Dr. Dray Backs Diaper-Rash Formulas to Restore Damaged Skin Barriers

Your Skin Barrier Is Damaged. Now What? | Dermatologist Explains — Dr Dray

Dr Dray

Heavily occlusive barrier balms halt acute water loss to repair damaged skin, but patients must apply them over prescription topicals at night to avoid blocking medication or degrading daytime sunscreen.

AI-assisted summary of Your Skin Barrier Is Damaged. Now What? | Dermatologist Explains — original source. Check the original for full context.

Source published:

Key ideas

  • Barrier creams differ fundamentally from standard moisturizers by deploying regulated skin protectants and dense occlusives that physically seal the skin, simultaneously stopping transepidermal water loss and blocking external irritants. (1:03)
  • Triple Paste's Eczema Care line combines colloidal oatmeal with 1% ectoin and zinc oxide; while highly effective in preventing flares in dry climates, the zinc oxide can cause temporary white streaking upon application. (4:22)
  • Medicated topicals like prescription corticosteroids must always be applied directly to bare skin before occlusive barrier creams, as heavy balms create an impermeable seal that blocks subsequent absorption. (10:06)
  • Over-cleansing compromises healing: patients recovering from a damaged skin barrier should limit washing to once daily in the evening, as nighttime barrier balms wear off naturally and do not require vigorous morning scrubbing. (11:41)

Detailed notes

## Background Published on YouTube on September 11, 2026, by dermatologist Dr. Dray, this video reviews the Triple Paste Eczema Care Flare-Up Balm and Daily Barrier Cream. The description outlines how barrier creams differ from standard moisturizers, why rich balms aid eczema and damaged barriers, how to layer these formulas into routines, and how they compare with options like Aveeno Eczema Therapy Balm and plain petroleum jelly.

## TL;DR Dr. Dray explains that dedicated barrier creams provide heavy occlusion and regulated skin protectants—such as colloidal oatmeal, ectoin, and zinc oxide—to block moisture loss and keep environmental irritants from penetrating compromised skin. She reviews Triple Paste's Flare-Up Balm and Daily Barrier Cream, sharing personal testing results, tips on managing the streaky zinc application, and how the cream preserved her skin barrier during a low-humidity road trip. She also outlines proper layering rules, warning against applying balms under sunscreen or over-cleansing in the morning, and noting that prescription topicals must go on bare skin first. Finally, she contrasts the products with Aveeno's ceramide balm and simple petroleum jelly, celebrating practical, unhyped solutions for both common eczema and rare dermatological conditions.

## Atmosphere & style The presentation is candid, educational, and grounded, combining sharp clinical knowledge with relatable personal anecdotes about dry legs, travel skincare, and the minor nuisance of rubbing in streaky zinc. Dr. Dray's delivery is reassuring and unpretentious, deliberately bypassing fleeting viral trends to validate viewers dealing with persistent, uncomfortable skin issues. The video feels like an honest, accessible consultation that normalizes heavy-duty ointments and fosters a supportive community for those managing chronic skin conditions.

## Bulletin - [01:03](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=63s) Barrier creams differ fundamentally from standard moisturizers by deploying regulated skin protectants and dense occlusives that physically seal the skin, simultaneously stopping transepidermal water loss and blocking external irritants. - [04:22](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=262s) Triple Paste's Eczema Care line combines colloidal oatmeal with 1% ectoin and zinc oxide; while highly effective in preventing flares in dry climates, the zinc oxide can cause temporary white streaking upon application. - [10:06](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=606s) Medicated topicals like prescription corticosteroids must always be applied directly to bare skin before occlusive barrier creams, as heavy balms create an impermeable seal that blocks subsequent absorption. - [11:41](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=701s) Over-cleansing compromises healing: patients recovering from a damaged skin barrier should limit washing to once daily in the evening, as nighttime barrier balms wear off naturally and do not require vigorous morning scrubbing.

## Key takeaways - [00:00](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=0s) Barrier creams and balms extend far beyond diaper rash and chronic eczema, functioning as therapeutic rescue treatments for windburn, chafing, winter dryness, and irritation from overused skincare actives. - [01:03](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=63s) Standard moisturizers rely on humectants and light emollients, whereas barrier creams prioritize heavy occlusion to halt transepidermal water loss and block allergens from penetrating raw, inflamed skin. - [01:03](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=63s) Over-the-counter products claiming therapeutic eczema relief are classified as OTC drugs in the United States and must disclose active protectants and concentrations on a standardized Drug Facts label. - [04:22](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=262s) Triple Paste Eczema Care Flare-Up Balm features 2% colloidal oatmeal, 1% ectoin, and zinc oxide in a rich base designed for acute, localized patches of raw or weeping skin. - [04:22](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=262s) Triple Paste Eczema Care Daily Barrier Cream uses 1% colloidal oatmeal with ectoin and zinc oxide in a more spreadable emulsion, making it better suited for full-body coverage than thick balms. - [07:01](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=421s) Zinc oxide provides physical barrier protection and soothing benefits, but it inherently produces a streaky white cast during application that takes time to sink in. - [10:06](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=606s) Prescription medications and hydrating serums must be applied before occlusive creams, because barrier products prevent topically layered active ingredients from reaching the skin. - [10:06](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=606s) Heavy barrier balms are poorly suited for morning wear under sunscreen, which requires clean, bare skin to form an even protective film, but excel at night when transepidermal water loss peaks. - [11:41](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=701s) Barrier balms do not need to be scrubbed off in the morning; people with impaired skin barriers generally heal faster by eliminating morning face washing to conserve natural lipids. - [13:09](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=789s) A damaged skin barrier significantly elevates the risk of allergic contact dermatitis, meaning even fragrance-free creams containing standard preservatives can potentially cause contact sensitization. - [13:09](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=789s) Plain petroleum jelly and mineral oil carry virtually zero risk of contact allergy, making them the safest and most economical occlusives for extremely compromised, reactive skin. - [15:38](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=938s) Aveeno Eczema Therapy Nighttime Itch Relief Balm offers a more economical per-ounce price point with ceramides, but carries a pronounced oat scent and omits the ectoin and zinc oxide found in Triple Paste. - [17:45](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1065s) Adult barrier repair shares the same physiological principles as treating infant diaper rash, relying on heavy-duty occlusion to protect compromised skin and allow endogenous healing.

## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=0s) Barrier Creams Beyond Eczema and Diaper Rash

Dr. Dray introduces the core subject by addressing a common misconception: while barrier creams are famous among parents dealing with diaper rash and individuals managing chronic eczema, their utility extends far beyond those specific conditions. Anyone navigating harsh, colder weather—where low humidity leaves the skin acutely vulnerable to dryness—can reap significant benefits from rich barrier creams and balms. They are equally suited for nursing a compromised skin barrier back to health after overusing harsh active skincare products, or recovering from environmental assaults such as windburn, chapping, chafing, and general minor skin irritations. Beyond acute rescue care, they can simply serve as deeply restorative everyday moisturizers.

To illustrate how these formulas work, Dr. Dray spotlights two sister products from Triple Paste: the **Eczema Care Flare-Up Balm** and the **Eczema Care Daily Barrier Cream**. Both formulations hinge on a trio of barrier-supportive ingredients—colloidal oatmeal, ectoin, and zinc oxide—designed to protect and rehabilitate impaired skin across a wide range of everyday scenarios.

