The Use of Face Masks and Atopic Dermatitis

How can I wear a mask and reduce exacerbation of my eczema?

While face masks are a crucial aspect in the fight against COVID-19, they are not suitable for everyone’s skin. Face masks increase warmth, increase perspiration, and create friction on the skin, making it more prone to irritation. Because masks contain relatively few substances, any sensitivity is most likely an irritant rather than an allergy.

Certain masks, however, have an adhesive strip around the nasal and cheek area, which can trigger allergic reactions in some individuals, and the metal wire that helps users to conform a mask to your face could be composed of nickel (a common contact allergen).

You might experience erythema (redness) and dryness where the mask covers your face, and if you have pre-existing skin conditions, such as facial eczema or acne, using the mask for an extended period of time would almost certainly enhance them. Giving treatment advice is challenging since everyone’s skin is so different. However, there are some easy requirements that everyone can employ to ensure minimal mask-induced skin issues.

Advice and Tips on managing skin issues in conjunction with the use of masks

• Clean the skin with a neutral eczema-friendly facial cleanser and pat it dry fully.
• Moisturise before and after applying your mask. Applying ointment emollients to the face right before putting on a covering should be avoided since they may increase the warmth of your face.
• Find a mask that fits you- The mask should not be so tight that it creates deep compaction (which may result in urticaria, or aka hives), and not too big and loose that it slips over your face and creates friction.
• When permitted, take mask breaks. Allow your skin to breathe. Dermatologists recommend a 15 minute break every 4 hours.
• Cotton masks are preferable because they are more breathable for the skin, whereas synthetic materials are more prone to irritating your skin. If you’re using a cloth mask, make sure to wash it after each use, ideally in lukewarm water with your favourite skin cleansing detergent. If it continues to aggravate, switch to a softer mask brand or kind. Placing gauze inside the mask can help relieve discomfort.
• Ear loops made of cloth are less prone to irritate the skin than elastic ones.
• After you remove your mask, use your cleanser to remove any dirt, perspiration, or other buildup from the day. Be sure to use warm water.
• Boost your usage of moisturiser, especially in the evening, when you may prefer an oilier kind, like an ointment.
• If all else fails, you may be able to ask your GP or dermatologist and acquire an exemption letter that explains why you are unable to wear a face mask due to your condition.