What Causes Dry Skin?

Understanding the root causes of dry skin is essential for effective treatment and prevention. Dry skin can result from environmental factors, natural aging, underlying health conditions, or lifestyle choices.

Understanding the Skin Barrier

To understand what causes dry skin, it's important to understand how the skin's protective barrier works:

The skin barrier (stratum corneum) is like a brick wall:

  • Bricks: Dead skin cells (corneocytes)
  • Mortar: Lipids (ceramides, cholesterol, fatty acids)
  • Water: Natural moisturizing factors (NMFs) that attract and hold moisture

When this barrier is compromised by any of the factors below, water escapes more easily (increased transepidermal water loss), resulting in dry, flaky, uncomfortable skin.

Quick Overview: Main Causes

Environmental Causes

  • Low humidity (especially winter)
  • Cold temperatures
  • Wind exposure
  • Air conditioning and heating systems
  • Sun damage and UV exposure

Biological Causes

  • Natural aging process
  • Hormonal changes (menopause, thyroid)
  • Genetic predisposition
  • Reduced sebum production

Medical Causes

  • Atopic dermatitis (eczema)
  • Psoriasis
  • Ichthyosis
  • Hypothyroidism
  • Diabetes
  • Kidney disease
  • Malnutrition

Lifestyle & Behavioral Causes

  • Hot, prolonged showers or baths
  • Harsh soaps and cleansers
  • Over-washing or excessive scrubbing
  • Not moisturizing regularly
  • Dehydration (insufficient water intake)
  • Poor diet lacking essential fatty acids
  • Smoking and excessive alcohol
  • Chlorinated pool water

Multiple Factors Often Combine

It's important to note that dry skin rarely has a single cause. Most people experience dry skin due to a combination of factors. For example:

A 55-year-old woman living in a cold climate (environmental + biological) who takes hot showers daily and uses harsh soap (lifestyle factors) is at much higher risk for severe dry skin than someone with just one of these risk factors.

Medical Disclaimer: If your dry skin is severe, persistent, or accompanied by other symptoms, consult a dermatologist to rule out underlying medical conditions.

Explore Each Cause in Detail

Click on any category above to learn more about specific causes, how they affect your skin, and what you can do about them.