don’t let winter get the best of your skin: part 1

This is the first of a three-part series on why our skin suffers in winter and what steps we can take to protect it.

Winter weather is not kind to human skin. The combination of lower humidity, increased winds and cold temperatures creates the perfect storm for leaving skin dry, dehydrated and more susceptible to damage. So what can we do to keep our skin healthy and hydrated throughout the winter months? Protection. Lots of factors contribute to developing the dreaded ‘winter skin.’ By avoiding moisture loss, unprotected sun exposure and free radical damage you can keep your skin healthy and beautiful.

THE FIRST LINE OF DEFENSE

The outermost layer of the skin is called the stratum corneum (SC), and is the first line of defense against the outside world. The SC contains mostly dead skin cells and is often described as the brick and mortar of a wall. The bricks are these dead skin cells (corneocytes) that contain a complex combination of lactic acid, urea, salts and amino acids that is collectively referred to as the skin’s natural moisturizing factor (NMF). The mortar is made up of groups of important fats (lipids) that organize themselves into layers creating a natural water-binding barrier for the skin.  If there is breakdown in either these ‘bricks’ or ‘mortar’ our skin loses its ability to hold onto moisture and becomes dry and sensitive.

Moisture is all-important for keeping your skin healthy at any time of year. Having enough water in the SC allows our skin to be soft and flexible. Moisture also plays a role in desquamation, which is the intricate process by which our cells turnover and are shed away from the SC. Without the proper moisture levels, the process breaks down, and dead skin cells build up on the surface, making it dull, dry and flaky. This buildup of dead cells on the skin’s surface traps dirt and debris and reduces the penetration of any topical products you apply.  This creates an even worse situation for already stressed and dehydrated skin.

Here are easy some steps you can take to keep your skin hydrated all winter:

1. Avoid using traditional soaps as these strip the skin of necessary oils and increase moisture loss and dryness.  Instead, use pH-balanced, gentle cleansers.  Those in particularly cold climates may want to switch to a cream-type cleanser for winter. A good choice is PCA SKIN creamy cleanser with gentle cleansing ingredients and an anti-aging boost form rose hip seed oil.
2. Apply moisturizers that contain both humectant ingredients to draw moisture into the skin and occlusive ingredients to trap it within.
3. Look for topical products that contain urea and glycerin, as these are the two ingredients, in addition to water, that are shown to hydrate cells internally. PCA SKIN hydrating serum contains these and other humectants and occlusive ingredients and is a great addition to any regimen.
4. Use a cool mist humidifier indoors to increase humidity levels.
5. Maintain water intake, even though the weather is cooler.

Niacinamide and the skin

Although it is the only non-living layer of our epidermis, the skin’s stratum corneum (SC) has the critical job of providing a shield from the outside world.  The SC is made up of three vital components: the corneocytes, or dead skin cells; the lipid bilayer; and a combination of lactic acid, urea, salts and amino acids that is collectively referred to as the skin’s natural moisturizing factor (NMF).  When functioning properly, the lipids act like plastic wrap that surrounds the corneocytes, sealing in the NMF and keeping this outermost barrier healthy and hydrated.   Unfortunately, this barrier system is relatively easy to disrupt, leading to transepidermal water loss (TEWL), or the evaporation of our NMF.

The terms TEWL, impaired barrier function and skin dryness are often used interchangeably.  When TEWL occurs, several essential functions, including desquamation, are not possible. This often instigates or worsens skin conditions. The most obvious characteristics of impaired barrier and TEWL is dry, flaky skin; however, a dull complexion may also be an indicator.

The best and most comprehensive way to improve and protect skin suffering from barrier issues is to use products that include both humectants (ingredients that draw moisture into the epidermis from the dermis) and occlusives (ingredients that trap moisture within the epidermis). One well-known occlusive is petrolatum. Think old fashioned petroleum jelly.  Yes, it is effective as it traps 99% of moisture within the skin, but its greasy and heavy feel makes it an unpleasant option for facial use.  Silicones like dimethicone and cyclomethicone are better options as they have a light cosmetically elegant feel, but their moisture-trapping action and powdery finish are their only benefits.  This leads us to niacinamide.

People sometime mistakenly equate niacin and niacinamide.  Although they are related members of the vitamin B family, they have different actions.  Niacin, or nicotinic acid, is converted into nicotinamide in the body.  This conversion process is actually what causes the infamous flushing that occurs from topical and internal niacin use. When used topically, niacinamide does not need to convert an therefore does not cause the negative vascular responses of topical niacin. Additionally, niacinamide has been shown to increase the skin’s important essential free fatty acids, ceramics and cholesterol, further improving dry skin.

Our longtime PCA SKIN favorite ReBalance now contains niacinamide – and all of its benefits.  This excellent occlusive and antioxidant ingredient simply adds to the recognized efficacy of ReBalance.

Is your skin really sensitive or just sensitized?

More than 40 percent of Americans consider their skin sensitive. According to the American Academy of Dermatology, many people that think they have sensitive skin because they experience stinging, burning, redness or tightness after exposure to a topical irritant.  This misconception is common.  The definition of sensitive skin varies based on who you ask. Some common conditions fall under the umbrella of ‘sensitive skin’ like rosacea and dermatitis (eczema). Typically, sensitive skinned patients experience bumps, redness and inflammation. It is unclear what specific factors lead to a person having truly sensitive skin.  It can be a combination of genetics, age and race.

Even if you don’t have clinically sensitive skin, it can still become sensitized as a result of over-exposure to harsh topical ingredients or climate. Some common irritants that contribute to this sensitization are:

• fragrances
• lanolin
• formaldehyde
• latex
• menthol

Additionally, aggressive use of chemical and mechanical exfoliants can increase the response to these and other irritants by impairing the natural barrier function of the skin.

Treating skin gently and avoiding the use of know topical sensitizers and irritants can help most avoid sensitization.  Patients that have truly sensitive skin usually need to seek additional assistance from a licensed professional or their dermatologist for product recommendations.

dry or dehydrated…. that is the question

Most people use these two words interchangeably, when they are actually quite different. 

Dry skin is caused by a lack of the lipids within the stratum corneum, the outermost portion of our epidermis.  In general, this lipid content by weight is made up of 10% free fatty acids, 25% cholesterol and 50% ceramides.  These lipids are essential in the prevention of water loss. Dehydrated skin is caused by a lack of water within the skin.

Our skin is a part of our excretory system, and approximately 4-6 ounces of water pass through and out of our epidermis every day – known as transepidermal water loss or TEWL.  In order for the skin to maintain optimal health, a delicate balance is required in order to prevent excessive TEWL, which can lead to impaired barrier function.  Impaired barrier function is characterized by rough, red and flakey skin that is easily irritated and sensitive to topical products.

Maintaining this delicate balance requires drinking plenty of water to keep our dermis hydrated, using humectant ingredients topically so the epidermis is able to attract water from the dermis, and the use of skin-friendly occlusives to hold that moisture within the epidermis to prevent it from evaporating.  Examples of humectant ingredients are hyaluronic acid, urea, glycerin, sodium PCA and honey.  Occlusive ingredients that are beneficial to the skin are dimethicone, cyclomethicone, plant oils, shea butter and niacinamide.  Occlusives that should be avoided are petrolatum, lanolin and mineral oil.

Because our epidermis only allows a small amount of water to penetrate from the outside in, it is up to us to apply beneficial ingredients to keep our skin healthy and hydrated every day.