---

[01:03](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=63s) How Barrier Creams Differ from Everyday Moisturizers

While everyday moisturizers and barrier products share the broad objective of keeping skin hydrated, their functional mechanisms diverge in terms of formulation intensity and level of occlusion. Standard moisturizers primarily focus on boosting the skin's water content by combining humectants (which grab and hold onto moisture within the stratum corneum) with light emollients and occlusives to slow down transepidermal water loss (TEWL). A dedicated barrier cream or balm performs these tasks as well, but dials the physical barrier function up to the absolute maximum.

```mermaid flowchart TD accTitle: Mechanism of Barrier Creams on Compromised Skin accDescr: Diagram illustrating how barrier creams provide dual-action protection against transepidermal water loss and external irritants.

subgraph BarrierAction["Topical Barrier Cream Layer"] OcclusiveShield["High Occlusion Film<br/>(Zinc Oxide, Dimethicone, Shea Butter)"] end

subgraph InternalBenefits["Skin Preservation"] TEWL["Blocks Transepidermal Water Loss (TEWL)"] Hydration["Hydrates & Calms<br/>(Colloidal Oatmeal, Ectoin, Glycerin)"] end

subgraph ExternalDefense["Environmental Defense"] Irritants["Blocks Penetration of:<br/>Allergens, Pathogens & Friction"] end

BarrierAction -->|"Locks In Moisture"| InternalBenefits BarrierAction -->|"Shields Surface"| ExternalDefense ```

Barrier products are concentrated with ingredients regulated as skin protectants at designated percentages that virtually seal the skin surface. This tight seal prevents water from evaporating into the air far more aggressively than any standard lotion could. Crucially, this robust shield works in both directions: while locking hydration inside, it also blocks external allergens, environmental irritants, and secondary skincare ingredients from penetrating the compromised tissue.

This dual-action protection is essential during an acute eczema flare-up, when the skin barrier is actively compromised—becoming "raw, red, rashy, oozy, weepy." In that vulnerable state, outside irritants easily penetrate and stoke the inflammatory fire, intensifying itch and delaying healing. While patients with atopic dermatitis constantly juggle this vulnerability, anyone suffering an accidental chemical burn or severe windburn faces the exact same biological breakdown.

In the United States, this distinction is governed by regulatory law. When an over-the-counter topical product makes therapeutic treatment claims—such as offering relief from minor skin irritation or eczema flares—it crosses over from a simple cosmetic moisturizer to an over-the-counter (OTC) drug. Under these guidelines, brands are legally mandated to display the active skin protectants and their exact percentages on a standardized Drug Facts label, providing consumers with absolute transparency about what is treating their skin.

---

[04:22](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=262s) Breaking Down the Flare-Up Balm and Daily Barrier Cream Formulas

When skin is impaired and hypersensitive, conventional lotions often cause an intense burning or stinging sensation upon application. Balms and rich creams, by contrast, are far less prone to stinging because they contain lower water ratios and rely on soothing, inert protectants.

The **Triple Paste Eczema Care Flare-Up Balm** is the richer, thicker offering of the two. Its designated active drug ingredient is **2% colloidal oatmeal**, a dermatological staple revered for its gentle nature and high tolerability. Unlike inert occlusives that merely sit atop the skin, colloidal oatmeal delivers active biological value through avenanthramides—potent anti-inflammatory polyphenolic compounds that actively calm irritation, curb itch, and provide deep hydration.

Alongside the oatmeal, the balm incorporates: - **1% Ectoin:** An extremolyte naturally produced by extremophilic bacteria to survive punishing, hostile environments. In skincare, ectoin is heavily researched for its capacity to stimulate the skin's endogenous barrier component production, mitigate oxidative stress, quiet inflammation, and bind hydration. - **Zinc Oxide:** A physical protectant that lays down a breathable protective film across compromised skin, guarding against moisture loss and friction. - **Supporting Emollients & Humectants:** A classic base of glycerin, dimethicone, and shea butter to soften dry, flaking skin, restore lipid flexibility, and expedite recovery.

The counterpart product, **Triple Paste Eczema Care Daily Barrier Cream**, mirrors the balm's ingredient profile almost entirely, featuring 1% ectoin and zinc oxide, but adjusts the active colloidal oatmeal content down to **1%**. Although formulated to be a touch more lightweight and spreadable, it remains a rich, protective emulsion rather than a runny, watery lotion.

| Feature | Triple Paste Eczema Care Flare-Up Balm | Triple Paste Eczema Care Daily Barrier Cream | |:--- |:--- |:--- | | **Active Protectant** | 2% Colloidal Oatmeal | 1% Colloidal Oatmeal | | **Key Bioactive** | 1% Ectoin | 1% Ectoin | | **Film-Forming Protectant** | Zinc Oxide | Zinc Oxide | | **Supporting Base** | Glycerin, Dimethicone, Shea Butter | Glycerin, Dimethicone, Shea Butter | | **Texture & Viscosity** | Very thick, concentrated balm | Slightly lighter, rich cream | | **Optimal Use Case** | Localized flare-ups, intensely raw spots, acute patches | Large-surface coverage (full legs, arms, entire body) |

Because of the high degree of formulation overlap, choosing between the two often comes down to the surface area you intend to cover. Smoothing a dense balm over full limbs can drag on tender skin, making the cream the more practical head-to-toe choice without sacrificing occlusion.

---

[07:01](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=421s) Personal Testing, the "Zinc Streak," and the Road Trip Test

Drawing on both her expertise as a dermatologist and her personal experience living with eczema, Dr. Dray shares her firsthand evaluation of testing both products over several months in preparation for the cold-weather season. In terms of overall efficacy, both formulations performed exceptionally well: they completely prevented eczema flares, kept itch at bay, and preserved skin suppleness.

However, she highlights an unavoidable sensory quirk tied to the zinc oxide: both products go on streaky. She compares applying them to the frustrating experience of painting your toenails with a streaky polish where you feel compelled to add coat after coat. With these topicals, however, extra layers are unnecessary—the stark white streaks naturally sink into the skin with a bit of patience, though Dr. Dray candidly admits that the rubbing and waiting "sometimes gets on my nerves."

To thoroughly assess longevity and hydration, Dr. Dray uses her legs as the ultimate proving ground. Because she wears shorts virtually all the time, her legs remain directly exposed to environmental air currents, making them quick to show dryness, ashiness, or moisture loss. Both formulas successfully kept her legs supple without showing any ashen discoloration as the day progressed.

She put the Daily Barrier Cream to the ultimate test during a multi-day road trip to an area with significantly lower humidity than the muggy, humid environment she lives in. For someone with eczema, transitioning abruptly to dry air usually triggers instantaneous skin tightness, visible dehydration fine lines around the eyes, and flaking. To test the cream's true resilience, she intentionally stripped her travel skincare down to the bare essentials: - Cleansing face strictly at night using **DHC Deep Cleansing Oil** followed by **Cetaphil Gentle Skin Cleanser**. - Applying daytime sunscreens. - Applying **Triple Paste Daily Barrier Cream** as her sole nighttime treatment—cutting out every supplemental serum and active, including niacinamide.

Despite the dry regional climate, her skin remained completely calm, hydrated, and "happy as a clam," without a single eczema flare-up or sign of barrier failure.

[09:33](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=573s) Real-World Performance in Dry Environments

Dr. Dray reflects on how well the barrier product held up under severe, moisture-depleting environmental conditions. The air was dry enough to leave the inside of her nose completely parched, yet the skin on her face and body remained completely calm and comfortable. In low-humidity settings, elevated transepidermal water loss normally triggers dryness and itching, which quickly leads to nighttime scratching and a full-blown eczema flare-up.

Using this product prevented that cycle entirely. It fulfilled its role as an effective skin protectant, keeping the skin moisturized without triggering adverse reactions such as heat rash—a common pitfall when applying heavier, occlusive balms.

[10:06](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=606s) Layering Barrier Creams: Prescriptions, Serums, and Sunscreen

For those new to the balm and barrier cream category, understanding how these formulations function is critical. Because they are designed to act as physical shields, they keep external irritants out, but they will also block any topical treatments applied on top of them. Anyone navigating an active eczema flare-up must apply prescribed medicated treatments, such as topical corticosteroids, directly to bare skin before sealing the area. The same rule applies to cosmetic serums and lightweight skincare products: active and hydrating layers must go on first so the barrier cream does not prevent their penetration.

