Combination skin is characterized by a mixture of oiliness and dryness. Typically, the oily areas tend to be the T-zone, consisting of the forehead, nose and chin. The cheeks are normal to dry. The degrees of oiliness and dryness can vary. Pores may be larger in the oily areas – with pimples, blackheads and breakouts sometimes occurring – and dry areas may feel rough and irritated.

The “tissue test” can help you determine if you have combination skin. Take a tissue and hold/press it against your face. If there’s oil on the tissue where it touched your T-zone, but no oil where the tissue touched your cheeks, you most likely have combination skin.

Causes
Many factors can cause combination skin, including hormones, age, genetics, the way in which lipids are organized in our skin and even the weather. Hormonal changes can lead to changes in skin’s oiliness or dryness. Teens and young adults tend to have oilier skin, especially in the T-zone, but with age, hormones change and the oil production may decrease (but unfortunately, acne is still an issue for many adults). Also, hormones change due to menstruation and the birth control pill, which can make skin oilier in certain areas. Lipids also play a role in combination skin: These proteins affect skin’s softness and feel. When lipids aren’t evenly spread throughout the skin, certain areas will feel drier and rougher, while other areas may feel soft but oily or greasy. The organization of lipids in skin is due to genetics and hormones. Finally, weather can exacerbate combination skin. Dry cold weather can cause skin to dry out and become irritated. Conversely, hot humid weather can increase oil production. This can affect your T-zone as well as your cheeks.

Care Plan
Combination skin requires special care to balance the oily and dry areas of the face. Proper cleansing, treatment, moisturizing and sun protection are all necessary.

• Cleansing: People with combination skin often have difficulty finding a cleanser that works for their unique skin needs. Formulas designed for oily skin may leave combination skin too dry, especially in the cheeks, while formulas designed for dry skin may leave combination skin greasy, especially in the T-zone. It’s best to avoid products that are either too drying or too rich. Instead, use a foaming or gel cleanser to get rid of dirt and oil without causing irritation or dryness. A cleanser to try is one that removes excess oil and impurities while still being gentle and not drying out skin.
You should also exfoliate your skin regularly to remove dry, dead, rough skin cells. These cells may be particularly prominent on your cheeks. They can flake off and block pores, causing blemishes and blackheads. Try a product that might include papaya and pineapple juice, olive derivatives and Ginkgo Biloba

Treatments: Treatment products are another important skincare component, helping to balance your skin. One treatment to try is one which moisturizes dry areas but prevents excess oil, especially in the T-zone. This product also contains antioxidants to prevent aging. Another type of treatment is a mask, and you’ll find an array of products for every skin type. Some experts advise using a hydrating/moisturizing mask on dry areas (cheeks) and a deep-cleaning clay mask on oily areas (T-zone). While using two different masks is certainly an option, you can also use a mask specifically designed for combination skin. If you suffer from breakouts, which may occur around the T-zone, use acne treatment products with salicylic acid. For problem skin, try a blemish serum or a spot treatment.

Moisturize: Combination skin needs balance, and part of that balance means moisturizing your skin. Moisturizing is especially important for drier areas of the face, but your entire face needs moisture. Some experts suggest using separate moisturizers – a lightweight one for the T-zone and a deeper one for cheeks. You may choose to use separate moisturizers, but you can also use a single moisturizer designed for combination skin. Try a lotion which balances skin with witch hazel and aloe extract to help skin stay soft. Pay careful attention to dry areas, as they may require more frequent moisturizing than oily areas. Generally, experts recommend moisturizing dry areas twice a day and moisturizing oily areas once a day. Keep in mind that your individual skin has unique needs, so you might want to adjust your moisturizer – how often you use it, where you need it and how much you need.

Sun Protection: Like all other skin types, combination skin needs protection from the sun. UVA and UVB rays can damage skin, so use oil-free sunblock all over your face daily (and on any other exposed areas). Try an oil-free sunlotion or sunblock because it protects your skin from UV rays and won’t make skin greasy.

Natural Treatments
Natural treatments such as aromatherapy oils, home-made exfoliants and masks may help treat your combination skin. For example, try mixing essential oils like chamomile, lavender and ylang ylang (just a few drops) together with your oil-free moisturizer. These ingredients have antibacterial properties and may help to rid skin of dirt or bacteria. However, if your skin is sensitive or easily irritated, or if you’re pregnant, you shouldn’t use these essential oils.

