Dry, Peeling Skin on Your Face: Causes and Solutions - Dermatology

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Dry skin on the face, peeling, and whitening?


Hello doctor, I recently noticed a patch of skin on my face that is drier than the surrounding areas and has some flaking.
The affected area appears whiter than the rest of my skin.
I'm wondering why this is happening.
When I was younger, I had a small white spot in a similar area that disappeared after a while.
My mom mentioned it could be due to malnutrition, and I'm not sure if this new white patch is related to that or if it could be some kind of skin inflammation.
Additionally, I would like to know how I can improve the dryness and flaking of my skin.
I've been using a moisturizing toner, but it doesn't seem to help much.
Thank you, doctor!

ki, 20~29 year old female. Ask Date: 2021/08/23

Dr. Wu Yuxin reply Dermatology


No lesions were observed, and it is difficult to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2021/08/23

More Info


Dry, peeling skin on the face can be a common issue, especially during colder months or in dry environments. The symptoms you're experiencing—dryness, flaking, and a lighter patch of skin—can be attributed to several factors, including environmental conditions, skin barrier dysfunction, and potential underlying skin conditions.


Causes of Dry, Peeling Skin
1. Environmental Factors: Cold weather and low humidity can strip moisture from the skin, leading to dryness and peeling. Indoor heating can exacerbate this effect, making it crucial to maintain humidity levels in your living space.

2. Skin Barrier Dysfunction: The skin's outer layer, known as the stratum corneum, acts as a barrier to prevent moisture loss. When this barrier is compromised, it can lead to increased transepidermal water loss, resulting in dry, flaky skin.

3. Skin Conditions: Conditions such as eczema, psoriasis, or seborrheic dermatitis can cause localized areas of dryness and flaking. These conditions may also lead to changes in pigmentation, which could explain the lighter patch of skin you mentioned.

4. Nutritional Deficiencies: While your mother suggested that nutritional deficiencies could be a cause, it's essential to consider that a balanced diet is crucial for skin health. Deficiencies in vitamins A, C, D, E, and essential fatty acids can impact skin hydration and barrier function.

5. Irritation or Allergic Reactions: Certain skincare products, including harsh cleansers or exfoliants, can irritate the skin, leading to dryness and peeling. If you've recently changed your skincare routine, this could be a contributing factor.


Solutions for Dry, Peeling Skin
1. Moisturization: While you mentioned that moisturizing with a toner hasn't been effective, it's essential to use a thicker moisturizer or cream that contains occlusive agents (like petrolatum or dimethicone) to lock in moisture. Look for products labeled as "hydrating" or "moisturizing" that contain ingredients like hyaluronic acid, glycerin, or ceramides.

2. Gentle Cleansing: Use a mild, hydrating cleanser that does not strip the skin of its natural oils. Avoid hot water, as it can further dry out the skin. Instead, opt for lukewarm water when washing your face.

3. Avoid Exfoliation: While exfoliation can help remove dead skin cells, over-exfoliating can worsen dryness. If you are using exfoliating products, consider reducing their frequency or switching to gentler options.

4. Humidifier: Using a humidifier in your home can help maintain moisture levels in the air, which can be beneficial for your skin, especially during winter months.

5. Consult a Dermatologist: If the dryness persists or worsens, it would be wise to consult a dermatologist. They can provide a proper diagnosis and may prescribe topical treatments, such as corticosteroids for inflammation or medicated creams for specific skin conditions.

6. Dietary Considerations: Ensure you are consuming a balanced diet rich in vitamins and healthy fats. Foods high in omega-3 fatty acids (like fish, flaxseeds, and walnuts) can help improve skin hydration.


Conclusion
In summary, dry, peeling skin can result from a combination of environmental factors, skin barrier issues, and potential underlying conditions. While moisturizing is crucial, the type of product used and the overall skincare routine play significant roles in managing these symptoms. If you notice persistent changes in your skin, especially with a history of lighter patches, seeking professional advice is the best course of action. A dermatologist can help tailor a treatment plan specific to your skin's needs, ensuring you achieve healthier, more hydrated skin.

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