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Wednesday, January 22, 2025

5 top skincare tips for eczema-prone skin

When I tell you that I deal with eczema, I mean that as I am writing this my hands are flaring up like angry little strawberries. Like many of Asian descent, my skin is genetically prone to dryness and has been since I was an itchy toddler.

It seems every brand and their pet influencer are claiming that their products are โ€˜recommended by dermatologistsโ€™. This is particularly annoying when all youโ€™re trying to do is not burst into an eczematous flare as the weather shifts.

Here we have Dr Li-Chuen Wong, consultant dermatologist with over 20 yearsโ€™ experience, to weigh in on skincare for the eczema-prone. 

3 YESES

Humectants: โ€œHaving eczema-prone skin means there is an inherent skin barrier dysfunction, making it sensitive and prone to dryness,โ€ says Dr Wong. โ€œItโ€™s therefore important to look for ingredients in products that will repair the skin barrier.โ€

Humectants are lovely little ingredients that attract water to the epidermal layer to help moisturise the skin. They also encourage the shedding of dead skin cells. You may recognise glycerine and hyaluronic acidas popular humectants.

Dr Wong also recommends colloidal oatmeal, an ingredient often used by Aveeno, to protect the skin barrier and provide anti-inflammatory goodness. 

Prescription skincare for the bad days: For days with nightmarish flare-ups, Dr Wong points the eczema-prone in the direction of a prescription topical steroid, โ€œapplied intensively till the skin is clear will be very helpfulโ€. Never be afraid to reach out to your GP!

Eczema-friendly skincare brands: โ€œChoose fragrance-free and soap-free body washes, along with fragrance-free moisturisers,โ€ says Dr Wong. Tried and true brands include CeraVe and Aveeno.

โ€œFor colder, wintry conditions, choose thicker emollients and ointments. For the more humid months, try a lighter lotion that wonโ€™t feel so tacky on the skin.โ€

For sunscreen, Dr Wong recommends low-irritant products, labelled โ€œbroad spectrumโ€ and for โ€œsensitive skinโ€. Go for SPF 50 if you can find it and reapply every 3-4 hours.

2 NOโ€™S

โ€˜Anti-ageingโ€™ products and perfumes: โ€œFor eczema-prone skin, ingredients that should definitely be avoided include anti-ageing agents like retinol, glycolic acid and salicylic acid,โ€ says Dr Wong. โ€œThese products can be very drying to the skin, triggering an eczema flare.โ€

Stash the essential oils as well, as itโ€™s important to avoid all fragranced products, which are known for being irritants.  

Be wary of โ€˜recommendations by dermatologistsโ€™: โ€œThis popular claim, often used on over-the-counter cosmetic products means very loosely, that a dermatologist has been consulted in some manner during the development of the agent,โ€ says Dr Wong.

Meaning that brands can slap on that tagline despite there being no uniform standards on how involved the dermatologist must be, nor any test procedures needed to substantiate the claim.

Always keep in mind that sudden changes of weather will typically worsen eczema. Some peopleโ€™s eczema will flare during the lower humidity winter months whilst others will worsen during hot humid weather.

While thereโ€™s no cure for this genetic condition, the good news is that nowadays we have much better options to control, treat and clear our eczematous moments.

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