null
Compromised Skin Barrier

Posted by Kathleen Carney on Nov 13th 2024

Compromised Skin Barrier

A compromised skin barrier refers to a condition where the outermost layer of your skin (the stratum corneum) becomes damaged or impaired, leading to a disruption in its ability to protect the body from environmental stressors, irritants, allergens, and moisture loss. The skin barrier is responsible for maintaining hydration and preventing harmful substances from penetrating the skin, so when it’s compromised, the skin may become more sensitive, dry, irritated, or prone to inflammation and infection.

Causes of a Compromised Skin Barrier:

  1. Over-cleansing or harsh products – Frequent use of harsh soaps, alcohol-based toners, or exfoliants can strip away natural oils and weaken the skin's barrier.
  2. Environmental factors – Extreme weather conditions (cold, dry air), pollution, or UV exposure can damage the skin barrier.
  3. Underlying skin conditions – Conditions like eczema (atopic dermatitis), rosacea, or psoriasis are often associated with a weakened barrier.
  4. Overuse of active ingredients – Overuse of exfoliating acids (AHA, BHA), retinoids, or vitamin C can irritate and break down the skin’s protective layer.
  5. Dehydration – Lack of moisture can lead to a weakened barrier.
  6. Stress and poor diet – Chronic stress and a poor diet (low in essential fatty acids, vitamins, and minerals) can negatively impact skin health.

Signs of a Compromised Skin Barrier:

  • Dryness, tightness, or rough texture
  • Redness, irritation, or sensitivity
  • Itchy, inflamed, or flaky skin
  • Breakouts or acne flare-ups
  • Increased signs of aging (fine lines or wrinkles) due to moisture loss

How to Treat a Compromised Skin Barrier:

The goal is to repair and protect the skin’s outer layer while avoiding further irritation. Here are steps to help restore the skin barrier:

1. Gentle Cleansing

  • Use a mild, hydrating cleanser (preferably without fragrance or harsh detergents) to cleanse your skin. Avoid cleansers with alcohol, sulfates, or other stripping ingredients.
  • Opt for non-foaming or cream-based cleansers that are more hydrating.

2. Avoid Harsh Actives

  • Take a break from exfoliating acids (AHA, BHA), retinoids, and other strong active ingredients until the skin barrier is healed.
  • Gradually reintroduce actives once the skin is stronger and less irritated.

3. Hydration and Moisture

  • Apply a humectant (like glycerin, hyaluronic acid) to attract water to the skin, followed by a moisturizer to lock in hydration and strengthen the skin’s barrier.
  • Look for moisturizers with ingredients like ceramides, fatty acids, and cholesterol, which are essential for rebuilding the skin barrier.
  • Consider occlusives (such as petroleum jelly or dimethicone) at night to create a protective seal over the skin.

4. Use Barrier-Repairing Products

  • Choose products specifically formulated to restore the skin barrier. Look for ingredients like ceramides, niacinamide (vitamin B3), and cholesterol, which support the lipid matrix of the skin.
  • Niacinamide helps with inflammation, redness, and overall skin repair.

5. Sun Protection

  • Always use a broad-spectrum sunscreen (SPF 30 or higher) to prevent further damage from UV rays, which can exacerbate barrier dysfunction and aging.
  • Opt for a sunscreen with physical blockers (zinc oxide or titanium dioxide) if your skin is sensitive or irritated.

6. Avoid Hot Water and Harsh Weather

  • Avoid long, hot showers or baths, as hot water can further strip the skin of its natural oils.
  • Protect your skin from extreme temperatures, whether from the sun, cold, or wind, by using appropriate clothing and moisturizers.

7. Use a Humidifier

  • Dry indoor air can exacerbate skin barrier issues. Using a humidifier can help keep moisture in the air and prevent further dehydration of the skin.

8. Consider Supplementation

  • Essential fatty acids (omega-3 and omega-6) and vitamins (like vitamin D, E, and zinc) can support skin health from the inside out. Talk to your healthcare provider before taking supplements.

How Long Does It Take to Repair a Compromised Skin Barrier?

Repairing a skin barrier can take anywhere from a few days to several weeks, depending on the severity of the damage and the steps taken to restore it. For mild cases, improvement may be seen in as little as a week, while more severe damage may take longer to fully heal.

