Dry Skin Issues: From Flaky Faces to Unwanted Bumps - Dermatology

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The skin on the face has become so dry that it resembles a statue's face?


Hello! I have dry skin, especially on my nose, which used to be so dry that it would peel.
Now it has turned into blackheads.
After washing my face, I can only remove a little bit of the blackheads.
With the arrival of winter, when I apply a moisturizing mask, it dries out in less than four hours.
Even after applying lotion, it only stays moisturized for less than ten minutes, and I have to apply three layers just to achieve a bit of hydration.
For the past few days, my left eyelid has been very itchy, and I can peel the skin off, which is painful.
There doesn't seem to be any visible difference to the naked eye, but it feels rough to the touch.
Additionally, there is a red spot on the back of my left hand, near the joints of my index and middle fingers, where the skin appears broken with red dots on the pores.
I'm not sure if this is related to my left eyelid.
After brushing my teeth, the corners of my mouth become red, even after changing toothpaste.
My feet often have small red spots that look like flea bites; I notice several of them together, and they are red and painful.
Sometimes, I can tell I've been bitten just by seeing the red spots.
I don't have any pets at home and I have a cleanliness obsession.
I apologize for having so many issues.
Thank you! Doctor, what is happening to my skin?

Carol, 20~29 year old female. Ask Date: 2008/11/10

Dr. Zhang Zhibo reply Dermatology


Hello: If you have dry skin, it is even more important to moisturize during winter.
Lotions do not provide as much hydration as cream-based products.
Itching of the eyelids, especially during seasonal transitions, is related to skin hydration levels.
For other related issues that are less specific, it is advisable to consult a dermatologist for better communication!

Reply Date: 2008/11/10

More Info


Hello! Thank you for reaching out with your concerns regarding your skin issues. Based on your description, it seems you are experiencing a range of symptoms that could be attributed to dry skin, potential allergic reactions, and possibly other dermatological conditions. Let's break down your concerns and explore potential causes and solutions.


Understanding Your Symptoms
1. Dry Skin and Flaky Areas: You mentioned that your skin, particularly on your nose, has transitioned from being excessively dry and flaky to developing blackheads. This change can occur due to various factors, including environmental conditions, skincare products, and changes in your skin's oil production. During colder months, the air tends to be drier, which can exacerbate dry skin conditions. It's essential to use a gentle cleanser and avoid harsh scrubs that can irritate the skin further.

2. Itchy Eyelids and Rough Texture: The itchiness and rough texture on your left eyelid could indicate contact dermatitis or an allergic reaction. It’s crucial to identify any new products you may have introduced to your skincare routine, including makeup, cleansers, or even laundry detergents that might be causing this reaction. If the irritation persists, consider consulting a dermatologist for a patch test to identify specific allergens.

3. Red Spots on Hands and Mouth: The red spots on your left hand and around your mouth could be signs of eczema or another form of dermatitis. These conditions can be triggered by allergens, irritants, or even stress. Keeping the affected areas moisturized and avoiding known irritants is vital. If the redness and irritation continue, a topical corticosteroid may be prescribed by a healthcare professional.

4. Red Dots on Feet: The small red dots on your feet that resemble insect bites could be due to several reasons, including allergic reactions, folliculitis, or even a mild case of hives. Since you mentioned that you have a cleanliness obsession and do not have pets, it’s less likely to be flea bites. However, if you are experiencing recurrent symptoms, it would be wise to consult a dermatologist for an accurate diagnosis.


Recommendations
1. Moisturizing Routine: Given your dry skin, it’s essential to establish a robust moisturizing routine. Look for products that contain hyaluronic acid, glycerin, or ceramides, which are excellent for hydrating and repairing the skin barrier. Apply moisturizer immediately after washing your face to lock in moisture.

2. Gentle Cleansing: Use a mild, fragrance-free cleanser to avoid further irritation. Avoid hot water, as it can strip your skin of natural oils, leading to increased dryness.

3. Avoid Irritants: Identify and eliminate any potential irritants from your skincare routine. This includes harsh exfoliants, strong fragrances, and products containing alcohol.

4. Consult a Dermatologist: Given the complexity of your symptoms, it would be beneficial to consult a dermatologist. They can provide a thorough examination, possibly perform allergy testing, and recommend appropriate treatments tailored to your specific skin conditions.

5. Patch Testing: If you suspect a product is causing irritation, perform a patch test on a small area of skin before applying it to larger areas.

6. Hydration and Diet: Ensure you are drinking enough water and consuming a balanced diet rich in omega-3 fatty acids, which can help improve skin hydration from the inside out.


Conclusion
Your skin issues are multifaceted and may require a combination of approaches to manage effectively. By establishing a gentle skincare routine, avoiding irritants, and seeking professional advice, you can work towards healthier skin. Remember, it’s essential to listen to your body and seek help when needed. Your skin health is important, and with the right care, you can achieve improvement. Thank you for sharing your concerns, and I hope this information helps you on your journey to better skin health!

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