Are any of you wondering why it seems like your moisturizer isn’t working as well as it used to? You’re not alone. Every year around this time people come to me complaining that their moisturizer just doesn’t seem to be as powerful as it used to be. “Aha!,” I’ve exclaimed, in the nicest way possible of course, “It is not your moisturizer! It’s just winter.” It’s true that people experience increased dry skin in the winter. But this year I decided to do a little more digging to find out exactly why. As it turns out, there is startlingly little scientifically sound explanation to be found, and myths abound.  As is often the case, it falls to us to sift through the nonsense and make some sense of this issue.

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First, let’s dispell the myths:

When weather gets cold, it gets dry. This is claimed so often and by so many “reputable sources” that I almost took it at face value myself. But when I decided to double check this pervasive claim, it completely fell apart. I looked at historical charts of humidity levels across the United States throughout the seasons.* It turns out that humidity levels show no particular trend from summer to winter. In fact, in many cities, even Northern cities, humidity levels are higher in the freeze of winter than in the bask of summer.

The winter is blustery and wind dries out the skin. Many of us can recall experiencing our share of cold, windy winter days, and could swear that we experience “windburn”, characterized by dryness, redness, and irritation after being outside on these blustery days. But a look at the evidence forces us to consider other possible causes. The only experiment I could find was performed all the way back to 1937, and was published in Popular Science. Scientists founds through using a wind tunnel that wind alone does not create “reddening or chapping” of the skin. Furthermore, upon browsing through historical wind speed charts, I found that that much like humidity levels, wind speeds show no yearly trend. There is no evidence of higher winds in the winter months. Regardless of all this evidence against the wind creating redness, dryness, and irritation, many sources not only talk about the existence of windburn, but will even explain why it occurs. The most widely used explanation is that wind removes surface lipids (oils) from the skin. Exactly how the wind performs this feat is conspicuously absent from all of these articles. Furthermore, if wind is just as strong in the summer, why don’t people seem to experience windburn as much in the summer? Another common explanation that attempts to explain windburn, which is the current explanation on Wikipedia, is that windburn is actually just sunburn caused by the wind removing surface lipids (oils) which help protect us from UV rays (another claim I am yet to find evidence to support). While the wind can remove some of these surface lipids year round, they say, the removal of the surface lipids in the winter coincides with a season when we do not protect our skin as valiantly from the sun. Thus the redness and irritation people experience is simply a sunburn. This explanation is incomplete at best, and completely misinformed at worst. Yet another explanation, albeit less frequently posited, claims that wind removes sweat, which normally helps filter UV rays. Again, how sweat helps filter UV rays is conspicuously absent.

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Whew. So, now that we have gone through the myths, the fact remains that many people experience dryer skin in the winter. Why? After looking at all of the available evidence, I have a hunch it can be attributed almost entirely to:

Artificial heat: Mother nature can heat up or cool down the great outdoors while keeping humidity levels steady, but when we heat indoor areas, this lowers humidity. When you look at the science of relative humidity (I won’t bore you), this is how it works. For an everyday example, notice how when you heat your bathroom while taking a shower there is less steam in the air. Since most of us live and work in artificially heated indoor environments in the winter, it’s likely we experience long-term exposure to lower humidity environments during the winter months. This dries out the skin, causing many of us to wonder why our moisturizer isn’t working as well as it used to. Back to my original point, “It’s not your moisturizer!” And introducing my new, improved answer, “You’re living in lower humidity indoor environments in the winter!”

And what about the cold? Strangely, none of the authors or reporters writing about winter and dry skin mention the effect cold air itself has on the skin. However, I have a hunch extreme temperatures may figure into a complete explanation of why some people experience dry skin in the winter. When we expose our skin to freezing temperatures, the skin reacts through natural protective methods, most prominently by withdrawing blood from the surface of the skin to protect core temperature. This is the first step which ultimately leads to the skin freezing which causes frost bite and cell death. My hunch is that perhaps even during shorter duration exposure to freezing temperatures which people sometimes experience on cold days, the skin still reacts through a more mild form of cell death. This mild cell death, while not as apparent as the blisters caused by frostbite, is evidenced by flakiness or dryness as the dead cells flake off. The redness experienced by many people after exposure to winter weather, while it would require further research for me to be more definitive, could be the result of cell death or simply the body returning blood to areas where it has been withdrawn.

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So, what can we do about it?

1.  Humidify your home/workplace. Install a humidifying system into your central heat. Alternately, if you use wood burning stoves or kerosene heaters, you can place pots of water on top and let the water evaporate, then repeat. You can always boil a large pot of  water on the stovetop as well, being careful to keep a close eye on it of course. There are commercially available electric stand-alone humidifiers as well. 60% humidity is a good general goal to shoot for. You can measure humidity with widely available humidity measuring devices which are available at most hardware stores, or you can be more relaxed about it and just notice how you–and your skin–feel. When the humidity reaches a comfortable level you will feel less dry and generally more comfortable. You should also notice less static electricity, less shocks, and less frizz to your hair. An easy way to tell if you’ve gone too far and over-humidified your space is if your windows start to pool water at their bases.

Perk: Adequately humidified air feels warmer than dry air at the same temperature. In other words, you can get away with heating to a lower temperature.

2.  Use more moisturizer: An extra pump or two of moisturizer each time you apply should help.

3.  Add jojoba oil: Since jojoba oil does not evaporate, 5-6 drops of jojoba oil added into your moisturizer each time you apply it will provide a boost of all-day moisture support.

*Yes, I know. There is more to the world than the United States, but…well, okay fine, I have no excuse. I’ll make a note to look outside the U.S. for my next research-related blog. :-)

We all know that irritation can aggravate acne. I talk about it all the time. However, throughout the years I’ve also read in multiple acne related books, and heard in multiple acne related classes which I’ve attended, that irritation plus sweat is even worse. I’ve found this to be very true in my own experience as well.