When to Seek Professional Help:

If your skin barrier is severely compromised (e.g., persistent redness, swelling, cracks, or infection) or you're unsure about the best course of action, it’s a good idea to consult a dermatologist. They can recommend personalized treatments or prescriptions (like topical steroids or other medications) to address underlying conditions and promote healing.

By following a gentler skincare routine and focusing on barrier repair, most people can successfully restore their skin to a healthier, more resilient state.

When restoring a compromised skin barrier, choosing the right skincare ingredients is essential. These ingredients can help to repair and reinforce the skin's protective outer layer, improve hydration, and reduce inflammation. Here's a list of key ingredients that support skin barrier repair:

1. Ceramides

  • What they do: Ceramides are lipid molecules that make up a significant part of the skin barrier. They help to retain moisture, reduce water loss, and maintain the structural integrity of the skin.
  • Why they help: Ceramides help restore the skin’s natural barrier function and improve its ability to hold moisture. They're essential for rebuilding a damaged barrier.
  • Look for: Ceramide 1, 2, 3, 6-II (these are the most common in skincare products).

2. Niacinamide (Vitamin B3)

  • What it does: Niacinamide is a versatile antioxidant that strengthens the skin's barrier, reduces inflammation, and improves skin tone and texture.
  • Why it helps: Niacinamide helps the skin produce more ceramides and improves the barrier's ability to retain moisture. It also calms irritation and reduces redness, making it especially helpful for sensitive or inflamed skin.
  • Look for: Niacinamide in concentrations around 2-5%, which is effective without causing irritation.

3. Fatty Acids (Omega-3 and Omega-6)

  • What they do: Fatty acids help to repair and maintain the skin’s lipid barrier, which is crucial for retaining moisture and protecting against environmental damage.
  • Why they help: These healthy fats help replenish the skin’s natural oils, which can be depleted when the barrier is compromised.
  • Look for: Ingredients like linoleic acid (omega-6), alpha-linolenic acid (omega-3), evening primrose oil, rosehip oil, argan oil, and squalane.
  • Our NRICH Botanical Extract Serum helps soothe, soften, heal, moisturize, and protect skin. Even those with oily skin can use this blend because botanicals are rich in vitamins and minerals that help moisturize without oils. The main ingredients in Nrich are Evening Primrose, Borage, Bee Pollen, Cactus, Kumquat, Passionfruit, and Watermelon.

4. Cholesterol

  • What it does: Cholesterol is another lipid that naturally occurs in the skin's barrier. It plays a crucial role in maintaining the barrier’s structure and preventing moisture loss.
  • Why it helps: Along with ceramides and fatty acids, cholesterol is one of the main components that strengthen the skin barrier and prevent dehydration.
  • Look for: Cholesterol in products specifically formulated for barrier repair.

5. Hyaluronic Acid

  • What it does: Hyaluronic acid is a powerful humectant that attracts water to the skin and helps to retain moisture.
  • Why it helps: It provides immediate hydration, helping to restore the skin's plumpness and elasticity. While it doesn't directly repair the barrier, it helps maintain moisture levels, which supports overall skin health.
  • Look for: Sodium hyaluronate (a form of hyaluronic acid) or hydrolyzed hyaluronic acid.
  • Try our Hyaluronic Acid with Collagen!

6. Panthenol (Provitamin B5)

  • What it does: Panthenol is a moisturizing agent that helps the skin retain water and soothe irritation.
  • Why it helps: It promotes skin healing, reduces inflammation, and improves the overall texture and barrier function of the skin.
  • Look for: Panthenol in moisturizing creams or soothing serums.
  • Our Serum Firm contains crucial super antioxidants: idebenone, pomegrante, green tea, and Vitamin C. The blend also contains famous protein peptides for firming and relaxing facial muscles and for increasing collagen production, elasticity, smoothness, and firmness. Firm consists of the main ingredients Palmitoyl Pentapeptide-3 (Matrixyl), Acetylhexapeptide-3 (Argirilene), Aloe, Hyaluronic Acid, Green Tea, Pomegrante, Rosemary, Gotu Kola, Allantoin, Panthenol, Vitamin C, and Idebenone.

