickly. Creams and ointments work better because they contain ingredients that can help rebuild your skin barrier.
Look for products with ceramide, a fatty acid that helps rebuild the fat and protein barrier that holds your skin cells together. The AAD also recommends moisturizing ingredients such as:
- Dimethicone
- Glycerin
- Jojoba oil
- Lanolin
- Mineral oil
- Petrolatum
- Shea butter
For severely dry skin, you can try a “wet wrap” technique:
- Rinse a pair of tight-fitting pajamas in warm water and wring them out so they’re damp, not wet.
- Apply cream or ointment to your skin.
- Put on the damp pajamas, followed by a pair of dry pajamas, and wear the ensemble for several hours.
Dampness makes your skin more permeable and better able to absorb hydrating products. If the wet wrap or over-the-counter products aren’t working for you, talk with a dermatologist about prescription skin hydration options.
5. Don’t confuse skin conditions with dryness.
Skin conditions are often mistaken for dry skin because peeling or flaking are common symptoms. Redness of the skin or itching in addition to dryness and flaking indicates a skin condition that may need more than an over-the-counter moisturizer.
Skin cells are anchored together by a lipid and protein layer (like a brick and mortar wall). With very dry skin, the seal on this wall or barrier is not fully intact and water evaporates out of the skin’s surface. The skin will become itchy and red in addition to scaly or flaky. If you experience these symptoms, visit with a dermatologist.6. Don’t wait for symptoms to take care of dry skin.
Be proactive—the best way to maintain moisture is to apply hydrating creams and ointments directly to your skin on a regular basis. Start by applying them as part of your morning routine. Once you get used to that, add a nighttime application. And carry a container of it when you’re on the go or keep it in an easily accessible location at work.
You can’t avoid dry air, but you can take precautions to reduce its harsh effects on your skin. If over-the-counter products don’t seem to help, our dermatologists can provide an individualized treatment plan. Hydrated skin is healthy skin!
Does your skin get drier as the air gets colder?
Our dermatologists can help.
Call 202-877-DOCS (3627) or Request an Appointment
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October 02, 2019As a physician, one of the most rewarding experiences for me is to see our trauma patients recover from their complex injuries. Fortunately, this happens often at MedStar Washington Hospital Center, thanks to the amazing work of our MedSTAR Trauma, neurosurgery, and intensive care teams. At the same time, however, we still need to understand more about treating a specific type of patient--those who have suffered a severe traumatic brain injury (TBI). These complex injuries can lead to a wide range of immediate and long-term problems both for the brain and for other organs of the body, and it is still difficult to accurately predict the effect on a patient’s quality of life.
That’s why we are so excited about the new BOOST-3 clinical trial. Through this randomized, multi-center study, we are trying to better understand how to monitor and treat TBI for both immediate survival and long-term health.
The Centers for Disease Control and Prevention estimates that 2.5 million Americans suffer a traumatic brain injury each year. While some TBIs are mild, others are considered severe, causing slurred speech, profound confusion, and loss of consciousness that can last from minutes to weeks. Severe TBI contributes to 30 percent of all injury-related deaths, and many who suffer a TBI experience long-term disabilities.
Through BOOST-3, we hope to learn more about reducing deaths and improving overall outcomes.
What is Traumatic Brain Injury and How Does BOOST-3 Work?
The American Association of Neurological Surgeons defines TBI as “a blow to the head or a penetrating head injury that disrupts the normal function of the brain.” Imaging, such as a CT Scan or an MRI, is used to confirm trauma to the brain. Among the patients who come to the MedSTAR Trauma Center with a TBI, the most common causes are accidents involving vehicles (cars, motorcycles, or bicycles), falls, sports injuries, and violence—either gunshots or other assaults.
One constant among all severe TBI patients is brain swelling, the body’s natural reaction to injury. This swelling increases the pressure inside the skull, and our first step is to surgically create an opening in the skull to relieve the pressure. We then continuously monitor this “intracranial pressure,” and use medication to keep it under control while the patient’s brain stabilizes and heals.
Until now, this was considered the gold standard for treating TBI patients. But recent clinical trials have shown that another factor may also need our attention: brain tissue oxygenation.
The brain has very limited levels of oxygen reserves and it must have a continuous flow of oxygen-rich blood to function. A TBI can disrupt this flow, which can lead to additional brain damage.
Through the BOOST-3 Trial, we will be able to compare the results of two different ways of treating patients with TBI. We will monitor the pressure and brain oxygenation in all patients but will randomize them into two groups for treatment. One group will receive the traditional care for intracranial pressure and the other will receive treatments for both pressure and brain oxygenation. We will then follow each patient for six months, and researchers will compare certain functional and neurological outcomes between the two groups.
We began our participation in BOOST-3 in April, and we are one of 45 clinical sites across the country involved in this important study. The goal is to enroll nearly 1,100 patients nationally over the next five years.
MedStar Washington Hospital Center is participating as part of our involvement with SIREN (Strategies to Innovate Emergency Care Clinical Trials Network). Funded by the National Institutes of Health, SIREN is focused on improving outcomes for patients who suffer a wide range of critical injuries. The goal of SIREN’s research studies is to identify the most effective treatments in the earliest stage of care.
This kind of study requires a high degree of teamwork among the members of the trauma team, neurosurgeons, intensivists (physicians who specialize in treating patients in critical care), and our highly skilled nurses. At the Hospital Center, we can attribute much of our trauma and critical care success throughout the years to our strong commitment to working together as a team, rather than in siloes, for the best possible patient care. This has become our hallmark, making it possible to participate in studies such as BOOST-3.
If you are interested in learning more about this research study, please call 202-877-7259 or email me at jason.chang@medstar.net. or our clinical study coordinator Jamal Smith at jamal.d.smith@medstar.net
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