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and finally smoothing on a lactic acid cream.D. a dermatologist specializing in scalp care at the
Cleveland Clinic
in Ohio Harsh shampoos and arid air (from intense indoor heating) compound the problem by further disturbing the barrier
Mark Leibowitz
The Winter Skin Gripe: Brown Spots
To most effectively address these pesky spots you have to steer clear of the culprit: sun "It's best to treat the spots when you're not going to be spending time outdoors which just adds to the problem" says
Patricia Farris MD
 a dermatologist in New Orleans Her in-office miracle-worker is the Fraxel: Dual—a series of three fractional laser treatments will erase sunspots broken capillaries and crinkly skin without much downtime (the area is just slightly red following the procedure)
Mark Leibowitz
The At-Home Solution
To tackle mild UV damage at home start using retinol pads (try Philosophy Miracle Worker Miraculous Anti-Aging Retinoid Pads $75
ultacom
) or a cream like Chantecaille Retinol Body Treatment ($96
nordstromcom
) two or three times a week And remember: Load on the sunscreen following any of these treatments as they all make the skin extra sun-sensitive
Courtesy of Brand
The Winter Skin Gripe: Arm bumps
Those chicken skin-like tracks on the backs of your biceps are not pimples but a genetic condition known as keratosis pilaris (KP)—a buildup of keratin protein within the hair follicles
Mark Leibowitz
Your Surefire Remedy
Your inclination may be to attack these bumps with a grainy exfoliant but the best way to treat them is with a chemical kind specifically a moisturizer containing 12 percent lactic acid like
AmLactin
 Not only does the exfoliating acid level bumps but it's also a hydrating humectant with the power to increase the skin's own production of healing ceramides notes
Vivian Bucay MD
 a San Antonio Texas dermatologist While KP bumps are typically flesh-color some come with accompanying redness You can quiet the inflammation by layering a 1-percent hydrocortisone cream under your chemical exfoliant and avoiding anything with tight sleeves (the friction can further irritate the skin)
Courtesy of Brand
The Winter Skin Gripe: Rough and Scaly Patches
Because elbows and knees have fewer oil glands and a slower cell turnover rate (so dead skin builds up faster) they are extra prone to dryness Applying a cream rich in urea (a humectant meaning it attracts water and is super softening) like Eucerin Professional Repair Extremely Dry Skin Lotion ($799
drugstorecom
) twice daily can penetrate and smooth those tough spots
Mark Leibowitz
Help for Even Tougher Cases
According to
Heather Woolery-Lloyd MD
 a Miami dermatologist these zones also experience more trauma from everyday friction—rubbing clothing crossing legs resting elbows on desks—which can "stir up inflammation causing hyperpigmentation or dark spots especially in skin of color" A moisturizer with 10 or 15 percent glycolic acid (like
Glycolix Elite
) used morning and night can help fade them in three to four weeks For more stubborn patches dermatologists may prescribe a bleaching cream or inject a shot of cortisone: "The hyperpigmentation is usually due to thickening of the skin" explains Dr Woolery-Lloyd "and the steroid works by lightening the area and thinning it out"
Courtesy of Brand
The Winter Skin Gripe: Parched Hands and Nails
Those semimonthly gel manicures may be having a negative effect on your fingertips "We see this a ton—soaking hands in acetone every week or two does real damage" says Dr Woolery-Lloyd who recommends doubling up on hand cream to counteract the loss of moisture First smooth on lotion packed with ceramides which "form a platelike barrier to really protect the skin" she says (derms regularly name-check Cerave Therapeutic Hand Cream ($1079
walgreenscom
) as a favorite); follow it with a heavy occlusive cream to trap in moisture (try Neutrogena Norwegian Formula Fast Absorbing Hand Cream ($469
drugstorecom
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