7. Squalane

  • What it does: Squalane is a lightweight, plant-derived oil that mimics the skin’s natural oils. It’s an emollient, meaning it softens and smooths the skin.
  • Why it helps: Squalane helps to replenish the skin’s moisture barrier, making it an excellent ingredient for dry or compromised skin. It’s also non-comedogenic, making it suitable for most skin types.
  • Look for: Squalane derived from olives or sugarcane.

8. Alpha-Lipoic Acid (ALA)

  • What it does: ALA is a potent antioxidant that helps to protect the skin from oxidative stress and supports barrier repair.
  • Why it helps: It also has anti-inflammatory properties, which help reduce redness and irritation, promoting healing in compromised skin.
  • Look for: Alpha-lipoic acid in serums or moisturizers, usually at low concentrations.

9. Allantoin

  • What it does: Allantoin is a soothing, anti-inflammatory compound that promotes cell regeneration and healing.
  • Why it helps: It calms irritated or inflamed skin, encourages tissue repair, and helps to restore the skin barrier’s function.
  • Look for: Allantoin in gentle moisturizers or barrier-repairing creams.
  • Our favorite serum with this ingredient is the A+ Serum. This powerful antioxidant cocktail fights aging and free radicals. This serum has excellent healing, firming, and anti-inflammatory properties. A+ Serum strengthens the skin's barrier and increases metabolism, so skin functions better.

10. Tocopherol (Vitamin E)

  • What it does: Vitamin E is a powerful antioxidant that protects the skin from oxidative damage and supports skin healing.
  • Why it helps: It helps prevent moisture loss, soothe inflammation, and improve overall skin health, contributing to the repair of the skin barrier.
  • Look for: Tocopherol in creams, oils, or serums formulated for dry or sensitive skin.

11. Aloe Vera

  • What it does: Aloe Vera has natural soothing, anti-inflammatory, and healing properties.
  • Why it helps: It hydrates and calms irritated skin, promoting healing and supporting the repair of a damaged skin barrier.
  • Look for: Aloe vera gel or extracts in products aimed at sensitive or irritated skin.

12. Glycerin

  • What it does: Glycerin is a humectant that draws moisture into the skin.
  • Why it helps: It helps maintain hydration, softens the skin, and supports barrier function by ensuring the skin is adequately moisturized.
  • Look for: Glycerin in moisturizers, toners, and serums.

13. Probiotics (Prebiotics/Live Cultures)

  • What they do: Probiotics help balance the skin’s microbiome, which plays a role in maintaining a healthy skin barrier.
  • Why they help: They can reduce inflammation, improve skin resilience, and aid in skin barrier repair by enhancing the skin’s natural defenses.
  • Look for: Products containing probiotic ingredients like lactobacillus, bifidobacterium, or fermented ingredients.

14. Occlusives (e.g., Petrolatum, Dimethicone, Beeswax)

  • What they do: Occlusives form a protective barrier over the skin that helps prevent moisture loss.
  • Why they help: While they don’t directly repair the barrier, they can help lock in hydration and protect the skin as it heals.
  • Look for: Petrolatum (petroleum jelly), dimethicone (silicone), and beeswax in barrier-repairing balms or creams.

Additional Tips for Restoring a Skin Barrier:

  • Avoid irritating fragrances, alcohols, or harsh chemicals that can further damage the skin while it heals.
  • Use gentle exfoliation (if necessary) with mild enzymes or lactic acid, but avoid aggressive scrubbing or over-exfoliating while the barrier is compromised.

Using products with a combination of these ingredients can help restore and reinforce the skin’s protective barrier, hydrate the skin, and reduce inflammation. Always introduce new products gradually, especially if your skin is very sensitive, and if you’re unsure about certain ingredients, patch test first.

When dealing with a compromised skin barrier, the goal of any facial treatment is to nourish, protect, and repair the skin without causing further irritation. The skin barrier is the skin's first line of defense, so it's important to treat it gently and avoid exacerbating the damage. Here are some facial treatment tips to help restore a compromised skin barrier:

1. Switch to a Gentle Skincare Routine

  • Cleanse with a Mild, Hydrating Cleanser: Choose a fragrance-free, non-foaming, hydrating cleanser with a pH close to your skin’s natural levels (around pH 4.5 to 5.5). Avoid cleansers that contain alcohol, sulfates, or harsh exfoliants, as they can strip the skin and worsen barrier damage.
  • Limit Cleansing Frequency: Over-cleansing can further damage a compromised barrier. Aim to cleanse only once or twice a day, preferably in the evening to remove impurities.