```mermaid flowchart TD accTitle: Skincare and Medication Layering Order accDescr: Step-by-step sequence showing how to layer active treatments before applying an occlusive barrier balm. subgraph Treatment["Step 1: Bare Skin Application"] A["Active Treatments & Medicated Topicals<br/>(e.g., Topical Corticosteroids)"] B["Hydrating Serums & Lightweight Skincare"] end subgraph Occlusion["Step 2: Seal and Protect"] C["Occlusive Barrier Cream or Flare-Up Balm"] end A --> C B --> C ```

Daytime use presents practical challenges when pairing barrier products with sun protection. Sunscreens must be applied directly to clean, bare skin to form an effective, even protective film, and layering a heavy balm either under or over a sunscreen risks disrupting that protection. Sunscreens already provide moisturizing and barrier-supportive benefits during the day, meaning skin is not left unprotected.

Consequently, heavy balms and barrier creams are far better suited for evening routines. Transepidermal water loss naturally peaks at night, and eczema-related itching frequently surges, disrupting sleep. Applying rich balms immediately after evening bathing locks in hydration when skin vulnerability is at its highest.

- Medicated topical treatments (like topical steroids) must be applied directly to affected areas before any barrier balm. - Serums and lightweight skincare actives belong underneath occlusives. - Heavy barrier creams do not integrate smoothly with daytime sunscreens, which require bare-skin contact to form a uniform protective film. - The evening is the optimal time for balms due to elevated nocturnal water loss and nighttime itching.

[11:41](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=701s) Morning Cleansing and Skin Barrier Recovery

A common misconception among skincare users is the belief that occlusive balms must be scrubbed off the following morning before subsequent daytime actives can absorb. The barrier protection provided by balms wears off naturally overnight, allowing morning products to penetrate without requiring vigorous cleansing.

For individuals suffering from eczema or an impaired skin barrier, washing the skin multiple times a day is counterproductive. Dr. Dray emphasizes that backing off cleansing to just once a day—in the evening after the day has concluded—prevents stripping vulnerable skin. While individuals with very oily, resilient skin might tolerate twice-daily washing, someone dealing with stinging, burning, and barrier impairment actively sabotages recovery by over-cleansing in the morning. A gentle daily evening wash or bath is sufficient to cleanse the skin, and skipping the morning wash preserves natural lipids.

[13:09](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=789s) Fragrance-Free Claims, Contact Sensitization, and Petroleum Jelly

Dr. Dray addresses the marketing surrounding "hypoallergenic" and fragrance-free formulations. Fragrance remains the most prevalent allergen in skincare. Patients with atopic dermatitis or compromised barrier function have a significantly higher risk of developing contact sensitization. When the barrier is damaged, environmental molecules penetrate deeper, prompting the immune system to decide that an ingredient "gives me the ick" and mount an allergic response upon every subsequent exposure. This dynamic explains why patients with atopic dermatitis frequently suffer from secondary allergic contact dermatitis.

While choosing fragrance-free products bearing eczema certification seals reduces this risk, it does not guarantee that a product is incapable of provoking an allergic reaction. Emulsions and creams require preservation systems, and ingredients like phenoxyethanol—while essential for preventing bacterial contamination—can still trigger contact allergies in sensitized individuals.

For the lowest possible sensitization risk, Dr. Dray highlights plain petroleum jelly or plain mineral oil. These simple ointments provide maximum occlusive protection with virtually zero risk of contact allergy, making them among the safest and most economical solutions for severely compromised skin, even when compared to sophisticated barrier creams.

[15:38](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=938s) Product Comparison: Triple Paste vs. Aveeno Eczema Therapy Balm

When evaluating barrier treatments, formula differences and price points play a major role in choosing the right product. The Triple Paste Derma line offers targeted options at $14.99 each: the Eczema Care Flare-Up Balm comes in a 5 oz jar, while the Daily Barrier Cream is packaged in a 7 oz pump bottle.

| Product | Size | Approximate Price | Price per Ounce | Distinctive Key Ingredients | Notable Sensory Profile | |:--- |:--- |:--- |:--- |:--- |:--- | | **Triple Paste Eczema Care Flare-Up Balm** | 5 oz jar | $14.99 | ~$3.00 / oz | Colloidal oatmeal, ectoin, zinc oxide | Neutral scent profile | | **Triple Paste Eczema Care Daily Barrier Cream** | 7 oz pump | $14.99 | ~$2.14 / oz | Colloidal oatmeal, ectoin, zinc oxide | Neutral scent profile | | **Aveeno Eczema Therapy Nighttime Itch Relief Balm** | 11 oz jar | $19.97 | ~$1.82 / oz | Colloidal oatmeal, ceramide lipids | Distinct "oat forward aroma" |

Dr. Dray compares these to a longstanding favorite, the Aveeno Eczema Therapy Nighttime Itch Relief Balm (available in an identical formulation under the baby line). At $19.97 for an 11 oz jar, Aveeno works out to around $1.82 per ounce, making it notably more cost-effective than the Triple Paste balm.

Formulation differences distinguish the two: Aveeno relies on colloidal oatmeal paired with skin-identical ceramides, but omits the ectoin and zinc oxide found in Triple Paste. Scent also sets them apart. Aveeno carries a strong, natural "oat forward aroma" that some users dislike on their face, whereas the Triple Paste products remain neutral. Dr. Dray advises that if someone already uses and loves the Aveeno balm, there is no need to switch, but Triple Paste serves as an appealing alternative for those sensitive to oat odors or seeking zinc and ectoin.

[17:45](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1065s) Beyond Baby Diaper Rash: Heavy-Duty Winter Moisture

Both Triple Paste formulations serve as robust options for treating skin barrier impairment, dealing with harsh winter climates, or managing chronic eczema. Dr. Dray points out the brand's heritage: many adults remember the original Triple Cream diaper rash ointment used by their parents during infancy.

