The simplified version for those who just want the gist
Here's the deal:
Start with these three products: Sheer Silk for daily cleansing, plus Hydrator B5 Gel with Panthenol and Hydro Relief moisturizer to repair the barrier. You'll start feeling improvement within 2 weeks of daily use.
Bottom line: A healthy skin barrier = glowing, resilient skin. Take care of it, and it'll take care of you.
What the Skin Barrier Actually Is
The skin barrier is mainly comprised of the Stratum Corneum — the visible outermost layer of your skin — although deeper skin layers of the epidermis also contribute.
A healthy skin barrier has great importance for health that goes beyond physical appearance.
The Stratum Corneum is sometimes visualized as a 'bricks and mortar' model. The bricks are flattened skin cells called corneocytes, which are full of a hard protein called keratin — the same protein found in hair and nails — as well as natural moisturizing factors.
The mortar consists of lipids: oily, fatty, and waxy substances. Specifically, it is composed of 50% ceramides, 25% cholesterol or cholesterol sulfate, and 15% fatty acids. This mortar is what makes the Stratum Corneum waterproof.
Skin excretions such as sebum contribute additional lipids (Del Rosso et al. 2016). Skin acidity is also required for proper formation of this mortar — enzymes that produce ceramides function best at an acidic pH (Lee et al. 2006), while enzymes that break them down function best at a higher pH (Ali and Yosipovitch 2013).
Three Critical Functions of a Healthy Skin Barrier
Signs of Damage & How to Repair It
Signs of a weakened skin barrier include dry and flaky skin, sensitive skin, red and inflamed skin, or conditions such as eczema. Aging is associated with progressive weakening of the skin barrier and increasing skin pH — dry skin is a near universal complaint in the elderly (Hahnel et al. 2017). Improper washing with soaps can also weaken the skin barrier, because soaps are alkaline and raise the skin's pH, decreasing ceramide levels and reducing antimicrobial protection (Lambers et al. 2006).
Regardless of the cause, choosing the right topical skincare products can help repair and reinforce the skin barrier. Certain vitamins such as niacinamide (Vitamin B3) and panthenol (provitamin B5) have been scientifically shown to help increase the production of proteins and lipids — including ceramides — that make up the bricks and mortar in aged skin (Gehring 2004). In those with increased skin pH, acidifying the skin barrier with hydroxy acids has been shown to increase ceramide production and help fight microbes (Hachem et al. 2010, Rawlings et al. 1996).
Moisturizers can also supplement the mortar by providing skin-identical lipids such as ceramides, cholesterol, and free fatty acids, as well as squalane which mimics squalene in sebum (Kahraman et al. 2019). Moisturizers also contain humectants which hold water, and occlusives which form a waterproof barrier on top of the skin to reinforce it. Topical antioxidant supplementation can restore antioxidant levels in aged skin (Pullar et al. 2017).
The Do's and Don'ts Cheat Sheet
- Ali SM, Yosipovitch G (2013). "Skin pH: From Basic Science to Basic Skin Care." Acta Derm Venereol 93: 261–267.
- Del Rosso J, Zeichner J, Alexis A, Cohen D, Berson D (2016). "Understanding the Epidermal Barrier in Health and Compromised Skin: Clinically Relevant Information for the Dermatology Practitioner." J Clin Aesthetic Dermatol 9(4): Supplement 1.
- Gehring W (2004). "Nicotinic acid/niacinamide and the skin." Journal of Cosmetic Dermatology 3: 88–93.
- Hachem JP, Roelandt T, Schurer N, Pu X, Fluhr J, Giddelo C, Man MQ, Crumrine D, Roseeuw D, Feingold KR, Mauro T, Elias PM (2010). "Acute Acidification of Stratum Corneum Membrane Domains Using Polyhydroxy Acids Improves Lipid Processing and Inhibits Degradation of Corneodesmosomes." Journal of Investigative Dermatology 130: 500–510.
- Hahnel E, Blume-Peytavi U, Trojahn C, Kottner J (2017). "Associations between skin barrier characteristics, skin conditions and health of aged nursing home residents: a multi-center prevalence and correlation study." BMC Geriatrics 17: 263. doi: 10.1186/s12877-017-0655-5.
- Kahraman E, Kaykin M, Sahin Bektay H, Gungor S (2019). "Recent Advances of Topical Application of Ceramides to Restore Barrier Function of Skin." Cosmetics 6: 52. doi: 10.3390/cosmetics6030052.
- Lee SH, Jeong SK, Ahn SK (2006). "An Update of the Defensive Barrier Function of Skin." Yonsei Medical Journal 47(3): 293–306.
- Pullar JM, Carr AC, Vissers MCM (2017). "The Roles of Vitamin C in Skin Health." Nutrients 9: 866. doi: 10.3390/nu9080866.
- Rawlings AV, Davies A, Carlomusto M, Pillai S, Zhang K, Kosturko R et al. (1996). "Effect of lactic acid isomers on keratinocyte ceramide synthesis, stratum corneum lipid levels and stratum corneum barrier function." Arch Dermatol Res 288: 383–390.