2. Incorporate Hydrating and Barrier-Reinforcing Ingredients

  • Apply a Humectant: Use a hydrating serum containing hyaluronic acid, glycerin, or panthenol after cleansing. Humectants draw water into the skin and help it retain moisture, which is crucial for healing a compromised barrier.
  • Use a Barrier-Repairing Moisturizer: Look for moisturizers containing ceramides, cholesterol, niacinamide, and fatty acids. These ingredients will help restore the skin's natural lipids and improve moisture retention. For added protection, use a moisturizing cream with occlusives like petrolatum or dimethicone to seal in hydration.
  • Add Niacinamide: Niacinamide (Vitamin B3) helps strengthen the skin barrier and reduce redness or inflammation. It also improves the production of ceramides and other lipids that are essential for barrier repair.

3. Avoid Harsh Exfoliation

  • Gentle Exfoliation (if necessary): Avoid physical scrubs or harsh exfoliants while your skin barrier is compromised. If you feel the need to exfoliate, choose mild chemical exfoliants like lactic acid or polyhydroxy acids (PHA). These are less irritating than AHAs or BHAs and help remove dead skin cells without damaging the skin.
  • Be Gentle with Exfoliation: Limit exfoliation to once a week or less, and always patch test before applying new products.

4. Avoid Irritating Actives Temporarily

  • Pause Strong Actives: Temporarily discontinue use of potent active ingredients like retinoids, vitamin C, AHAs, BHAs, and strong acids. These ingredients can cause further irritation and inflammation in compromised skin.
  • Introduce Actives Gradually: Once the skin barrier has healed, you can slowly reintroduce these actives, but start with lower concentrations and build tolerance over time.

5. Use a Humidifier

  • Add Moisture to the Air: Dry indoor air (especially in the winter months) can exacerbate a compromised barrier. Using a humidifier can add moisture to the air and help prevent the skin from drying out, supporting the healing process.

6. Avoid Hot Water

  • Gentle Temperature: When cleansing or showering, use lukewarm water instead of hot water. Hot water can strip the skin of natural oils, aggravating the barrier damage and leading to further dryness and irritation.
  • Pat, Don't Rub: After washing your face, gently pat the skin dry with a soft towel rather than rubbing, which can irritate the skin.

7. Sun Protection is Critical

  • Apply Sunscreen Daily: Sunscreen is crucial for a compromised skin barrier because UV rays can cause additional damage and hinder the skin's healing process. Use a broad-spectrum sunscreen with SPF 30 or higher every day.
  • Choose a Gentle, Physical Sunscreen: If your skin is very sensitive, opt for a physical sunscreen with zinc oxide or titanium dioxide, as these are less likely to irritate compromised skin compared to chemical sunscreens.

8. Night Care for Extra Healing

  • Overnight Hydration: At night, use a rich, nourishing cream or balm that contains ceramides, squalane, or fatty acids. These ingredients will help reinforce the barrier as you sleep.
  • Sleep Masks: Consider using a moisturizing sleep mask once or twice a week. These masks can provide an extra layer of hydration and barrier repair ingredients, helping the skin regenerate overnight.

9. Face Oils for Nourishment

  • Use Light Face Oils: Face oils like rosehip oil, argan oil, or squalane can help repair the barrier while providing nourishment. They provide essential fatty acids and antioxidants that support skin healing.
  • How to Apply: Use oils after your moisturizer to lock in hydration. Apply a few drops and gently massage it into the skin, focusing on areas that feel particularly dry or tight.

10. Avoid Touching Your Face Too Much

  • Keep Hands Off Your Face: Avoid touching your face frequently, as this can transfer bacteria, oils, or other irritants to the skin, potentially making the situation worse.
  • Use Clean Tools: If using facial tools (like jade rollers or gua sha), make sure they are thoroughly cleaned before use to avoid introducing bacteria to your sensitive skin.

11. Calming Masks and Treatments

  • Soothing Face Masks: Opt for masks that contain aloe vera, chamomile, oatmeal, or centella asiatica (cica). These ingredients have anti-inflammatory properties that help calm and soothe irritated skin.
  • Hydrating Masks: Look for hydrogel masks or sheet masks with soothing ingredients like hyaluronic acid and panthenol to provide deep hydration and help the skin’s healing process.

