Managing Eczema: Skincare Tips for Sensitive and Dry Skin

Facial eczema

Hello doctor, due to my previous skincare mistakes, I over-cleansed my face, which led to redness and itching of my facial skin.
When exposed to sunlight or when the environmental temperature rises, my skin also becomes red and itchy.
I consulted a doctor who diagnosed me with eczema.
I have been taking medication for a while and applying lotion.
Recently, I feel that my skin has improved, but the oil production on my face has significantly decreased, resulting in sensitive, dry skin, and I still have a few acne spots.
I would like to ask the doctor if my current skin type is suitable for using a lotion containing niacinamide.
Additionally, could you please advise me on how to maintain healthy skin moving forward? Thank you, doctor!

Ben, 20~29 year old female. Ask Date: 2019/07/06

Dr. Wu Yuxin reply Dermatology

Without a physical examination, it is difficult to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2019/07/06

More Info

Managing eczema, especially when dealing with sensitive and dry skin, requires a careful approach to skincare. Your experience of redness, itching, and sensitivity after over-cleansing your face is not uncommon, particularly for individuals with eczema or atopic dermatitis. The key to managing these symptoms lies in understanding the condition and implementing a suitable skincare routine.

Understanding Eczema
Eczema is a chronic inflammatory skin condition characterized by dry, itchy, and inflamed skin. It can be triggered by various factors, including environmental conditions, allergens, and irritants. In your case, over-cleansing has likely disrupted your skin barrier, leading to increased sensitivity and dryness. This disruption can make your skin more susceptible to irritants and allergens, exacerbating the symptoms of eczema.

Skincare Tips for Sensitive and Dry Skin
1. Gentle Cleansing: Since you mentioned over-cleansing, it's crucial to switch to a gentle, hydrating cleanser. Look for products labeled as "soap-free" and "fragrance-free." Avoid harsh exfoliants and scrubs, as they can further irritate your skin.

2. Moisturizing: After cleansing, apply a rich moisturizer immediately to lock in moisture. Look for products containing ceramides, hyaluronic acid, or glycerin, which help restore the skin barrier. Given your sensitivity, opt for products specifically formulated for eczema-prone skin.

3. Avoid Irritants: Be mindful of products that contain alcohol, fragrances, or other potential irritants. These can aggravate your condition. Always perform a patch test when trying new products.

4. Sun Protection: Protecting your skin from sun exposure is essential. Use a broad-spectrum sunscreen with SPF 30 or higher, preferably one that is mineral-based (containing zinc oxide or titanium dioxide) as these are less likely to irritate sensitive skin.

5. Consider Active Ingredients: You asked about using a lotion containing niacinamide (nicotinamide). Niacinamide is known for its anti-inflammatory properties and can help improve the skin barrier function, making it a suitable option for sensitive and dry skin. It can also help with redness and uneven skin tone, which may be beneficial for your current skin condition.

6. Hydration: Ensure you are drinking enough water throughout the day. Hydration plays a significant role in maintaining skin health.

7. Lifestyle Adjustments: Consider environmental factors that may be contributing to your skin issues. Using a humidifier in dry environments can help maintain moisture levels in the air, which is beneficial for your skin.

8. Consult a Dermatologist: Since you have a history of eczema and are experiencing ongoing issues, it may be beneficial to consult a dermatologist. They can provide personalized recommendations and may suggest prescription treatments if over-the-counter options are insufficient.

Conclusion
In summary, managing eczema and sensitive skin requires a gentle, consistent skincare routine focused on hydration and barrier repair. Incorporating niacinamide into your regimen can be beneficial, but always monitor how your skin reacts to new products. Remember that patience is key, as it may take time to see improvements. If your symptoms persist or worsen, seeking professional advice from a dermatologist is essential for tailored treatment options.

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