Dry skin on face treatment: what can help?

Facial dryness may cause tightness, flaking, rough texture, itching or fine cracks. Cold air, dry indoor air, hot water, harsh cleansers and frequent exfoliation can weaken the outer skin barrier. Redness, burning or a recurring rash may point to eczema or another condition rather than simple dryness. Atopic dermatitis, asteatotic eczema and psoriasis can all involve dry, scaly skin, but their patterns and treatments differ.

Wash with lukewarm water and a fragrance-free, mild cleanser, then pat rather than rub. Apply a bland cream or ointment while the skin is still slightly damp; repeat whenever the face feels tight. Avoid scrubs, peeling acids, fragranced products and picking flakes until the barrier settles. Emollient therapy can help seal in moisture. A dermatologist may recommend a short course of prescription treatment if inflammation, eczema or psoriasis is present.

Arrange a medical review if dryness persists despite consistent care, keeps returning, or interferes with sleep or daily activities. Seek prompt advice for painful cracks, spreading redness, oozing, crusting, swelling around the eyes, or marked burning after a product. Sudden facial swelling with breathing difficulty needs emergency help.

Ask whether the pattern fits eczema, psoriasis, contact irritation or simple barrier dryness; which cleanser and moisturiser suit your skin; and how long to use any anti-inflammatory medicine.