[MUSIC PLAYING]
BARNEY KENET: Dry skin
is ubiquitous.
It's a common problem
that patients call me for all
the time.
It's sort of a combination
of too much bathing,
too much drying soap.
Other factors like age
and menopause and sun exposure
also play a role.
But really the number one driver
of dry skin in our communities
is long, hot showers, lots
of soap, and too little
moisturizer.
So the type of soap
matters a lot, in addition,
how much of it you use
and where you use it.
So bar soaps and fragrance soaps
are drying,
and I don't recommend them.
I generally like
a fragrance-free product, which,
by the way,
is different than unscented.
Unscented products have
a little bit of perfume.
Fragrance-free products are
completely free of all scent
and are, therefore, less
strong and irritating.
Your skin could be dry
because there's lack
of moisture.
But it also could be
dry from dead skin cells
on the surface.
So it's a little
counterintuitive, but some fruit
acid moisturizers containing
ingredients such as lactic acid
or urea are especially
good at taking off
the dead cells.
Once those dry, older cells are
exfoliated, you can moisturize
over the damp, remaining cells
and really feel great.
It will give your skin
a dewy feel, and it will feel
softer to the touch.
Brushes and loofahs are OK,
but they tend to collect
bacteria in the shower.
They're good for elbows, knees,
feet, but they're not
great for large body surfaces
like the back or chest.
They're a little bit harsh.
Some people just get
a little sense of dryness.
Some people get a lot
of itching.
And some people even get cracks
or fissures around their hands
and feet.
So there's a wide variety in how
dry the skin can become.
And in that regard, there's
a wide variety of products
to help treat dry skin.
And that spans the gamut
from lighter moisturizers that
are liquid at room temperature
to creams that are solid at room
temperature.
The most important feature
is that you use these products
on your damp skin
so that they'll trap a little
of that moisture
in the top layer.
Well, it can be confusing
because there are so many types
of moisturizers to choose from,
but I generally like to make it
simple.
One for the face.
One for the body.
While you're not going to get
a systemic illness
from dry skin,
although some people
with illnesses
show that with dryness.
For instance, one
of the main features
of hypothyroidism or low thyroid
is dry skin.
So that's one thing your doctor
would consider if drawing
a blood test
or during your checkup.
But the take home messages
are the same for everybody.
Not too much soap.
No fragrance.
Shorter, cooler showers.
And lots of moisturizer
on your damp skin.
And for the most part,
you're going to get some relief
immediately.
Regular bathing is obviously a healthy habit. So an extra shower a day may seem like more of a good thing. After all, showers clean your body. And cleaner is better, right?
Well, not necessarily. It might be too much of a good thing. You want to shower enough to keep yourself clean (and not too smelly), but not so much that you dry out your skin and strip off its natural protective layer.
So how often should you bathe? Though your family and friends may beg to differ, it might not be as often as you think.
What Happens When You Shower Too Much?
Normal skin has a protective layer of oil and a balance of “good” bacteria that help protect your skin from dryness and germs. If you clean it too often, especially with harsh soaps and lots of scrubbing, you can strip away this layer, leading to dry, irritated, itchy skin. This can cause cracks in the skin that allow germs and allergens to get through, resulting in skin infections or allergic reactions.
In addition, your body’s immune system needs some stimulation from germs, including those that live on your skin. If you scrub them away too quickly, your body doesn’t have a chance to produce the antibodies that protect against them.
Antibacterial soaps can actually add to this by killing off the natural bacterial protection against more infectious germs on the skin that are harder to treat. This can make an even bigger difference in kids as their bodies develop. That’s why some pediatricians and skin doctors recommend against bathing children every day.
What Happens When You Don’t Shower Enough?
Well, your friends, family, and co-workers might let you know about the most obvious problem first: the odor. Though there isn’t anything normally unhealthy about walking around with a strong body odor, it might not be good for building healthy relationships with people at home, school, and work.
But there are also some health and skin issues that can arise. The buildup of oils can cause a buildup of the bacteria that causes acne. Dirt and dead skin can add to the problem by clogging pores. Bottom line: Too little bathing could mean more pimples. The buildup of oils can cause other skin problems too: the flaking away of skin on your scalp (dandruff), and flare-ups of existing skin conditions like eczema.
How Many Showers Per Week?
There’s no one-size-fits-all answer to this question. Many doctors say a daily shower is fine for most people. (More than that could start to cause skin problems.)
But for many people, two to three times a week is enough and may be even better to maintain good health. It depends in part on your lifestyle. Someone who spends hours in the hot sun working in the yard or running or biking, will likely need to bathe more often than someone who’s cool and indoors.
There are other factors, too. If you have certain allergies or especially oily skin, it may be a good idea to shower more often. On the other hand, it might be better for people with certain skin conditions to keep showers to a minimum.
It also depends on how long you spend in the shower (or bath).
How Long Should You Shower?
Not all bathing is created equal. A quick daily rinse is not the same as a marathon hour-long shower or soak in the tub. The more time you spend in the water, the worse the effects can be on your hair and skin.
Shoot for 3 to 5 minutes and concentrate on the important body parts: armpits, groin, and face. You don’t have to scrub every inch of skin unless you’ve been rolling in the dirt.
And most people don’t need to shampoo every day either. About 2 to 3 times a week is plenty for most types of hair. However, you may need to do more if your hair is especially oily.
The temperature of the water makes a difference, too. Hot water may feel good when it’s cold outside, but it’s more likely to dry out your skin and make it itchy. Try to keep the water temperature closer to warm than hot.
Fragrances and scents can pull moisture out of your skin, too. So look for gentle soaps and cleansers. You can even seek out those with labels like “gentle cleanser,” “for sensitive skin,” or “hypoallergenic.”
Limit the drying effects by patting yourself dry with a towel instead of rubbing, and then put on a fragrance-free moisturizer. For best effects, put the moisturizer on within 3 minutes of getting out of the bath or shower.