12. Rest and Stress Management

  • Rest for Skin Healing: Adequate sleep and stress management are important for skin health. When you’re stressed or sleep-deprived, the body produces more cortisol, which can lead to inflammation and exacerbate skin problems.
  • Stay Hydrated: Drink plenty of water throughout the day to keep your skin hydrated from the inside out.

13. Facial Massage (Gentle)

  • Boost Circulation: Gentle facial massage can stimulate blood flow and promote lymphatic drainage, which helps deliver oxygen and nutrients to the skin, accelerating healing. Use a light touch to avoid causing further irritation.
  • Use a Hydrating Oil: While massaging, apply a moisturizing oil (like jojoba or squalane) to ensure your skin remains hydrated during the process.

14. Consult a Dermatologist if Necessary

  • If your skin barrier remains compromised for a prolonged period, or if the damage is severe, it’s important to consult a dermatologist. They can prescribe treatments, such as topical steroids or other medicated treatments, to help restore the barrier more effectively.

Summary of Key Tips for Treating a Compromised Skin Barrier:

  1. Cleanse gently and hydrate with barrier-repairing ingredients like ceramides, hyaluronic acid, and niacinamide.
  2. Avoid exfoliating and using harsh actives (retinoids, AHAs, etc.) until the barrier is repaired.
  3. Moisturize regularly, especially with a richer formula at night.
  4. Apply sunscreen daily to protect the skin from UV damage and support healing.
  5. Use soothing masks and calming treatments to reduce inflammation.
  6. Be consistent with your skincare routine, but give your skin time to heal—don’t overwhelm it with too many products.

Healing a compromised skin barrier takes time and patience, but with the right approach, you can restore your skin’s health and resilience.

Professional Facial Treatment for Compromised Skin Barrier

A professional facial treatment aimed at repairing a compromised skin barrier must be gentle yet effective in restoring hydration, reducing inflammation, and rebuilding the skin's protective layer. The goal is to restore balance to the skin, enhance its resilience, and reduce irritation while providing intense hydration and nourishment.

Step-by-Step Professional Treatment Plan:

1. Pre-Treatment Assessment

  • Consultation: Begin with a thorough skin consultation to assess the client’s skin condition, history of irritation, and any known allergies. Identify potential triggers like harsh skincare products, environmental factors, or lifestyle habits that may have contributed to the compromised barrier.
  • Skin Analysis: Use a skin scanner or magnifying lamp to evaluate the skin's texture, hydration levels, and signs of inflammation, redness, or dryness.
  • Patch Test: If you're introducing any new products, perform a patch test to ensure there's no immediate sensitivity.

2. Gentle Cleansing (10-15 minutes)

  • Product: A fragrance-free, hydrating cream or gel cleanser with a mild formula (e.g., containing hyaluronic acid, glycerin, or ceramides).
  • Technique: Use gentle circular motions with fingertips or a soft facial brush to remove dirt and makeup without stripping the skin. Avoid foaming cleansers, which can be drying.
  • Purpose: To remove impurities without further disrupting the skin's fragile barrier.

3. Soothing Steam (5-7 minutes)

  • Product: A gentle hydrating mist (e.g., with chamomile, aloe vera, or rose water) or a humidifying steam to open pores gently.
  • Technique: Keep steam at a comfortable distance from the face (about 12 inches) to avoid excess heat. Use low heat and brief steam exposure to hydrate and soften the skin, making it easier for subsequent products to absorb.
  • Purpose: To prepare the skin for better absorption of nourishing products, while avoiding prolonged exposure that could further irritate sensitive skin.

4. Gentle Exfoliation (5-10 minutes)

  • Product: Mild enzyme-based exfoliants or PHA (Polyhydroxy Acid) exfoliants.
    • Enzymes (e.g., papaya or pumpkin enzymes) or lactic acid in low concentrations are ideal, as they provide gentle exfoliation without irritating the skin.
  • Technique: Apply the exfoliant and allow it to sit for 5-10 minutes, then remove it with a damp, soft cloth. Avoid physical exfoliation (scrubs) to prevent further damage to the skin.
  • Purpose: To remove dead skin cells and encourage better product absorption, promoting a smoother texture without over-drying or irritating the skin.