Exfoliating treatments can be made at home by mixing and grinding nuts, seeds or oatmeal along with water. These will slough off dead, dry skin cells – especially common around the cheeks. You can add citrus peels from fruit – like orange or grapefruit – to the mix and apply it to the oily T-zone.
To make a mask for dry areas, use ingredients like yogurt, mashed bananas or avocados to moisturize. On oilier areas, try pureed strawberries and apples.

Treatment Options for Dry, Sensitive Skin

If you suffer from dry, cracked or sensitive skin – skin that easily reacts to chemicals and temperature fluctuations – then keeping your skin hydrated is essential. If you live in a humid climate where natural moisture is more prevalent, then you are halfway there to better skin. On the flip side, if you live in a high-altitude or desert climate, artificially creating humidity in your home may be the second best option. Since many of us can’t just pick up and move to a new seaside location, using a humidifier in your home or bedroom while you sleep can do wonders for your dry, cracked skin.

While drinking more water will help hydrate your skin to a degree, it isn’t the cure-all for sensitive skin issues. However, the water you use to bathe is very important. Bathing with hard water (which contains increased amounts of calcium) can contribute to dryness and redness. Reverse osmosis water filters will help convert hard water to soft water, if it fits in your budget, it could be a consideration. Water temperature also matters. Dermatologists warm that very hot water temperatures, such as 104 degrees F, can dry out your skin and lead to redness. Gentle hydrotherapy, meaning moderate temperatures with little fluctuations are best for your skin type.

When choosing a special spa treatment, do so with care. Be wise in selecting spa and beauty treatments like exfoliating massages, loofahs, acid-peel facials, and hot steam rooms, which can all strip oils from sensitive, dry skin. Scalding temperatures, intense treatments, running from hot saunas into wintry snow is good for those with resilient skin – not for you. For those with especially sensitive skin, even perfumed bath oils and massage products can be irritating. Aromatherapy massages may be counterproductive if the oils used cause any form of burning or redness. Even getting a manicure or pedicure can cause hyper-reactions when the acetones in nail polishes and removers are irritating.

If you have had serious reactions to spa treatments in the past and need a gentler alternative, consider thalassotherapy. Thalassotherapy was developed in seaside towns in Brittany, France during the 19th century. Based on the belief that the properties of seawater have beneficial effects upon the pores of the skin, trace elements of magnesium, potassium, calcium, sodium, and iodide found in seawater are believed to be absorbed through the skin. The therapy is applied in various forms, as either showers of warmed seawater, application of marine mud or of algae paste or the inhalation of sea fog. Spas make hot seawater and provide mud and seaweed wrapping services.

Very popular throughout Europe, thalassotherapy treatments are used for relaxation, stress management, muscle and skin restoration, and to fight cellulite. If you cannot afford the actual spa treatments, home products containing seaweed or algae can also be effective in hydrating dry, sensitive skin.
Another great option to provide more oil distribution to dry skin is massage. Massage is also great for eczema. A recent dermatological study at the University of Miami showed that children with severe dry skin were treated with moisturizer and massage therapy improved more compared to those who were not massaged and were treated with moisturizer alone.

So these are simply guidelines to use when choosing products and treatments to help alleviate your dry skin conditions. As with all hydrotherapy treatments, it is important to limit your immersion in the water to less than one hour so as not to impair the skin barrier. And when purchasing products, always be sure to read the ingredient list for potential irritants.

When applying antiacne drugs to the skin, people should be careful not to get the medicine in the eyes, mouth, or inside the nose. They should not put the medicine on skin that is wind burned, sunburned, or irritated, and not apply it to open wounds.

Because antiacne drugs such as benzoyl peroxide and tretinoin irritate the skin slightly, users should avoid doing anything that might cause further irritation. They should wash the face with mild soap and water only two or three times a day, unless the physician says to wash it more often. They should also avoid using abrasive soaps or cleansers and products that might dry the skin or make it peel, such as medicated cosmetics, cleansers that contain alcohol, or other acne products that contain resorcinol, sulfur, or salicylic acid.

