Winter Skin Care: Managing Redness and Acne in Cold Weather

About Winter Skin

Hello Dr.
Huang,
I would like to ask you about my skin condition.
During winter, my skin becomes red and swollen, especially after riding my motorcycle and taking off my mask, which makes it even more pronounced.
In the summer, I experience excessive oiliness, and I also have acne and blemishes.
I have undergone treatment for over a year, including oral antibiotics and retinoids, as well as Cleocin, but I have stopped treatment for the past four months.
My previous doctor recommended using a facial cleanser from the brand Yalan, but my current situation is that I want to seek medical treatment but don't know where to find a reputable physician.
My acne is hereditary, so I feel that there is no way to completely cure it, and I can only blame my genetics.
I wonder why others have clear skin while mine looks like a patchy mess.
Treating this condition seems to be a lifelong commitment, and I can't even use makeup to cover it up.

Do you know of any good doctors in the Taoyuan area of northern Taiwan?

ahn, 20~29 year old female. Ask Date: 2004/02/08

Dr. Huang Ruiyun reply Dermatology

Indeed, the influence of genetics is more significant than most people realize.
Since you require long-term treatment, the convenience of accessing medical care must be taken into account.
As for recommending a specific physician, that is quite difficult to answer...
Choosing a doctor can sometimes feel like a matter of fate; the most important factor is to find a dermatologist who is board-certified.
Attending physicians at teaching hospitals will certainly have this certification, while practicing dermatologists typically focus solely on skin conditions, rather than being internists who also treat dermatological issues.
You may see copies of their certifications displayed on the walls of their clinics.

Reply Date: 2004/02/08

More Info

Winter can be particularly challenging for skin health, especially for individuals who experience redness and acne flare-ups during the colder months. The combination of cold weather, low humidity, and indoor heating can lead to various skin issues, including increased sensitivity, dryness, and exacerbation of acne. Let's break down the reasons behind these skin changes and explore effective management strategies.

Understanding Winter Skin Changes
1. Cold Weather Effects: When exposed to cold temperatures, blood vessels in the skin constrict, which can lead to a temporary reduction in blood flow. However, once you return to a warmer environment, these blood vessels dilate, causing redness and flushing, especially in areas like the cheeks and nose. This phenomenon can be more pronounced after activities like riding a motorcycle, where the face is exposed to cold winds.

2. Dryness and Irritation: Winter air is typically drier, and indoor heating systems can further reduce humidity levels. This lack of moisture can strip the skin of its natural oils, leading to dryness, irritation, and an increased likelihood of developing conditions like eczema or dermatitis. For individuals with acne-prone skin, this dryness can trigger an overproduction of oil as the skin attempts to compensate, potentially leading to clogged pores and breakouts.

3. Acne and Sensitivity: Acne can be influenced by various factors, including hormonal changes, diet, and genetics. In winter, the skin's barrier function may be compromised due to dryness, making it more susceptible to irritation from acne treatments or environmental factors. This can lead to a cycle of redness and breakouts, particularly if harsh products are used in an attempt to control oiliness.

Management Strategies
1. Gentle Cleansing: It's crucial to use a gentle, hydrating cleanser that won't strip the skin of its natural oils. Brands like Cetaphil or La Roche-Posay offer products that are effective yet mild. Avoid using hot water, as it can further dry out the skin; instead, opt for lukewarm water.

2. Moisturization: Regularly applying a good moisturizer is essential, especially after cleansing. Look for products that contain ingredients like hyaluronic acid, glycerin, or ceramides, which help retain moisture. For acne-prone skin, consider non-comedogenic moisturizers that won't clog pores.

3. Targeted Treatments: If you're experiencing acne, it's important to continue using treatments that have worked for you in the past, such as topical retinoids or benzoyl peroxide. However, be cautious with the frequency of application during winter, as these can be drying. You might want to alternate with a hydrating product to minimize irritation.

4. Sun Protection: Even in winter, UV rays can damage the skin. Use a broad-spectrum sunscreen daily, as this will help protect against both UVA and UVB rays, which can contribute to skin redness and irritation.

5. Consult a Dermatologist: If you're struggling to manage your skin condition, seeking the advice of a dermatologist is crucial. They can provide personalized treatment plans and may suggest options like prescription medications or in-office treatments that can help address both redness and acne effectively.

Finding a Dermatologist
In your area, particularly in Taoyuan, you can look for reputable dermatologists through local hospital websites, online reviews, or by asking for recommendations from friends or family. Many dermatologists also offer telemedicine consultations, which can be a convenient option if you're unable to visit in person.

Conclusion
Managing winter skin issues requires a multifaceted approach that includes gentle cleansing, effective moisturization, and targeted treatments. Understanding the underlying causes of your skin's reaction to cold weather can empower you to take proactive steps in your skincare routine. Remember, consistency is key, and don't hesitate to reach out to a dermatologist for guidance tailored to your specific needs. With the right care, you can maintain healthier skin throughout the winter months.

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