Diaper rash is fundamentally an acute skin barrier injury, and the same protective principles that soothe infant skin apply to adult barrier care. Utilizing rich barrier balms "above and beyond once we're potty trained" provides the heavy-duty occlusion required to curb transepidermal water loss and protect adult skin when everyday lotions fall short.

[18:44](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1124s) Embracing the Unhyped "Zebras" and Channel Community

Dr. Dray acknowledges that products like the Triple Paste barrier treatments are decidedly "not hyped products," meaning viewers are unlikely to see them constantly splashed across video thumbnails or trending social feeds. However, she emphasizes that this is precisely the purpose and character of her channel. Rather than chasing mainstream trends, she intentionally chooses to "step outside of the common" and investigate the "uncommon, the zebras"—the niche, unglamorous, or rarely discussed skin conditions that leave patients feeling isolated. She reassures her audience that anyone dealing with a stubborn condition who feels like "the only one on the planet with it" can likely find a dedicated video on her channel, where they can learn far more about it than they ever expected.

She also celebrates the communal comfort of the channel, noting that the comment sections allow viewers to discover and interact with others who share the exact same struggles. She points out specific conditions she has covered in the past, noting that whether someone is researching cutaneous amyloidosis or dealing with the relentless itch of Grover's disease ("itching and a grinning, not"), there is an educational resource and an active community waiting for them.

Wrapping up, Dr. Dray invites viewers to drop a comment outlining the current state of their skin barrier, explaining that their feedback directly informs what topics she prioritizes so her videos remain as useful as possible. She closes with her trademark send-off:

- **Audience engagement:** Viewers are asked to share their current skin barrier struggles to help guide future educational topics. - **Rare conditions referenced:** Amyloidosis and Grover's disease serve as prime examples of the medical "zebras" she routinely tackles. - **Signature sign-off:** A quick reminder to like, share, and "sunscreen and subscribe."

## Notable quotes > [01:03](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=63s) raw, red, rashy, oozy, weepy — Dr. Dray

> [07:01](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=421s) sometimes gets on my nerves — Dr. Dray

> [07:01](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=421s) happy as a clam — Dr. Dray

> [13:09](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=789s) gives me the ick — Dr. Dray

> [15:38](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=938s) oat forward aroma — Dr. Dray

> [17:45](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1065s) above and beyond once we're potty trained — Dr. Dray

> [18:44](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1124s) not hyped products — Dr. Dray

> [18:44](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1124s) step outside of the common — Dr. Dray

> [18:44](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1124s) uncommon, the zebras — Dr. Dray

> [18:44](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1124s) the only one on the planet with it — Dr. Dray

> [18:44](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1124s) itching and a grinning, not — Dr. Dray

> [18:44](https://www.youtube.com/watch?v=-TR0sfGzoY0&t=1124s) sunscreen and subscribe — Dr. Dray

## Mentioned Dr. Dray, Triple Paste, Triple Paste Eczema Care Flare-Up Balm, Triple Paste Eczema Care Daily Barrier Cream, Triple Cream, Aveeno, Aveeno Eczema Therapy Nighttime Itch Relief Balm, DHC Deep Cleansing Oil, Cetaphil Gentle Skin Cleanser, Colloidal oatmeal, Ectoin, Zinc oxide, Glycerin, Dimethicone, Shea butter, Petroleum jelly, Mineral oil, Cutaneous amyloidosis, Grover's disease

## Video description Dermatologist Dr. Dray reviews the Triple Paste Eczema Care Flare-Up Balm and Triple Paste Eczema Care Daily Barrier Cream, two barrier products formulated with ingredients including colloidal oatmeal, ectoin, zinc oxide, glycerin, shea butter, and dimethicone.

In this review, Dr. Dray explains how barrier creams differ from everyday moisturizers, why rich balms can be helpful for eczema, dry skin, irritated skin, chafing, windburn, and an impaired skin barrier, and how to incorporate these products into a skincare routine.

She also compares the Triple Paste balm and cream, discusses her personal experience using both products, reviews their textures and ingredients, and compares them with Aveeno Eczema Therapy Nighttime Itch Relief Balm and simpler options such as plain petroleum jelly.

Products discussed Triple Paste Derma Eczema Rescue Balm https://amzlink.to/az0tPjk8GwYYM Triple Paste Derma Eczema Barrier Cream https://amzlink.to/az0a7uwE88jn6 Aveeno Eczema Therapy Nighttime Itch Relief Balm https://amzlink.to/az07PeP8POnu7

In this video

0:00 Introduction 1:03 Barrier creams vs. everyday moisturizers 3:56 Why a balm can feel better on irritated skin 4:22 Triple Paste Eczema Care Flare-Up Balm 5:51 Triple Paste Eczema Care Daily Barrier Cream 7:01 Dr. Dray's experience using both products 10:05 How to use barrier creams with prescription medications and skincare 11:41 Why people with eczema may not need to cleanse twice a day 13:09 Fragrance free products and contact allergies 15:38 Triple Paste vs. Aveeno Eczema Therapy Balm 17:45 Final thoughts

Key ingredients discussed: colloidal oatmeal, ectoin, zinc oxide, glycerin, shea butter, dimethicone

Dr. Dray also discusses why prescription eczema treatments should generally be applied before an occlusive barrier cream, why sunscreen should be applied to bare skin as the final morning skincare step, and why people with eczema or very dry skin may benefit from cleansing less frequently.

This video is for educational purposes and is not a substitute for individualized medical advice from a dermatologist or other qualified healthcare professional.

#Eczema #EczemaSkincare #SkinBarrier #BarrierCream #DrySkin #ColloidalOatmeal #TriplePaste #Dermatologist #DrDray #Skincare

FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links.

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

[Source](https://www.youtube.com/watch?v=-TR0sfGzoY0)

中文简报

Dr. Dray支持使用护臀霜配方修复受损皮肤屏障 强封闭性屏障膏可通过遏制急性水分流失来修复受损肌肤,但患者须在夜间将其涂抹于处方外用药之上,以免阻碍药物吸收或影响日间防晒效果。 Dr. Dray阐明,真正的屏障霜属于受监管的强效皮肤保护剂,旨在保护敏感肌肤免受外界刺激物侵害,并大幅遏制夜间经表皮水分流失。在评估Triple Paste的Flare-Up Balm和Daily Barrier Cream时,她强调了抗炎胶态燕麦、极端微生物保护成分四氢嘧啶(ectoin)以及保护性氧化锌在湿疹急性发作期的治疗价值。她详细说明了护肤流程的核心先后顺序,建议观众将处方外用药直接涂抹在未打底的皮肤上,再覆盖封闭剂;将厚重的膏体留在晚间使用,以免影响早间防晒霜的涂抹;并将洁面频率降至每日一次,以保留修护性脂质。最后,她将这两种配方与Aveeno Eczema Therapy Balm及纯凡士林等经典开架替代品进行了对比,权衡了价格、肤感和接触性过敏风险方面的取舍。 真正的屏障霜在美国属于非处方药产品,使用受监管的皮肤保护成分来建立抵御经表皮水分流失(TEWL)和环境刺激物的厚重物理屏障,而不仅仅是像日常保湿霜那样单纯补水。 (0:00) Triple Paste的Eczema Care系列将胶态燕麦与1%四氢嘧啶、氧化锌、甘油、聚二甲基硅氧烷和乳木果油结合,在极低刺痛风险下平息炎症并加速屏障恢复。 (3:56) 处方湿疹药物和水基精华必须在封闭性屏障霜之前涂抹,因为若先涂抹厚重的膏体,会阻碍活性成分的渗透吸收。 (10:05) 屏障膏最适合在夜间使用,因为经表皮水分流失和瘙痒在睡眠期间达到峰值,而日间使用则可能破坏日常防晒霜的保护膜。 (11:41) 虽然Aveeno Eczema Therapy Balm按每盎司单价计算仍更具性价比,但Triple Paste具有更中性的气味,避开了Aveeno明显的浓重燕麦味。 (15:38)

