Winter Skin Care: Managing Redness and Acne for Healthy Complexion - Dermatology

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Regarding winter skin?


Hello Dr.
Cheng,
I would like to ask for your advice.
In winter, after riding my bike and taking off my mask, my cheeks appear red and swollen (not good).
In summer, I experience excessive oil secretion! What type of skin do you think I have? I have been seeing a dermatologist in Taoyuan at St.
Paul’s for almost a year, and I have tried the new generation of retinoids and antibiotics.
Applying retinoids can actually make the skin more sensitive, right? The face is the first impression we give, so acne really affects my confidence.
Currently, I am using a facial cleanser from Yalget, and I am not using any other products.
I am not continuing any treatment.
Do you have any suggestions, doctor? Thank you.

ahn, 20~29 year old female. Ask Date: 2004/02/06

Dr. Zheng Lizhen reply Dermatology


Hello! There are many reasons why the cheeks may become red and swollen in winter, and a proper consultation is necessary to determine the underlying cause.
This is a response from Dr.
Cheng Li-Chen, Department of Dermatology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/02/06

More Info


Winter can be particularly challenging for skin health, especially for individuals experiencing redness and acne. The changes in temperature and humidity can significantly affect the skin's barrier function, leading to various issues, including dryness, irritation, and increased oil production.
From your description, it seems you are dealing with a combination of skin concerns: redness and swelling in winter, and increased oiliness in summer. This suggests that you may have a skin type that is sensitive and reactive, possibly with characteristics of both oily and dry skin, often referred to as combination skin. The redness you experience after removing your mask while riding a bike could be attributed to several factors, including temperature fluctuations, wind exposure, and the irritation caused by the mask itself.

In winter, the skin tends to lose moisture more rapidly due to lower humidity levels and indoor heating. This can lead to a compromised skin barrier, making it more susceptible to irritation and redness. The use of topical treatments like retinoids (such as the A-acid you mentioned) can indeed make the skin more sensitive, especially if not used correctly. Retinoids can thin the outer layer of the skin, which may lead to increased sensitivity and redness, particularly in colder months when the skin is already vulnerable.

Here are some recommendations to help manage your skin concerns during winter:
1. Gentle Cleansing: Continue using a gentle cleanser that does not strip your skin of its natural oils. Avoid harsh soaps or cleansers that can exacerbate dryness and irritation. Look for products labeled as hydrating or moisturizing.

2. Moisturization: Incorporate a richer moisturizer into your routine. Look for creams that contain occlusive agents like petrolatum, dimethicone, or shea butter, which help lock in moisture. Ingredients such as hyaluronic acid and glycerin can also help attract moisture to the skin.

3. Sun Protection: Even in winter, UV rays can affect your skin. Use a broad-spectrum sunscreen daily, as some acne treatments can make your skin more sensitive to the sun.

4. Avoid Over-Exfoliation: While exfoliation can help with acne, overdoing it can lead to irritation and redness. Limit exfoliation to once or twice a week and choose gentle exfoliants.

5. Consider Humidifiers: Using a humidifier in your home can help maintain moisture levels in the air, which can be beneficial for your skin during the dry winter months.

6. Consultation with a Dermatologist: Since you have been under treatment for a year, it may be beneficial to revisit your dermatologist. They can assess your skin's current condition and adjust your treatment plan accordingly. They may suggest alternative treatments that are less irritating or provide additional therapies to help manage redness and acne.

7. Diet and Hydration: Ensure you are drinking enough water and consuming a balanced diet rich in antioxidants, which can help support skin health.

8. Patch Testing: When trying new products, consider patch testing them on a small area of skin before applying them to your entire face. This can help you gauge how your skin will react without risking widespread irritation.

In conclusion, managing winter skin issues requires a tailored approach that considers the unique challenges posed by the season. By adopting a gentle skincare routine, staying hydrated, and consulting with a dermatologist, you can work towards achieving a healthier complexion, even in the harsh winter months.

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