If benzoyl peroxide or tretinoin make the skin too red or too dry or cause too much peeling, the user should check with a physician. Using the medicine less often or using a weaker strength may be necessary. Benzoyl peroxide can irritate the skin of people with skin of color and cause darkened spots called hyperpigmentation on the skin. Benzoyl peroxide may discolor hair or colored fabrics.

ORAL DRUGS. Oral antibiotics are taken daily for two to four months. The drugs used include tetracycline, erythromycin, minocycline (Minocin), doxycycline, clindamycin (Cleocin), and trimethoprim-sulfamethoxazole (Bactrim, Septra). Possible side effects include allergic reactions, stomach upset, vaginal yeast infections, dizziness, and tooth discoloration.

The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. One effective treatment is topical tretinoin, used along with a topical or oral antibiotic. A combination of topical benzoyl peroxide and erythromycin is also very effective. Improvement is normally seen within four to six weeks, but treatment is maintained for at least two to four months.

Special Conditions

People who have certain medical conditions or who are taking certain other medicines may have problems if they use antiacne drugs. Before using these products, the physician should be informed about any of the following conditions.

ALLERGIES. Anyone who has had unusual reactions to etretinate, isotretinoin, tretinoin, vitamin A preparations, or benzoyl peroxide in the past should let the physician know before using an antiacne drug. The physician should also be told about any allergies to foods, dyes, preservatives, or other substances.

PREGNANCY. Teens who are pregnant or who may become pregnant should check with a physician before using tretinoin or benzoyl peroxide. Isotretinoin causes birth defects in humans and must not be used during pregnancy.

OTHER MEDICAL CONDITIONS. Before using antiacne drugs applied to the skin, people with any of these medical problems should make sure their physicians are aware of their conditions:
• Eczema. Antiacne drugs that are applied to the skin may make this condition worse.
• Sunburn or raw skin. Antiacne drugs that are applied to the skin may increase the pain and irritation of these conditions.

In people with certain medical conditions, isotretinoin may increase the amount of triglyceride (a fatty-substance) in the blood. This may lead to heart or blood vessel problems. Before using isotretinoin, adolescents with any of the following medical problems should make sure their physicians are aware of their conditions:

• alcoholism or heavy drinking, currently or in the past
• diabetes or family history of diabetes (Isotretinoin may change blood sugar levels.)
• family history of high triglyceride levels in the blood
• severe weight problems

Using antiacne drugs with certain other drugs may affect the way the drugs work or may increase the chance of side effects.

With oily skin, your face may often look shiny, and you naturally avoid products that feel oily. You’ll be more vulnerable to acne and breakouts than dry skin types. People with dry skin will notice that their skin feels dry and has a dull color and/or rough texture.

Oil Production

The skin has many oil (sebaceous) glands, which secrete oil that contains wax esters, triglycerides, and squalene. These fats (or lipids) form a film that helps keep moisture in the skin. While increased sebum production results in oily skin, the opposite is not always the case, as dry skin can also arise from an impaired skin barrier. Oil production can be affected by diet, stress, and hormones-as well as genetics. In a study of twenty pairs each of identical and nonidentical same-sex twins, identical twins had virtually identical amounts of oil production, while the nonidentical twins had significantly different amounts.

Dryness and oiliness depend primarily on the condition of the skin barrier, the outer layer of skin which helps the skin retain moisture, and the oil (sebum) production itself. The barrier is like a brick wall, with each brick (or cell) held in place by mortar (fats called lipids). Harmful ingredients, cold, and dry weather can wear down these fats, eroding the mortar so that the “bricks” are not secured in their proper place. A variety of outside agents, including detergents, acetone, chlorine and other chemicals, and even prolonged water immersion can harm the barrier, or the barrier may be deficient for genetic reasons.

The barrier’s main components are ceramides, fatty acids, and cholesterol, all different kinds of lipids. These must be present in the right proportion to keep the skin watertight. An impaired barrier will tend toward both dryness and sensitivity. Dryness results when skin moisture evaporates. Sensitivity results when a deficient barrier permits the entry of outside irritants.

Repairing the skin barrier with the right skin care products will help treat a variety of skin conditions. Incorporating key dietary nutrients, such as essential fatty acids and cholesterol, provides the necessary building blocks. Nutrient deficiencies can weaken your skin’s ability to repair and rebuild, which is why people who take cholesterol-lowering drugs often have dry skin.

