Dealing with Dry Skin and Contact Dermatitis: When to See a Dermatologist

Dry skin / Contact dermatitis / Laser

Hello, doctor.
I have a few questions to ask:
1.
My face started to become drier after the 24th.
In the past two days, the temperature has dropped sharply.
Although it has been raining, which has increased the humidity, my face has suddenly become very dry due to this climate change.
My usual cleansing and skincare routine involves rinsing my eyes and mouth with water in the morning, lightly moistening my nose, and in the evening, if I have worn makeup, I use a makeup remover followed by a non-soap facial cleanser for basic cleaning.
I exfoliate with konjac products every two to three weeks.
After washing my face, I apply a simple cream while my skin is still slightly damp, focusing on applying a thin layer of petroleum jelly.
(For a while, I used plant oils, but there was not much improvement; my face just became oily on the surface.) However, recently, even after applying petroleum jelly, my face feels dry and tight within an hour.
While the surface oil remains, my skin feels tight, and I can slightly see dryness and redness between my eyebrows and around my nostrils.
When I wear makeup (which I do about every two weeks), I notice significant peeling.
I have looked into the symptoms of seborrheic dermatitis, but I do not have excessive oiliness; my T-zone is still at a normal level.
Therefore, I am unsure if this is seborrheic dermatitis or just general dryness.
Given this issue, would it be appropriate to see a dermatologist? I am concerned that my problem might not be significant enough and that I would be making a big deal out of a small issue.
When I see the doctor, should I bring the creams and oil-based products I have been using? Recently, I used a more oily product, but my face remained dry, and I also experienced more breakouts during my ovulation period than usual.
In the past, I did not have such noticeable reactions during ovulation, but this time it has become particularly severe.
My forehead appears fine, but it feels uneven to the touch, so I am confused about whether I should switch from the oil-based products.
2.
A few days ago, I used a NuBra, and without any intense sweating, I felt some itching at the time.
Today, I noticed slight redness and swelling in the area where I used it, accompanied by itching.
This may be due to an allergy or other reasons.
Besides avoiding hot water when showering and not scratching the area, are there any other ways to alleviate the current discomfort? The weather seems unsuitable for ice packs as it is quite cold.
3.
My skin does not have any pockmarks, spots, or excessive oiliness, nor is it sensitive.
However, I am dissatisfied with the pores on my nose and slight uneven skin tone, feeling that my complexion is not bright enough.
I am considering trying the so-called skincare laser treatments (such as photofacial).
However, I am concerned that my face may become drier after the treatment, and since my skin is already very dry, would it be better to avoid laser treatments altogether?

A, 20~29 year old female. Ask Date: 2017/11/21

Dr. Wu Yuxin reply Dermatology

Your issue cannot be resolved through online consultation; it is recommended that you seek medical attention as soon as possible.

Reply Date: 2017/11/21

More Info

Dealing with dry skin and potential contact dermatitis can be quite challenging, especially when faced with sudden changes in weather and skin conditions. Based on your description, it seems you are experiencing significant dryness and discomfort, which may warrant a visit to a dermatologist. Here’s a detailed breakdown of your concerns and some recommendations.

1. Dry Skin and Potential Eczema
Your skin's reaction to the sudden drop in temperature, despite increased humidity, suggests that it may be struggling to retain moisture. The fact that your skin feels tight and shows signs of flaking, especially around the eyebrows and nose, could indicate a condition such as xerotic dermatitis or even contact dermatitis, particularly if you have recently changed products or routines.
While your cleansing routine seems gentle, the use of a non-soap cleanser is a good choice. However, consider incorporating a richer moisturizer that contains occlusive agents like ceramides or hyaluronic acid, which can help to lock in moisture. Applying these products immediately after washing your face, while your skin is still damp, can enhance their effectiveness.

If you find that even after applying Vaseline, your skin feels tight within an hour, it may be beneficial to consult a dermatologist. They can assess whether you have a more serious condition like seborrheic dermatitis or eczema, which may require specific treatments such as topical steroids or prescription moisturizers.

2. Allergic Reaction to Nu Bra
The itching and redness you experienced after using the Nu Bra could be a sign of an allergic reaction or irritation. In such cases, it’s crucial to avoid scratching the affected area, as this can exacerbate the irritation. Instead, consider applying a cool compress to soothe the area. Over-the-counter hydrocortisone cream may also help reduce inflammation and itching, but it’s best to consult with a dermatologist before applying any topical steroids, especially on sensitive skin.

3. Concerns About Laser Treatments
Regarding your interest in laser treatments for skin tone and pore appearance, it’s important to weigh the benefits against the potential for increased dryness. Many laser treatments can indeed exacerbate dryness, particularly in individuals who already have dry skin. If your skin is already struggling to maintain moisture, it may be wise to postpone any laser treatments until your skin is more stable and hydrated.

When to See a Dermatologist
Given the persistent nature of your symptoms and the recent changes in your skin condition, it is advisable to see a dermatologist. It’s not a matter of "making a big deal" out of your situation; rather, it’s about ensuring that you receive appropriate care and guidance tailored to your specific skin needs. Bringing your current skincare products to the appointment can be helpful, as it allows the dermatologist to understand your routine and make informed recommendations.

Conclusion
In summary, your skin issues could stem from a variety of factors, including environmental changes, product reactions, or underlying skin conditions. A dermatologist can provide a thorough evaluation and recommend a personalized treatment plan. In the meantime, focus on gentle cleansing, consistent moisturizing, and avoiding known irritants. Remember, taking care of your skin is essential, and seeking professional advice is a proactive step towards achieving healthier skin.

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