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How to prevent 'maskne' and other face mask skin issues, according to dermatologists

By Bethany Ao, The Philadelphia Inquirer on

Published in Fashion Daily News

Wearing masks to reduce the spread of coronavirus is still required in Pennsylvania and New Jersey for shoppers and workers at essential stores, but the practice has led to a new complaint - "maskne," breakouts caused by wearing a mask for long periods of time.

Part of the reason why people might get maskne is because the skin experiences a lot more friction than normal in the area that's covered, said Nazanin Saedi, director of Jefferson Laser Surgery and Cosmetic Dermatology Center.

"The real term is acne mechanica," she said. "You see it where there's constant rubbing on skin, like athletes who get acne from wearing helmets and pads. Similarly, masks create a moist environment where bacteria can grow. Normally the skin airs out on its own, but everything is building up under the mask."

Part of the problem is that the face is not used to having something cover the nose and mouth for long periods of time, said Carrie Kovarik, an associate professor of dermatology at the Hospital of the University of Pennsylvania. It's impossible to prevent irritants from building up in that area completely, she said, but putting away the concealer and foundation can provide some relief.

"A lot of people are still wearing makeup in that area," Kovarik said. "Usually makeup and skin oils have the chance to evaporate and slough off, but the mask clogs everything up. It creates a different environment in that area of skin."

Even though it may feel counterintuitive, Saedi said that people can actually worsen their breakouts by washing their face more often.


"When you overcompensate, you're stripping natural oils off your skin and making it more irritated," she said.

Saedi advised steering clear of harsh scrubs and toners, which do more harm than good, and using something more gentle, like CeraVe Hydrating Face Wash or Neutrogena Ultra Gentle Daily Cleanser. If your skin is acne-prone, she recommended using a cleanser with benzoyl peroxide, an ingredient that kills bacteria under the skin.

While surgical masks are better at protecting people from the coronavirus, they don't breathe as much as cloth masks. Kovarik said cloth masks are more beneficial for people dealing with skin issues because they don't create as humid of an environment.

"Cloth masks breathe a little more," she said. "Also they don't create as much friction as a surgical mask."


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