Effective Solutions for Managing Dry Skin and Flaky Scales in Winter - Dermatology

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Skin peeling


Hello, doctor.
I have dry skin, especially in winter, and I notice a lot of white flakes all over my body, but there is no redness, just occasional itching.
I apply lotion or oil after every shower, but I still have many white flakes on my skin.
Particularly, after applying oil, the flakes clump together, and I feel like I want to shower again to wash off those clumps, but I'm afraid it will wash away the oil.
So, I would like to ask if I should use an exfoliating product to wash off the white flakes before applying oil or lotion.
However, I've also heard that exfoliating products are not suitable for dry skin, so I'm confused about how to reduce the white flakes on my body.

Jenny, 30~39 year old female. Ask Date: 2021/11/24

Dr. Wu Yuxin reply Dermatology


Should we take a photo first and then let the clinician determine the source of the white flakes? After that, we can discuss treatment recommendations.

Reply Date: 2021/11/24

More Info


Managing dry skin during the winter months can be particularly challenging, especially for individuals with inherently dry skin. The condition you describe, characterized by white flakes and occasional itching, is common in colder weather due to lower humidity levels and indoor heating, which can strip the skin of its natural moisture. Here are some effective strategies to help manage dry skin and reduce the appearance of flaky scales:
1. Moisturizing Routine: It’s crucial to establish a consistent moisturizing routine. While you mentioned that you apply lotion or oil after showering, the timing and type of products you use can significantly impact their effectiveness. Ideally, you should apply a moisturizer immediately after bathing while your skin is still damp. This helps to lock in moisture. Look for products that contain occlusive agents (like petrolatum or dimethicone) and humectants (like glycerin or hyaluronic acid) to provide both hydration and a barrier to prevent moisture loss.

2. Gentle Cleansing: Instead of using harsh soaps or body washes that can further dry out your skin, opt for gentle, hydrating cleansers. Avoid hot water, as it can strip the skin of its natural oils. Instead, use lukewarm water and limit your shower time to 10-15 minutes.

3. Exfoliation: While it’s true that over-exfoliating can exacerbate dryness, gentle exfoliation can help remove dead skin cells and prevent the buildup of flakes. Consider using a mild exfoliating product, such as a chemical exfoliant containing alpha-hydroxy acids (AHAs) or beta-hydroxy acids (BHAs), rather than physical scrubs, which can be too abrasive. Limit exfoliation to once a week to avoid irritation.

4. Humidifiers: Using a humidifier in your home can help maintain moisture levels in the air, which can be beneficial for your skin. This is particularly important during winter when indoor heating can significantly reduce humidity.

5. Hydration: Don’t forget to hydrate from the inside out. Drinking plenty of water throughout the day can help maintain your skin's moisture levels.

6. Avoid Irritants: Be mindful of products that may contain alcohol, fragrances, or other irritants that can exacerbate dryness. Opt for fragrance-free and hypoallergenic products whenever possible.

7. Consult a Dermatologist: If your skin condition does not improve with these measures, or if you experience significant itching or discomfort, it may be beneficial to consult a dermatologist. They can assess your skin and may recommend prescription treatments, such as topical corticosteroids or other medicated creams, to help manage inflammation and dryness.

8. Consider Your Diet: Incorporating omega-3 fatty acids into your diet can also help improve skin hydration. Foods like fish, flaxseeds, and walnuts are excellent sources of these beneficial fats.

In summary, managing dry skin in winter requires a multifaceted approach that includes proper moisturizing, gentle cleansing, and possibly mild exfoliation. If you find that your current routine is not effective, consider consulting a dermatologist for personalized advice and treatment options.

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