There are lots of things you can do with your diet and supplements that can help your dry skin. To combat dry skin, your body needs fats to build fat-rich cells that hold on to moisture. Saturated, monounsaturated and omega-3 fats are key components in the cell membranes . Vegetarians (who eat eggs and dairy products but not meat) eat about one-third less saturated fat than the average meat eater. Vegans (who eat no animal products of any kind) only receive about one half as much saturated fat as the average meat-eating American. As a result, they obtain from their diet much less cholesterol than omnivores.

The best way to assure you get a healthy diet of skin-enhancing fats is by eating a wide variety of whole plant foods. You can get fats from nuts, seeds, olives and avocados Use olive oil, replete with monosaturated fat, for cooking and salad dressings. Coconut oil is also an excellent alternative for it retains its stability at high temperatures. Try to avoid processed foods and deep-fried foods that are rich in trans fats and omega-6 polyrrnsaturated fats. These fats contribute to the production of free radicals, the by-products of oxidation, which is a skin aging process that antioxidant vegetables help tame. Although for many years polyunsaturated vegetable oils, like canola, corn, safflower, and soy were recommended, c anola oil is actually unstable when heated and the processed used to stabilize it turns a certain percentage of the oil into a trans fat.

Eating the undesirable fats found in these oils (as well in trans-fat containing foods such as margarine, most baked goods, fried foods, processed foods and sweets )may increase both wrinkling and the risk of developing skin and other cancers including melanoma. Vegetarians can eat eggs and dairy to obtain saturated fats while vegans can obtain them from coconut oil.

Fish oils are good sources of omega-3 polyunsaturated fatty acids which can increase the lipid content of your cells. They can be obtained from fish like salmon, as well as supplements with Omega-3 or Cod Liver Oil capsules. Omega-3s help your skin by providing essential fats needed for cellular integrity while they also prevent inflammation which can lead to the formation of dark spots in pigmented skin types.
Antioxidants are helpful in fighting free radicals – renegade oxygen molecules that cause cellular aging and wrinkles.

Also look for products that contain ingredients that help your skin retain moisture, such as essential fatty acids along with ingredients like lecithin to strengthens kin cell membranes. Look for products that are also third party tested to ensure they are free of environmental toxins. It is important in purchasing essential fats to ensure that you find a pure, well-tested source, free of environmental contaminants.

Several studies have suggested that it is better to get antioxidants through natural food sources instead of supplements, but if this is not possible or additional vitamin intake is needed, supplements can be a valuable help.

SUPPLEMENTS
The following oral supplements that contain the below nutrients can all be helpful to your skin:

Selenium is a powerful antioxidant mineral. Selenium. Some scientific evidence suggests that consumption of selenium may reduce the risk of certain forms of cancer. However, FDA has determined that this evidence is limited and not conclusive. Vitamins A, C, E, B5, alpha lipoic acid, and grape seed extract, Ester-C , CoQro, lutein, as well as zinc, selenium, copper, and lycopene. Take these supplements according to the manufacturer’s directions.

Dry Skin Diet Tips and the Mediterranean Diet

We all know how important diet is to building healthy, beautiful skin. But did you know eating the right foods and avoiding the wrong ones can actually help prevent wrinkles and minimize the signs of aging?
According to a recent article in the UK’s Daily Telegraph, “Eating a Mediterranean diet can halve the risk of the most dangerous form of skin cancer, research suggests.” The recent study may eventually prove regular intake of fruit, vegetables, nuts and fish may protect against malignant melanoma.

The” Mediterranean diet,” which features plenty of vegetables, legumes, and olive oils, may be a catalyst for the body to absorb and benefit from fat-soluble antioxidant vitamins and phytochemicals, such as vitamin E, lycopene, and isoflavones. In this light, organic produce has been shown to contain a higher level of beneficial antioxidants than conventionally raised fruits and vegetables.

So, what does all this mean if you suffer from dry skin or sensitive skin? With dry skin issues, it is important to get the right types fats into your diet. But what are the right types of fats? For example, increased intake of saturated fat and monounsaturated fat in the diet has been associated with a decrease skin hydration. So consuming some saturated fats but not too many, seems to be best.
Countless studies show that an omega-3 fat deficiency is associated with dry skin and skin problems like eczema. That’s why it is important to consume adequate amounts of these essential fats, found in fatty fish, fish oils, flaxseeds, flaxseed oil, etc.