Reading summary

Dermatologist Dr. Dray explains that barrier creams and balms provide heavy-duty occlusion essential for rehabilitating skin damaged by harsh weather, overused actives, or chronic eczema. Unlike standard lotions, these formulations actively seal the stratum corneum to halt transepidermal water loss and block external irritants while underlying tissue recovers. How Barrier Protectants Differ From Standard Moisturizers (1:03) Standard daily moisturizers focus primarily on boosting hydration by pairing humectants with light emollients to slow water evaporation. In contrast, dedicated barrier creams maximize physical occlusion through regulated skin protectants. Dr. Dray explains that an impaired barrier—whether raw from eczema, windburn, or chemical irritation—becomes bi-directionally compromised: it loses vital moisture while allowing pathogens, environmental allergens, and cosmetic actives to penetrate, triggering secondary inflammation and itch. In the United States, topicals that claim therapeutic relief for conditions like eczema or skin irritation are legally classified as over-the-counter (OTC) drugs rather than cosmetics. This classification requires manufacturers to display active protectants and their exact percentages on a standardized Drug Facts label, giving consumers regulatory clarity regarding the formulation's therapeutic strength. Active Components: Colloidal Oatmeal, Ectoin, and Zinc (4:22) Analyzing Triple Paste's formulations, Dr. Dray highlights three central barrier-repair ingredients: colloidal oatmeal, ectoin, and zinc oxide. Colloidal oatmeal (used at 2% in the Flare-Up Balm and 1% in the Daily Barrier Cream) delivers avenanthramides, which are anti-inflammatory polyphenols that actively soothe itch. The 1% ectoin acts as an extremolyte to stimulate natural barrier components and mitigate oxidative stress, while zinc oxide forms a breathable, protective physical film against friction and moisture loss. These products use inert, low-water bases containing glycerin, dimethicone, and shea butter, avoiding the stinging sensations that water-heavy lotions frequently cause on raw skin. The concentrated balm suits localized, weeping patches, whereas the lighter cream allows spreading across large body areas. Dr. Dray notes a minor cosmetic drawback: zinc oxide produces visible white streaks upon application that require patience to absorb rather than repeated rubbing. Routine Integration: Layering Order and Evening Cleansing (10:06) Because occlusive balms function as physical shields, they prevent subsequent products from penetrating the skin. Dr. Dray advises that medicated topicals, such as prescribed corticosteroids, as well as lightweight serums must be applied directly to bare skin before sealing the area with a barrier balm. Furthermore, heavy barrier creams generally should not be layered with daytime sunscreens, as sunscreens require clean contact with the skin to form an uninterrupted protective film. Evening application is most effective because transepidermal water loss and eczema-related itching naturally peak overnight. Dr. Dray clarifies that balms wear off naturally by morning and do not need to be scrubbed away. For individuals nursing a damaged barrier, she recommends washing the skin only once per day—in the evening—warning that morning cleansing unnecessarily strips fragile lipids and sabotages recovery. Contact Sensitization Risks and Cost Comparisons (13:09) Compromised skin carries an elevated risk of developing allergic contact dermatitis because foreign molecules bypass the damaged surface and reach immune cells. While fragrance-free labels reduce this risk, Dr. Dray cautions that essential preservatives like phenoxyethanol can still trigger reactions in sensitized skin. For individuals experiencing severe sensitivity, plain petroleum jelly or mineral oil offers comparable occlusive protection with virtually zero risk of contact allergy. When evaluating over-the-counter alternatives, Dr. Dray contrasts Triple Paste ($14.99 for 5 oz or 7 oz, ranging from approximately $2.14 to $3.00 per ounce) with Aveeno Eczema Therapy Nighttime Itch Relief Balm ($19.97 for 11 oz, or roughly $1.82 per ounce). While Aveeno is more economical and pairs colloidal oatmeal with ceramides, it lacks ectoin and zinc oxide, and features a distinct natural oat scent that some users find off-putting on the face. Dr. Dray emphasizes that while barrier balms lack the cosmetic elegance of lightweight lotions and often go on streaky, their intensive occlusive shielding is clinically necessary to break the cycle of nighttime itch and barrier breakdown. For consumers navigating skin damage, choosing between specialized barrier creams and simple petroleum ointments largely depends on individual sensitivities to preservatives, textural preferences, and budget.

Source quotes

[1:03] Dr. Dray: raw, red, rashy, oozy, weepy [7:01] Dr. Dray: sometimes gets on my nerves [7:01] Dr. Dray: happy as a clam [13:09] Dr. Dray: gives me the ick [15:38] Dr. Dray: oat forward aroma [17:45] Dr. Dray: above and beyond once we're potty trained [18:44] Dr. Dray: not hyped products [18:44] Dr. Dray: step outside of the common [18:44] Dr. Dray: uncommon, the zebras [18:44] Dr. Dray: the only one on the planet with it [18:44] Dr. Dray: itching and a grinning, not [18:44] Dr. Dray: sunscreen and subscribe

