How Winter Affects Chronic Skin Conditions and How to Manage Them

Winter can be especially tough for those with chronic skin conditions, as the cold air, low humidity, and indoor heating strip the skin of its natural moisture. This dryness can weaken the skin barrier, leading to increased irritation, flare-ups, and discomfort. Conditions like eczema, psoriasis, rosacea, and acne often worsen during colder months, requiring extra care and attention. Understanding how winter affects your skin and making simple adjustments to your routine can help minimize symptoms. Here’s a look at common winter skin challenges and expert tips for keeping your skin healthy all season long.

1. Eczema (Atopic Dermatitis)

Why it worsens: During winter, the air becomes significantly drier, both outdoors and indoors due to heating systems. This lack of moisture can strip the skin of its natural oils, leading to increased dryness and irritation. Additionally, the cold can cause the skin to lose water more rapidly, further compromising the skin barrier.

Management Tips:

• Apply thick, fragrance-free moisturizers immediately after bathing to lock in moisture.
• Opt for lukewarm showers instead of hot ones to prevent further drying of the skin.
• Wear soft, breathable fabrics like cotton to reduce skin irritation.
• Consider using a humidifier to add moisture to indoor air.

Dr. Michelle Ma in Commack emphasizes:
"Maintaining skin hydration is crucial during the colder months. Regular moisturizing can significantly reduce eczema flare-ups."

2. Psoriasis

Why it worsens: The cold weather often leads to reduced exposure to natural sunlight, which can help manage psoriasis symptoms. Additionally, the stress associated with the holiday season and changes in routine can act as triggers. The combination of dry air and cold temperatures can also cause the skin to crack, making psoriasis plaques more pronounced.

Management Tips:

• Adhere consistently to prescribed treatments.
• Moisturize regularly with ointments and creams to prevent dryness.
• Under medical supervision, consider phototherapy to compensate for reduced sunlight exposure.
• Protect your skin from cold air with appropriate clothing like gloves and scarves.

Dr. Toral Vaidya in Midtown advises:
"Consistent treatment and protecting your skin from harsh elements are key to managing psoriasis during winter."

3. Rosacea

Why it worsens: Cold winds can cause the blood vessels in the face to constrict and then rapidly dilate upon entering warm environments, leading to facial flushing. Consuming hot beverages as a way to warm up can also trigger rosacea symptoms. The stark contrast between outdoor cold and indoor heat creates a cycle of temperature fluctuations that exacerbate the condition.

Management Tips:

• Shield your face with scarves and use gentle, fragrance-free skincare products.
• Avoid rapid temperature changes when possible to minimize flushing.
• Apply sunscreen daily, even in winter, as UV rays can still affect rosacea.

Estelle Hixon, PA-C in Marlboro notes:
"Protecting your skin from extreme temperatures and using appropriate skincare products can help control rosacea flare-ups."

4. Acne

Why it worsens: In winter, individuals may switch to heavier, oil-based moisturizers to combat dryness, which can clog pores and lead to breakouts. The lack of sunlight reduces the natural antibacterial effects of UV rays, potentially increasing acne-causing bacteria on the skin. Additionally, the stress and dietary changes during the holiday season can contribute to acne flare-ups.

Management Tips:

• Choose non-comedogenic moisturizers that hydrate without clogging pores.
• Maintain a gentle cleansing routine to avoid over-drying the skin.
• Continue using prescribed acne treatments but consult a dermatologist before making any changes.

Alyssa Brennan, PA-C in Hampton Bays advises:
"Selecting the right moisturizer and adhering to a consistent skincare regimen are essential steps in managing acne during the colder months."

General Winter Skincare Tips

• Hydration: Drink plenty of water to keep skin hydrated from the inside.
• Sunscreen: Apply broad-spectrum SPF daily, as winter sun can still damage skin.
• Gentle Products: Use mild, fragrance-free cleansers and avoid harsh exfoliants.
• Layer Wisely: Wear breathable layers like cotton underneath wool or synthetic fabrics to prevent irritation.
• Lip and Hand Care: Use hydrating lip balms and hand creams to prevent cracking and dryness.
• Avoid Over-Exfoliation: Exfoliate no more than twice a week to prevent stripping the skin’s natural barrier.
• Eat for Skin Health: Foods rich in omega-3 fatty acids, such as salmon and walnuts, can help maintain healthy skin.
  
  

When to Seek Help
If you notice significant changes in your skin or persistent flares despite proper care, it's essential to consult a dermatologist. Winter skincare can be tailored to your specific needs, and sometimes prescription treatments are necessary. Learn more about our providers by visiting their profile on our website.

Dr. Michelle Ma
Dr. Toral Vaidya
Alyssa Brennan, PA-C
Estelle Hixon, PA-C

Need Personalized Care?
At MDCS Dermatology, our experienced dermatologists and skincare providers are here to help you manage chronic skin conditions year-round. Schedule a consultation to create a winter skincare routine that works for you.