5. Hydrating Mask (10-15 minutes)

  • Product: A deeply hydrating, soothing mask designed to repair the skin barrier (e.g., containing ceramides, squalane, hyaluronic acid, panthenol, and niacinamide). A hydrating gel mask or creamy barrier-repair mask would be ideal.
  • Technique: Apply the mask generously over the face and neck, using light, upward strokes to promote circulation. Allow the mask to sit for 10-15 minutes while the skin absorbs the active ingredients.
  • Purpose: To replenish lost moisture, restore the lipid barrier, calm inflammation, and promote skin healing. These masks also create a protective layer that prevents water loss.

6. Facial Massage (5-10 minutes)

  • Product: A nourishing facial oil or hydrating serum (e.g., squalane, rosehip oil, argan oil, or chamomile extract).
  • Technique: Perform a gentle lymphatic drainage massage, focusing on areas where puffiness or tension is common, such as the jawline, cheeks, and forehead. Use light pressure and slow movements to avoid stimulating irritation. Incorporate upward and outward strokes for facial lifting.
  • Purpose: To improve circulation, help the skin absorb nourishing ingredients, and promote lymphatic drainage, which can reduce inflammation and encourage healing.

7. Serum Infusion (5 minutes)

  • Product: A barrier-repairing serum containing niacinamide, ceramides, hyaluronic acid, cholesterol, or panthenol.
  • Technique: Use a gentle press-and-release technique to infuse the serum into the skin, or use a facial infusion tool like a Gua Sha stone or microcurrent device to help the serum penetrate deeper into the skin.
  • Purpose: To target specific skin concerns such as redness, irritation, or dryness while helping to rebuild the skin barrier. Niacinamide, in particular, is highly beneficial for calming inflammation and improving skin texture.

8. Soothing Moisturizer (5 minutes)

  • Product: A rich, nourishing moisturizer with ceramides, cholesterol, squalane, and peptides to repair and protect the skin’s barrier.
  • Technique: Gently massage the moisturizer into the skin with upward strokes, covering the face and neck. Ensure the product is absorbed fully before moving on to the next step.
  • Purpose: To lock in moisture and further reinforce the skin's protective barrier. This step helps the skin retain hydration and protects it from environmental stressors.

9. LED Light Therapy (Optional) (10-15 minutes)

  • Product: Use red light therapy (650-700nm) to promote skin healing and reduce inflammation or blue light therapy (400-450nm) for acne-prone skin. If available, a near-infrared light can help penetrate deeper layers to accelerate collagen production and tissue regeneration.
  • Technique: The light therapy device should be held about 6-12 inches from the skin, ensuring even exposure across the face.
  • Purpose: To reduce inflammation, stimulate collagen production, accelerate wound healing, and promote overall skin regeneration.

10. Sunscreen Protection (5 minutes)

  • Product: Physical (mineral) sunscreen with zinc oxide or titanium dioxide, preferably SPF 30 or higher.
  • Technique: Apply sunscreen generously to the face and neck. Reapply if the client will be exposed to the sun after leaving the clinic.
  • Purpose: To protect the newly treated skin from UV damage and prevent further irritation while the skin is in a delicate, healing state.

Post-Treatment Care and Home Recommendations:

  1. Gentle Cleansing: Advise the client to use a mild, hydrating cleanser for the next 2-3 days.
  2. Moisturization: Encourage the use of a rich moisturizer with ceramides and niacinamide twice daily to continue supporting the skin’s healing process.
  3. Sun Protection: Emphasize the importance of daily SPF to protect the skin from UV damage.
  4. Avoid Harsh Actives: Recommend discontinuing the use of exfoliating acids, retinoids, or vitamin C for a week after the treatment to avoid irritation.
  5. Hydration: Suggest using a hydrating mist throughout the day to maintain moisture levels.

Treatment Frequency:

For best results, this treatment can be repeated every 2-4 weeks until the skin barrier is fully repaired. Following this, regular maintenance with more targeted treatments (e.g., light hydration facials) can help maintain a healthy, resilient skin barrier.


Conclusion:

This professional treatment is designed to repair a compromised skin barrier by focusing on gentle hydration, soothing inflammation, and rebuilding the skin’s natural defenses. By using barrier-repairing ingredients, calming techniques, and non-invasive technologies, you can support the healing process and restore the skin’s health without causing further damage.