Original transcript

[0:00] Well, hey guys. Welcome back. If you're [0:01] new here, I'm Dr. Dre. I'm a [0:03] board-certified dermatologist. Now, if [0:05] you have eczema, there's a good chance [0:06] you've heard of a barrier cream at some [0:08] point. And if you have a baby who has [0:10] diaper rash, you've probably been [0:12] advised to use a barrier cream. But I [0:14] want to start this video out by pointing [0:16] out that barrier creams, they're not [0:18] just for eczema. They're not just for [0:20] diaper rash. If you don't have these [0:22] conditions, you can still benefit from [0:24] the use of a barrier cream. Barrier [0:26] creams and balms can be very useful for [0:28] just colder weather when the skin is a [0:30] lot more vulnerable to dryness as well [0:32] as impaired skin related to overuse of [0:35] skin care products or environmental [0:37] exposures, windburn, chapped skin, [0:40] chafing, minor skin irritations. That's [0:43] what they're intended to correct. You [0:44] can also just use them to moisturize [0:47] your skin. Today I'm going to be [0:48] reviewing two very similar products from [0:50] the brand Triple Pace. their eczema care [0:53] flare up balm and their eczema care [0:55] daily barrier cream. These contain some [0:57] interesting ingredients like colloidal [0:59] oatmeal, ectoin and zinc that can help [1:01] your skin barrier in a variety of [1:02] circumstances. What exactly is a barrier [1:05] cream? Many products are marketed as [1:07] moisturizers and most moisturizers are [1:10] really just intended to improve the [1:11] water content in the skin, reduce [1:13] transepidermal water loss as part of how [1:15] they do that as well as hold on to water [1:18] there through the use of things like [1:20] hctants. With a barrier product, yes, [1:23] those same things are happening, but the [1:25] main difference is in the overall [1:28] occlusion that the product is offering [1:30] the skin. And what I mean by that is a [1:32] barrier cream, sometimes called balms, [1:34] just to make it even more confusing, [1:36] contains ingredients that are classified [1:38] as skin protectants in a percentage [1:41] overall that makes a product well [1:44] maximally reduce transepidermal water [1:46] loss. Like it is not allowing that water [1:49] to escape even to the same extent that [1:51] maybe some might escape from just a [1:53] basic lightweight lotion or moisturizer. [1:55] Furthermore, skin protectants also [1:59] create this protective barrier on the [2:01] surface that limits the penetration of [2:04] anything that you put on top like a skin [2:06] care product or allergens from your [2:09] environment for example. And this is [2:11] really ideal for someone with eczema who [2:14] is in the midst of an acute flare up [2:16] where the skin becomes raw, red, rashy, [2:19] oozy, weepy. things are going to get in [2:22] much more readily in that scenario, [2:23] irritate the eczema, flare it even more, [2:26] cause itch. Not to mention, these [2:28] patients have an impaired barrier. [2:30] They're losing a lot of water. And so, [2:32] we need a strategy to maximally lock it [2:34] in and really help begin to facilitate [2:37] barrier recovery. Again, you can find [2:39] yourself in a very similar situation [2:41] without having eczema. So, it's not [2:43] unique to eczema. It's just something [2:45] that people who have the type of eczema [2:47] attopic dermatitis constantly have to [2:49] just be mindful of, aware of, and [2:51] managing. So, that's really where these [2:54] rich balms/ barrier creams formulated [2:57] with skin protectants come into play. [3:00] And a clue that that's what you're [3:02] dealing with, at least here in the [3:03] United States, due to how we label [3:05] things, is that these become classified [3:08] not as skin care products per se, but [3:10] rather over-the-counter medications. And [3:12] therefore they have to tell you [3:14] something pretty specific. What is the [3:17] skin protectant and its overall [3:19] percentage? It will be called out [3:20] separately on the ingredient list as the [3:23] active ingredient. That's not to say [3:24] that if you choose a regular moisturizer [3:27] that happens to have these ingredients [3:28] in it that are not called out that way [3:31] that it couldn't maximally protect your [3:33] skin from transepidermal water or loss [3:35] and or that it will. But if something is [3:37] going to start making treatment claims [3:40] as a skin protectant, such as relief [3:42] from minor skin irritations, well then [3:45] our labeling laws require them to be a [3:48] lot more transparent as far as what it [3:51] is that you are dealing with. So that's [3:52] kind of where the rubber meets the road [3:54] as far as how to tell what you're [3:56] dealing with. Oftent times barrier [3:58] creams/balms, [4:00] they feel a lot better on impaired skin. [4:03] Impaired skin is going to be a scenario [4:06] where you have enhanced penetration of [4:07] things that ordinarily maybe didn't [4:09] bother you or do bother you and now [4:11] they're getting in even more readily. [4:13] Therefore, you will experience symptoms [4:15] of sensitivity. The nice thing about [4:17] balms and creams is that they tend to be [4:20] less inclined to stink. Starting with [4:23] the triple paste flare up balm. This is [4:25] the thicker of the two products and the [4:28] skin protectant active ingredient is 2% [4:31] colloidal oatmeal and it's commonly used [4:34] for patients with eczema. It tends to be [4:36] very well tolerated again low risk of [4:39] stinging and as an ingredient it does a [4:41] bit more compared to just protecting the [4:43] skin in that it has compounds called [4:46] aanthramides which are anti-inflammatory [4:48] and they actively soothe the skin. This [4:50] is in contrast to many other skin [4:52] protectants which really just are [4:54] sitting there on the skin and not [4:56] necessarily offering that active [4:58] treatment aspect. Colloidal oatmeal it [5:00] does plus it's very hydrating as well. [5:02] So it does a few things for impaired [5:05] skin of benefit. The product also [5:08] contains 1% ectoin an ingredient we're [5:10] seeing a lot more these days in skincare [5:12] products. It's actually an extremely [5:14] something that bacteria make to allow [5:16] them to survive harsh conditions. It's [5:18] being studied for its ability to help [5:20] the skin in terms of barrier component [5:23] production as well as reducing [5:25] inflammation and oxidative stress. It's [5:27] a very hydrating ingredient. And then we [5:29] have zinc oxide does create this film on [5:32] the skin. It will protect against [5:34] transepidermal water loss. And then [5:35] there are a couple of other ingredients [5:37] that you guys are already familiar with. [5:39] If you've ever looked at the ingredient [5:40] list on any moisturizer, they commonly [5:42] make an appearance. glycerin, [5:43] dimethylone, and shea butter, as well as [5:46] some other emollient altogether soften [5:48] dry, flaky skin and help aid in barrier [5:51] recovery. The triple paste daily barrier [5:53] cream, however, this is uh, you know, [5:55] kind of interesting because honestly, [5:57] these two products, they're very, very [5:59] similar. You'd think that the cream [6:00] would be significantly more lightweight [6:02] than the balm, and yes, to a certain [6:04] extent, it is. It has 1% colloidal [6:07] oatmeal as opposed to 2% colloidal [6:09] oatmeal in the balm. 1% ectoin as well [6:12] as that zinc oxide. So very similar [6:16] overall ingredients. Texture is very [6:18] similar, just a touch more lightweight [6:20] in comparison to the balm. I think that [6:24] the cream is going to be one where if [6:27] you have large areas like your entire [6:29] leg, your entire arm, your whole body, [6:31] you want this to be something that you [6:32] use from head to toe. you're probably [6:34] just going to have an easier time using [6:36] the cream compared to the balm because [6:38] it spreads a little bit more readily on [6:40] the skin given it's a touch thinner, but [6:43] it's not thin, it's not watery, and it [6:45] does create that protective film. So, in [6:47] other words, you'll get the occlusion [6:49] you want from the cream, but