![]() It’s the outermost layer of the skin and its job is to protect us from external factors like environmental stressors, harmful bacteria and pollution. You need to think of your skin barrier as a bit of a body guard. It is super important to pay attention to where your skincare actives are in your routine, and what you’re using and/or why and when, because our skin barrier matters. Lifestyle factors such as diet, alcohol or stress have the potential to contribute as well. For some skins, even alcohol based toners can be too harsh. ![]() In my experience, the main cause is overusing harsh acne products, and/or stripping cleansers, as well as overusing ingredients like retinoids - or even clay and detox masks. Harsh chemicals, surfactants, exfoliants, aggressive cleansers, trauma, and inflammatory skin diseases can damage the SC.Fun fact: clients with damaged skin barriers is the number one issue I see in clinic.Īnd the thing is, a lot of people don’t even realise they’re damaging their skin barrier until it’s too late. 3,4 Maintaining physiologic SC composition is important to preserving SC hydration and healthy skin from the cradle to the grave. These lipids consist of 40% to 50% ceramides, 25% cholesterol, and 10% to 15% free fatty acids. Close to 20% of the volume of the SC is made up of lipids. Skin lipids play a significant role in SC barrier function. The corneocytes are the building blocks, and the water-resistant lipid lamellae are the matrix, forming a "brick-and-mortar"-like structure that prevents excess water loss and protects against external toxins and microorganisms. 2 The SC is the outermost layer of the skin and consists of 10 to 15 layers of corneocytes (enucleated protein-rich cells) and highly organized intercellular lipids. The skin's protective and regulatory barrier function is primarily achieved within the top layer of the epidermis, the stratum corneum (SC). It retains water in the body, thermoregulates, blocks external pathogens and foreign substances, and transmits sensations. The skin is the largest organ of the human body, accounting for approximately 16% of total body weight, and has numerous critical functions. However, when choosing optimal treatment and skin care, physicians should consider variations in age, skin properties, presentation of the condition, and cultural differences. This type of skin care can promote a healthy skin barrier and attenuate or delay inflammatory skin conditions.Ĭonclusions: Adjunctive daily skin care throughout life promotes a healthy skin barrier and is beneficial in managing various inflammatory skin disorders in all populations. Skin care suited to this role is gentle, has near-physiologic pH, is pleasant to use, and contains ceramides. Results: The panel adopted 6 consensus statements highlighting the importance of skin care in restoring/maintaining a healthy skin barrier in the populations mentioned above. The consensus was reached through a modified Delphi method where the panel met face-to-face and followed up virtually. The panel synthesized the 8 publications, selected information from a literature review, and their expert opinions and experiences to create the statements. The publications covered skin barrier integrity in the newborn and infant, and the role of the skin barrier in mitigating atopic dermatitis (AD) racial/ethnic variations in the skin barrier and implications for skin care the role of the skin barrier in inflammatory skin conditions including acne, AD and psoriasis in skin of color (SOC) populations skin barrier integrity in patients with rosacea and xerosis in patients with diabetes mellitus. ![]() Methods: A panel of 6 dermatologists met to develop consensus statements based on their 8 previous publications on promoting skin barrier health throughout life using ceramide-containing skin care. Ceramide-containing skin care may play a role in restoring and maintaining a healthy skin barrier. Racial/ethnic and age variations in skin barrier properties, cultural differences, and clinical presentation of the inflammatory skin disorder influence the choice of treatment and skin care. Early and daily skincare use aims to maintain a life-long healthy skin barrier. Abstract Introduction: Inflammatory skin disorders compromise skin barrier health.
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