Effective Skincare Tips for Managing Eczema on Your Face - Dermatology

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How to care for eczema on the face?


If you have eczema on both cheeks, what skincare routine can help you recover more quickly? Currently, you are washing your face with water in the morning and evening, applying moisturizer every two hours, and at bedtime, applying a thin layer of medication (KENALON CREAM) along with nut oil.
However, you feel that there has been no improvement and that the eczema seems to be spreading.
Could this approach be making the situation worse? Thank you!

KO, 30~39 year old female. Ask Date: 2017/02/12

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is difficult to make a definitive assessment.
If it is causing significant distress, please seek medical attention as soon as possible.

Reply Date: 2017/02/12

More Info


Managing eczema, especially on the face, can be a challenging endeavor, as the skin in this area is particularly sensitive and prone to irritation. Eczema, or atopic dermatitis, is characterized by dry, itchy, and inflamed skin. Here are some effective skincare tips to help manage and potentially improve your condition:
1. Gentle Cleansing: While you are currently using only water to wash your face, consider using a gentle, fragrance-free cleanser specifically formulated for sensitive skin. Avoid harsh soaps or cleansers that can strip your skin of its natural oils. Look for products that contain hydrating ingredients like glycerin or ceramides.

2. Moisturization: It’s great that you are applying moisturizer frequently. However, ensure that the moisturizer you are using is suitable for eczema-prone skin. Look for thick creams or ointments that contain ingredients like petrolatum, shea butter, or hyaluronic acid. These ingredients help to lock in moisture and create a barrier on the skin. Applying moisturizer immediately after washing your face can help seal in hydration.

3. Medication Application: When using topical medications like Kenalon Cream, it’s essential to apply them correctly. Typically, you should apply the medication first, allowing it to absorb into the skin before applying any oils or additional moisturizers. If you feel that the eczema is worsening, it might be worth consulting with your dermatologist to evaluate the effectiveness of the medication and whether adjustments are needed.

4. Avoid Irritants: Identify and avoid potential irritants that could exacerbate your eczema. This includes certain skincare products, fragrances, and even environmental factors like extreme temperatures or humidity. When applying any new product, do a patch test on a small area of skin to check for reactions.

5. Use of Oils: While nut oils can be beneficial for some, they may not be suitable for everyone, especially if you have nut allergies or sensitivities. If you choose to use oils, consider non-comedogenic options like jojoba oil or sunflower oil, which are less likely to clog pores or cause irritation.

6. Hydration and Diet: Staying hydrated and maintaining a balanced diet can also support skin health. Foods rich in omega-3 fatty acids (like fish, flaxseeds, and walnuts) can help reduce inflammation. Additionally, consider incorporating probiotics into your diet, as they may help improve skin barrier function.

7. Avoid Scratching: It’s crucial to resist the urge to scratch the affected areas, as this can lead to further irritation and potential infection. Keeping your nails short and wearing gloves at night can help minimize damage from scratching.

8. Consult a Dermatologist: If your eczema is not improving or is worsening, it’s essential to consult with a dermatologist. They may recommend stronger topical steroids or other treatments, such as phototherapy or systemic medications, depending on the severity of your condition.

9. Stress Management: Stress can exacerbate eczema, so incorporating stress-reducing activities such as yoga, meditation, or regular exercise can be beneficial for overall skin health.

In summary, managing facial eczema requires a gentle approach to cleansing and moisturizing, careful selection of products, and potentially the use of prescribed medications. If your current regimen is not yielding results, it’s crucial to seek professional advice to tailor a treatment plan that suits your specific needs. Remember, consistency is key, and improvements may take time.

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