you will [6:51] have a product that may be a little [6:53] easier to spread. There's honestly a lot [6:55] of overlap between the two products. [6:57] Ultimately, a lot of it will come down [6:59] to personal preference which one you [7:01] want. Let me tell you though about my [7:02] personal experience using these. [7:04] Remember, I'm a dermatologist. I test [7:06] out a lot of skininc care products and I [7:08] have eczema. I've been using these for [7:10] many months now. In anticipation of the [7:12] colder months approaching fast and [7:14] furious, they both feel pretty similar [7:17] to me on my skin. Spread pretty easily. [7:20] They go on streaky though. If you've [7:22] ever used a product that has zinc oxide [7:24] in it, you're kind of familiar with this [7:26] experience. those white streaks like [7:28] you're trying to paint your toenails and [7:30] you're getting a lot of streaks. You got [7:32] to do multiple coats. You don't need to [7:33] do multiple coats. Those streaks do sink [7:36] down. But it is kind of patients thing [7:39] and maybe you just don't like that. [7:40] Sometimes it gets on my nerves. Whether [7:42] it be the cream or the balm, they both [7:44] left my skin moisturized, hydrated, free [7:47] of symptoms of itch. I didn't experience [7:50] any flare-ups while using these and they [7:52] were great. You know, when I put [7:54] moisturizers and balms and creams [7:55] through the test, I do use them on my [7:57] face, see how that performs, but I also [8:00] am really paying close attention to my [8:02] legs because I wear shorts uh pretty [8:05] much all the time. And the legs are kind [8:07] of a good indicator for me as to the [8:09] performance of a moisturizer as far as [8:11] longevity of hydration and barrier [8:13] protection because, you know, with [8:15] wearing shorts, they're just a lot more [8:17] exposed, more inclined to lose water. [8:19] And I can see easily if my legs are [8:22] looking a little dry, a little ashen, at [8:24] what point in the day that's happening. [8:25] But I took the cream with me on a little [8:28] trip I recently went on for a couple of [8:30] days. I didn't have to travel there by [8:32] plane, so I didn't have to worry about [8:33] TSA and all that. But let me tell you, I [8:36] I like to if I'm going to just be gone [8:38] for a couple of days, I don't I'm not [8:39] going to travel with serums and stuff [8:41] like that. Okay? This environment in [8:43] particular is a region that is [8:46] significantly significantly drier than [8:49] where I live. Okay, keep that in mind. I [8:51] live in a very humid climate. Anytime I [8:53] go somewhere that is normal to dry as [8:57] far as the the humidity, I feel it right [9:00] away in my skin. It gets dry, it gets [9:02] tight. I see little fine lines around my [9:04] eyes. I mean, it is telltale. So, the [9:06] skincare routine I took was just the DHC [9:09] cleansing oil and the Cetaphil gentle uh [9:11] skin cleanser to wash my face at the end [9:13] of the day only. I did use a variety of [9:16] sunscreens. You guys know me. The only [9:18] other product that I used was this cream [9:21] at night time. I didn't use any serums, [9:24] no niainamide, nothing. Okay, just this. [9:28] And my skin was happy as a clamp. [9:30] Moisturized, no flare-ups with the dry [9:33] environment, which definitely affected [9:35] me because inside of my nose, it was dry [9:38] as can be. But the skin on my face, my [9:41] body happy as can be. So, we know it was [9:43] dry there. Body reacted to it, but my [9:45] skin was just fine. No itch. You lose [9:48] water more, you get dry, you get itchy, [9:50] you start scratching in your sleep, and [9:52] next thing you know, you're in the midst [9:54] of the flare up. It didn't happen using [9:56] this. It did what it needed to do for [9:58] me. It acted as a skin protectant. It [10:00] moisturized my face. Didn't give me any [10:02] kind of heat rash, which can happen with [10:04] heavier products. Nothing like that. [10:06] Here's an important point though as far [10:08] as using products like this. If [10:09] especially if you're new to using the [10:11] balm barrier cream category, that [10:13] remember these are intended as skin [10:15] protectants. They help to keep stuff [10:17] out, which is great except the stuff you [10:19] want to get in. So, if you are in the [10:21] midst, for example, of an active eczema [10:23] flare up and you've been prescribed [10:25] medicated treatment to apply like a [10:27] topical steroid, you're going to want to [10:29] apply those first, okay? You're going to [10:31] want to apply those directly to the [10:34] eczema skin. You're not going to want to [10:36] put this on first or anything like that [10:39] because this will keep those things out. [10:40] Likewise, if you are using serums and [10:43] things like that, which you can use with [10:44] this, put those on first. Okay? Your [10:46] skin care products go on first. Here's [10:49] where balms and barrier creams get a [10:51] little tricky. A lot of times people are [10:53] dealing with these things during the the [10:55] day and they want to use stuff like [10:56] this. It doesn't play during the day [10:58] with sunscreen, okay? Because sunscreen [11:00] always goes onto a bare face. It's not [11:02] clear if putting a balm on over or a [11:05] barrier cream on over sunscreen. What [11:07] that does to the sun protection, but [11:09] I'll remind you that sunscreens are [11:11] moisturizers. They help with barrier [11:13] needs as well. Okay? So, it's not like [11:15] you're not getting any barrier stuff [11:17] during the day with sunscreen. Yeah, [11:19] that's where it becomes tricky when you [11:21] use these. They're sounding like to you [11:23] at this point. Probably things you're [11:25] going to be using in your nighttime [11:26] routine. Remember, at night, our skin [11:28] loses more water anyway. Leaning into [11:30] the barrier products is good. If you [11:31] have eczema, [clears throat] it tends to [11:33] get worse at night. The itch really [11:34] rears its ugly head. It keeps you up all [11:36] night. These are products to use to [11:38] clean skin after bathing to really lock [11:41] in that hydration. But the following [11:43] morning, you do not need to wash these [11:46] off the skin in order for stuff that you [11:48] then apply to start penetrating. Okay? [11:51] The barrier protective properties of [11:53] these, they don't last indefinitely. The [11:56] following morning, stuff will start [11:57] getting in again. I point that out [11:59] because for people with eczema in [12:01] particular, as well as many of you out [12:03] there who are at least temporarily going [12:06] through some kind of barrier impairment [12:08] of your skin, generally it is beneficial [12:11] to back down on the frequency of [12:13] cleansing to just once a day at [12:15] nighttime at the end of the day away [12:17] from the typical washing your face, not [12:20] just at night time, but in the morning. [12:21] Okay? So, most people with eczema, if [12:23] they're in the middle of the flare up, [12:24] it's a good idea to limit the number of [12:27] times you wash your face or your body [12:29] bathing. You still need to do it. You [12:31] still need to do it ideally every day. [12:33] Many do. Um, and that's what's [12:34] recommended, but you don't need to do it [12:36] multiple times a day, and doing so can [12:39] actively sabotage the barrier recovery [12:41] process. Okay? So, keep that in mind. [12:43] You don't need to wash these off. You [12:45] don't need to do that second cleanse. [12:46] And that's important for people who are [12:49] in the midst of an impaired barrier. If [12:51] you have really oily skin, you're like, [12:52] "Why on earth would I ever not wash my [12:54] face twice a day?" Well, if you're not [12:56] dealing with an impaired barrier, [12:58] sensitivity, stinging, burning, you're [13:00] you're fine to wash your face twice a [13:02] day. But you don't have to wash the [13:04] product off the following morning in [13:06] order for your activives to then begin [13:08] penetrating your skin. Okay? Just to [13:09] make that clear. Here's the other thing [13:11] I want to point out is the [13:12] hypoallergenic kind of