Let’s use me as an example for a sec. I often get tired at work or when sitting at a table somewhere and put my head down, resting my chin on the back of my hands. I rarely have any issues with that. But recently, I have been getting sun on my body and when I turn over to get some sun on my back, I end up resting my chin on the back of my hands. The difference is that outside in the sun there’s sweat in the mix. I got a “mysterious” breakout under my chin area recently and it perplexed me until I put this together. It was the sweat plus irritation combination that most likely caused the breakout.

Another good example of sweat mixing with irritation is chin straps. Not only do chin straps rub against the skin, they often cause sweatiness. Also, chin straps are worn during physical activity, which includes sweat. This is why for many people, it is especially important to treat that area during sports season. Helmets are another example. Backpack straps rubbing against the upper back in hot, humid weather is another. You get the idea…

I am not telling you this to make you paranoid. We all get sweaty, especially in the warm months, and there is no way to completely avoid irritation. I mention it just so you can become aware of what’s going on and try to mediate it if and when you can. If you end up experiencing sweat mixed with irritation in some area of your skin which tends to be acne prone, be extra careful to apply benzoyl peroxide judiciously in that area.

Hey you guys. I’m writing up a new irritation page. It should be interactive and fun. I need your input tho if you have experience in these areas:

Chinstraps: For those of you who wear helmets with chinstraps, is there anything you have found that you can do to reduce the irritation? For example…put a tissue between the strap and your skin, or something like that? I obviously can’t ask people to not use helmets, so I’m hoping to provide advice on how to limit chin strap irritation.

Hair products: Lots of gels/mousses/hairsprays tend to irritate the skin. I do not use hair product, and don’t have a lot of experience in this area. I’m looking into it further, but in the meantime, do you guys know of any hair products that are specifically aimed at acne-prone people? Alternately, do you have ideas on how people can use alternative and safe products so they can still make awesome styles while staying confident that the products won’t irritate?

Thanks!

We all know that irritation can aggravate acne. This is most assuredly not a myth. It’s a widely accepted, and quite frankly, obvious truth to many of us who pay close attention to it. For instance, pretty much every time I get sick or have bad allergies, I will break out around my nose because I blow my nose so much, thus irritating the skin around that area. Also, pretty much every time I wear a tight hat for more than a day I will get little breakouts around my hair line where the hat squeezes into my skin.

We can’t avoid irritation altogether, but simply becoming aware of it helps empower us to keep as clear as we can. The list I currently have on Acne.org regarding irritation includes:

- picking
- tight hats
- resting your face in your hands
- helmets and chin straps
- cell phones
- napkins

I think we can come up with a more filled out list however. Here are the ones I’m going to add. Please reply with your suggestions as well.

- frequent nose blowing
- trying on clothes (the collars can rub against your face as you put them on and take them off)

What else?

I’ve been soaking in some rays in my back yard for the last couple of weeks. I wear a hat so I don’t expose my face and neck too much, but my body is exposed.

At any rate, bear with me, this might get a little yucky, but I’ve been lazy and not covering the outdoor wood chair I sit in with a towel. It’s been pretty warm too so I tend to sweat. The combo of the hard surface directly against the moist skin on my back caused some irritation and I found myself beginning to break out a bit on my back. The breakout may have been partially due to the sun exposure as well.

I decided to go on 100% attack! Last night I loaded on BP (2 pumps on each side of my back), waited 15 minutes for it to dry, and generously applied AHA.

Literally overnight my emerging breakout subsided to almost nothing. It just reminded me how powerful the severe back acne regimen really is. It also reminded me how important it is to be generous with product application.

Just thought I’d share. I had only a small emerging breakout – perhaps 3 or 4 small zits and some very small comedones. People who have more severe acne should not expect complete overnight clearing. However, even severe back acne should respond quickly and dramatically.

Because the skin on the back is so thick and tough, feel free to go full strength from day one should you decide to try it out.

I love instant gratification :)



It’s raining today, so I guess no sun today…

Someone emailed me recently to ask about napkins and if they were a potential source of irritation. We know that irritation of any kind—like picking at the skin, facemasks rubbing against the skin, and hats binding the skin of the forehead—can potentially aggravate acne. This is why it might seem like every time you get a cold you tend to break out on your nose in the immediate aftermath. You’ve simply been irritating the skin around the nose with constant blowing.

Napkins, much like tissues, are an unavoidable part of life. We all get messy at times. So it’s best to simply reduce the potential amount of irritation when using napkins. My best advice for when you get something on your face while you eat is to gently wipe it off with a napkin and then be done with it. Avoid wetting the napkin, and avoid washing your face during the day. Twice a day is the most you ever want to wash. Simply wipe up the spill and try to avoid rubbing too hard or for too long. An occasional spill, when cleaned gently, needn’t lead to a breakout.

Irritation can aggravate acne. If you’ve surfed around Acne.org you know that much. That means anything that comes into contact with the skin, especially stuff that rubs the skin can cause a breakout. Here’s a short list of things to be aware of:

- fingers (picking). This is the big culprit for most people!
- resting the face in one’s hands
- cell phone
- hats
- helmets
- chin straps
- kissing – probably worth it tho :)
- nose blowing

I want to concentrate on nose blowing in today’s blog. I notice that whenever my allergies kick up, like they have in the past week, it is close to impossible to prevent some acne around my nose. Whenever I get sick, the story is the same. Frequent nose blowing can aggravate the skin and cause a breakout. To combat this as much as I can, I try not to “bear down” too hard with the tissue, and I try to keep my allergies in check. I also am extra careful in my BP application around the nose at such times, ensuring that I use plenty of BP and stay gentle.