Combination Skin Causes and Care

It can be utterly frustrating to deal with combination skin; one day it is dry and tight, the next it is oily and blotchy. Seasonal weather changes only serve to make matters worse. Your skin can wrinkle in some areas and flake in others. If that’s the case, then you may have combination skin - varying skin conditions in different zones of the face. But not to worry; combination skin is quite common. In fact, more people have this skin type than any other.

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 Bilbao.

• 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.

Sun Safety for Skiers

Higher altitude means increased levels of harmful UV exposure compared to sea level areas. UV exposure increases 8-10 percent with every 1,000 feet above sea level.  At an altitude of 9-10,000 feet, UV may be 45-50 percent more intense than at sea level. In addition, snow reflects about 80 percent of the UV light from the sun, meaning that you are often hit by the same rays twice. This only contributes to the problem, further increasing the risk for skin cancer.

The combination of higher altitude and ultraviolet (UV) rays reflected by the snow puts skiers and snowboarders at an increased risk of sun damage and ultimately, skin cancer. More than 90 percent of all skin cancers are caused by sun exposure. It’s easy to associate winter with frostbite and windburn, but most people are unaware that UV rays can be even more damaging on the slopes than on the beach,it’s important to take proper precautions while on the slopes.

Both snow and strong wind can wear away sunscreen and reduce its effectiveness, so you have to take extra precautions. To protect your skin from the bitter cold, heavy winds and winter sun, follow these important sun protection tips:
•    Use a broad-spectrum sunscreen with an SPF of 15 or higher whenever you spend time outdoors. Apply 30 minutes before hitting the slopes.Be aware that the sun’s reflection off the snow is strong even on cloudy days.
•    Apply sunscreen liberally and evenly to all exposed skin - most skiers and snowboarders do not use enough sunscreen and therefore do not get the maximum protection.
•    Use a more moisturizing sunscreen. Winter conditions can be particularly harsh on the skin.
•    Be sure to cover often-missed spots: lips, ears, around eyes, neck, underside of chin, scalp and hands.
•    Always wear a lip balm with an SPF 15 or higher. Lips are even more sensitive than most parts of the skin.
•    Reapply at least every two hours, and more often after sweating or exposure to wind and snow.
•    Carry a travel-sized sunscreen and lip balm with you on the slopes. Reapply on the chairlift, especially after a long, snow-blown run.

Cover up.
•    Wear items like ski masks, which will cover most of the skin, leaving very little exposed to the wind and sun.
•    UV-blocking sunglasses or goggles that offer 100% UV protection and have wraparound or large frames protect your eyelids and the sensitive skin around your eyes, common sites for skin cancer and sun-induced aging. The sun’s rays and glare can impair your vision, so it’s important to wear sunglasses or goggles to clearly see the terrain. Plus, it will increase your enjoyment and performance while skiing.
Be mindful of time spent in the sun, regardless of the season.
•    Keep track of the time you spend in full sunlight. If possible, ski early in the morning and later on in the day, before 10AM and after 4PM. This helps avoid long lines and decreases the amount of time spent outdoors in the most intense hours of sunlight.
•    If you are on the slopes for most of the day, take a few breaks indoors to reapply sunscreen.
•    Drink plenty of water to avoid dehydration from the sun.
Enjoy the winter season, but be sure to take care of your skin to avoid the damage the cold season can cause. The first organization in the U.S committed to educating the public and medical professionals about sun safety, The Skin Cancer Foundation is still the only global organization solely devoted to the prevention, detection and treatment of skin cancer. The mission of the Foundation is to decrease the incidence of skin cancer through public and professional education and research.