marketing. Okay? [13:15] Cuz this is a fragrance-free product, [13:16] which is great. Why is it great? Um, I [13:18] want to smell like lavender, right? [13:20] Fragrance is the most common allergen in [13:23] skinincare products. Patients who have [13:25] attopic dermatitis or in scenarios where [13:28] the barrier is impaired. That is a [13:30] situation where you increase your [13:32] likelihood of developing what's called [13:35] contact sensitization. The first step in [13:38] becoming allergic to a skin care [13:40] ingredient is your immune system being [13:41] like, "Nope, no more. We're done. That [13:44] thing gives me the ick. I'm going to [13:45] react to it every time I see it." You [13:47] are now allergic. You're more inclined [13:49] for that to happen if you have eczema in [13:52] general. If you're in the midst of a [13:53] flare up, definitely because remember [13:54] more of the stuff's getting in, your [13:56] immune system's all trying to cope with [13:59] everything. It's just a situation where [14:01] contact sensitization dances on in. And [14:04] that's why patients with attopic [14:05] dermatitis also often have another type [14:07] of eczema called contact dermatitis [14:10] because they've developed an allergy to [14:11] an ingredient. And fragrance is the most [14:13] common. So, it's great that products [14:15] marketed for people with impaired skin, [14:17] eczema, are fragrance-free. However, you [14:20] can become allergic to anything as well. [14:22] That just happens to be the most common. [14:24] But there are many other ingredients in [14:26] these products. We've talked about some [14:28] of them. These have preservatives in [14:29] them. They've got phoxy ethanol. Great [14:31] to keep the bacteria and stuff out, but [14:33] you can become allergic to it. Okay? So, [14:35] just because it's fragrance-free, just [14:37] because it's got the eczema seal of [14:39] approval on it, does not mean that it is [14:41] truly allergy free or allergy proof or [14:45] no allergy. There's almost no such thing [14:48] except except the product that I often [14:51] recommend in these situations for this [14:53] specific reason, plain petroleum jelly [14:56] or plain mineral oil. Petroleum jelly, [14:59] mineral oil. These are skin protectants, [15:01] barrier products, if you will, with very [15:04] very low low low low low low to no risk. [15:09] I want to say no risk cuz there are some [15:11] people who pop up as exceptions of [15:14] contact sensitization. In other words, [15:16] those are the safest things to put on [15:18] your skin when it's impaired. Um or in [15:20] general. Okay. In general, they're like [15:22] the safest things. Um, so that would be [15:25] why those, yeah, real cheap things, less [15:27] expensive, are actually in many [15:29] [clears throat] cases preferable to [15:31] something like this. Both can work just [15:32] as well. But one of them has a little [15:35] bit more risk with it and of course is [15:37] more expensive. Go figure. Speaking of [15:39] which, how much do these bad boys cost? [15:41] As of the time of the filming of the [15:43] video, they're both $14.99. [15:45] So the Flare Up Balm comes in a 5 oz jar [15:48] and the barrier cream in a 7 oz pump [15:50] bottle. So, I don't think that that's a [15:52] huge cost per unit. But, but those of [15:55] you who have been around a while, you [15:57] know, some of my eczema favorites, other [15:59] barrier creams and balms, these aren't [16:01] the first ones I'm talking about on [16:02] here, okay? But some of you guys showed [16:04] up yesterday and you're like, I'm new [16:06] here. Where's my name tag? Okay, come on [16:08] in. This is not the first barrier cream [16:11] rodeo one that I often recommend. Love [16:14] used in very much the same manner. Face, [16:17] body, head to toe, zero problems. The [16:20] Aino Eczema Therapy Nighttime Itch [16:22] Relief Body Balm. You want a cuter [16:24] package? They've got the same product [16:26] marketed for babies. Okay, baby. Adult [16:29] one. Same thing. Do the same thing. Work [16:32] just as well. Okay. But the Aino Eczema [16:34] Therapy Nighttime Itch Relief Body Balm. [16:36] As of the filming of this video, you get [16:38] an 11 oz jar for $19.97, [16:42] which works out to $1.82ish [16:45] per ounce. So, a little bit cheaper than [16:48] the cream and quite kind of quite a bit [16:51] cheaper than the balm. Okay. Not a huge [16:53] huge huge difference. Notable [16:55] nonetheless. Okay. Well, the Aino [16:57] product does not have ectoin in it and [17:00] it does not have the zinc oxide. [17:01] Instead, yes, it's got the colloidal [17:03] oatmeal. It also has a ceramide lipids [17:06] naturally found in your skin. So, a [17:07] little different. If you want details on [17:09] that, check out my prior review. But, I [17:12] still recommend that product. And you [17:13] may be wondering like, I've been using [17:15] that, loving it, getting along well with [17:16] it, and I see it's a little less [17:18] expensive than this new product you're [17:19] talking about. Stick with that. If this [17:21] doesn't peak your fancy, okay, that [17:23] works. Don't need to fix it. The other [17:25] difference I will say about the Aino one [17:27] is it has a very oat forward aroma to [17:31] it. You don't get that with these. For [17:32] example, if you hate the smell of [17:35] colloidal oat and you're like, I don't [17:37] know, this one you may prefer, okay? [17:39] Scents and things like that, especially [17:41] on the face. So that could be that could [17:43] be a dealbreaker for you right there [17:44] with the Aino one is that oat aroma. [17:46] Final thoughts, these are great. Highly [17:48] recommend them if you are looking for a [17:50] heavy duty balm moisturizer for the [17:53] upcoming winter months. You're looking [17:54] to heal impaired skin. You have eczema [17:57] and you're always surfing around looking [17:59] for a barrier product. You've heard [18:01] about them. Or I don't know, maybe you [18:02] had diaper rash when you were a baby and [18:04] this is what your mom used, the triple [18:06] triple cream. And now they got this new [18:07] derma line which we're talking about [18:09] today. Um, yeah. I mean, there's there's [18:12] reason to continue using balms above and [18:14] beyond, you know, once we're potty [18:16] trained, okay? Cuz another thing that I [18:18] didn't mention is when a baby has diaper [18:21] rash, that is impaired skin. That's an [18:23] impaired skin barrier 110%. So, a lot of [18:28] baby diaper rash balms, you know, [18:30] they're meant to address that. But as [18:32] adults, we can use them too to [18:35] moisturize our skin aggressively, if you [18:37] will. Um, as far as that transepidermal [18:39] water loss reduction thing, skin [18:41] protection thing, let me know in the [18:43] comments. Is this something that was on [18:44] your radar? You know, it's not these are [18:46] not hyped products, okay? You you're [18:48] probably not getting a lot of thumbnails [18:50] in your feed for these, okay? I mean, [18:52] but that's the nature of this channel. [18:54] We step outside of the common, okay? We [18:57] get into the uncommon, the zebras. All [19:00] right? We get into here. Uh, you know, [19:02] if you've got some skin condition and [19:04] you think you're the only one on the [19:06] planet with it, chances are I have a [19:07] video here and not only can you learn [19:10] more about it than you ever wanted to [19:11] know, but you can read in the comments [19:13] and interact with people who have the [19:15] same exact thing and it's fantastic. [19:17] Okay, for example, like an amaloidosis, [19:20] find the video. It's here. You got [19:22] grover's disease, you're itching and a [19:24] grinning, not find the video that I have [19:27] here. Comment below on the status of [19:28] your skin barrier these days. I need to [19:30] know, okay? It helps guide me into what [19:32] I need to focus my efforts on with you [19:35] all as far as what is hopefully going to [19:37] be helpful to you all. But if you [19:38] enjoyed today's video, give it a thumbs [19:40] up, share it with your friends, and as [19:41] always, don't forget, sunscreen and [19:43] subscribe. I'll talk to you guys [19:44] tomorrow. Bye.