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If you’ve got eczema—a non-contagious skin condition that can cause dry, irritated, and itchy patches of skin anywhere on the body—you know that winter can be a huge trigger for flare-ups. Blame that icy chill, which can exacerbate eczema in the worst way. Even if you live in a warmer climate, though, dry air from colder weather or indoor heating can have you itching and scratching regardless of the temperature outside.
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“Winter can put your skin on the struggle bus,” Mona Gohara, MD, a board-certified dermatologist and professor at the Yale School of Medicine, tells Teen Vogue. “Your skin barrier is the protective outer layer that keeps moisture in and irritants out. Eczema weakens this seal; dry winter air and indoor heating draw away moisture, compromising it further. The result: more dryness, inflammation, and itching.”
Some people have eczema and don’t even know it. According to Dr. Gohara, the biggest clue is a recurring itch that is often accompanied by dry, rough, scaly patches. These areas may look pink or red on lighter skin; or purple, gray, or brown on deeper tones. “Inside the elbows and behind the knees are common spots,” she adds. A dermatologist can confirm whether or not you’ve got eczema—and help you treat it.
Don’t let December through March ruin your happy-skin vibe. With a little pre-winter prep work and some great skin-care products, you can help fight flare-ups and keep your skin feeling as soft as a cashmere sweater.
Get your skin barrier in good shape
According to Dr. Gohara, the first step is to make sure your skin barrier—or the protective outer layer of your skin—is ready for what’s coming this season. This starts in the shower: “Choose a hydrating, non-soap cleanser that still suds and leaves skin soft, rather than tight,” she says.
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While it can be tempting to stay in an extra-hot shower just a little longer when it’s freezing outside, that hot water can stress your skin; a short, lukewarm shower is best. Afterward, smooth a rich, fragrance-free cream all over your damp skin.
Assemble your eczema-fighting product lineup so it’s ready when you need it. “Think of a little barrier-repair crew: Ceramides replace protective fats, glycerin attracts water, and petrolatum helps seal moisture in,” Dr. Gohara explains. “Colloidal oatmeal can soothe itching, while panthenol supports hydration. Look for these in fragrance-free creams or ointments.” (Fragrance can be irritating. No fun, but true!)

Gentle is best
If your eczema is flaring up, don’t overdo it. Like the old adage says, slow and steady wins the race. “Put your routine in recovery mode: gentle cleansing, rich, fragrance-free moisturizer, and prescribed eczema medicine, as directed,” advises Dr. Gohara. And don’t try any new products until your skin is back to normal: “Consistency beats a bathroom shelf full of products.”
Again, stay away from hot showers, harsh soaps, and scrubs, says Dr. Gohara, which can “leave your barrier begging for backup.” Hit pause on exfoliating acids and retinoids, which can irritate eczema patches.
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If possible, also opt for fragrance-free laundry soap and fabric softener, since your clothes come in contact with your skin all day long.

Call your derm when necessary
If your skin feels painful, warm, crusty, or is oozing, Dr. Gohara says, you need medical attention. “Moisturizer supports the barrier, but inflammation may need medication,” she explains. Give your derm a call and they can help.
Small adjustments make a huge difference
The key to prepping eczema-prone skin for winter and keeping it happy all season long is adjusting your routine to ensure you lavish skin with extra care. Dr. Gohara recommends keeping lotion near your hand soap to replenish moisture after you’ve sudsed up. If you’re pulling on a wool sweater on an ice-cold day, wear a soft cotton shirt underneath to “skip the itch,” she adds.
Don’t stop moisturizing when you’re not flaring. “Comfortable skin is your cue to maintain the routine,” says Dr. Gohara. Apply cream daily, especially after bathing and washing your hands. If your dermatologist has you on a specific medication, stay on it, even when your skin is clear.


Originally Appeared on Teen Vogue
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