Be aware of the difference from the omega-6 polyunsaturated vegetable oils (including corn, canola, and safflower), formerly hailed as healing for the heart. Meaning, most need to eat more omega-3s and less omega-6 oils.
The dairy products you eat (and avoid) can also make a difference in skin aging. Butter, full-fat milk, margarine, and sweets should be minimal, while yogurt, cheese, and reduced-fat milk are neutral in their aging effects.

The epidermis (upper layer of the skin) is composed of 25 percent monounsaturated fatty acids. In the cell membranes, both monosaturated fats and saturated fats resist oxidation, a key process in cellular aging. Omega-6 polyunsaturated oils, on the other hand, contribute to the production of free radicals, the by-products of oxidation – also the cause of the skin aging process. This would increase both wrinkling and the risk of developing skin and other cancers, including melanoma. Polyphenols, found in fresh fruits, vegetable and herbs can protect the body’s cells against the damaging effects of oxidative stress, a process by which oxygen-rich molecules can attack and destroy cells in much the same way as rust rots a car.
Therefore, it is beneficial to eat more olive oil (a monounsaturated) while avoiding omega-6 polyunsaturated oils, such as corn, canola, safflower and others. Included in this list of foods to avoid, are the trans fats, present in margarine, most baked goods, fried, processed foods, and sweets, which are oxidized polyunsaturates, making them even more detrimental. In certain studies they have been shown to block healthy Omega -3 fats. High trans-fats content may interfere with the hormonal pathways needed for healthy fat metabolism and preventing inflammation.

Consuming the omega-3s and avoiding unhealthy oils that block them will help the body absorb the vital lipids needed in the skin cells and improve the hormonal actions. Since skin aging is caused by hormonal shifts that occur naturally in the aging process, it’s best to eliminate the polyunsaturated and trans fats as much as possible.

Fish oils and fish are the purest sources of omega-3 fatty acids,which can increase the lipid content of your cells. These fats have been shown to improve psoriasis and other severe dry skin conditions. If you are pregnant or nursing, please be aware of the mercury content in your fish – which has been shown to cause detrimental effects to mothers, and young children, so supplements may be the best way of obtaining these fats vital to skin health.

Dry, sensitive, and wrinkled skin can also be helped with a diet rich in antioxidants obtained from fresh fruits and vegetables, such as spinach, kale, collard greens, turnips, romaine lettuce, broccoli, leeks, corn, peppers, peas, and mustard greens. Egg yolks and oranges contain the antioxidant lutein. Lutein is an important natural antioxidant that may help your eyes stay healthy while maintaining the health of your skin.
So, to recap your skin-healthy diet should include:
• Fats from whole foods-nuts, seeds, olives, and avocados
• A wide variety of whole plant foods
• Monounsaturated fats, such as olive or nut oils
• Good sources of omega3 oils (never heated) or in capsule form
• Moderate use of omega-6 oils (corn, safflower, canola and soy oils)
• Limited amounts of processed foods and deep-fried foods
• Pure sources of omega3 fats, including a source of essential fatty acids (EFA)

Dry skin recommendations and supplements that can help your skin

LIFESTYLE RECOMMENDATIONS

Dry skin responds best to climates with high humidity and hates cold, dry and windy climates. Indoor heating and air-conditioning can also be drying to skin. If you live in a dry climate, try to use a humidifier to add moisture to the air. There are many affordable varieties available on the market or for re-sale today.
Don’t steam facials because steaming is actually more drying than hydrating. Likewise, avoid steam rooms, swimming pools, chlorinated hot tubs and overly hot baths. Avoid those old-fashioned recommendations to put your face under a towel over a pot of boiling water. Not only will this lead to excessive drying, it can also cause broken capillaries or blood veins along the fragile skin of the cheeks and nose.

If your skin tends to be dry, and tight or wrinkled and sun spotted, avoid excessive sun, exposure or hot wax facial treatments, hair sprays and hair dyes that can dry your skin and provoke inflammation leading to dark spots.

Hormone replacement therapy can help to lessen skin dryness after Menopause though it will increase age spots due to new hormones stimulating pigment production. It may help prevent the wrinkles that quickly occur after menopause Consult with your doctor with your family health history to make an informed decision on HRT.