Welcome back, DERM Community!
Last week we explored the truth about Teledermatology, you can find it here in case you missed it.
This week, we’re talking about the habits (yours or your patients’) that can actually damage the skin.
Many patients walk into clinics convinced they have “bad skin.”
But more often than not, what we uncover is not a primary dermatologic condition. It is a pattern of small, repeated behaviors that gradually disrupt barrier function, promote inflammation, and alter the skin’s microbiome.
These habits are rarely intentional. They are normalized, automatic, and underestimated.
Today, we are going beneath the surface of the most common ones.
The truth is…
The skin is not just a cosmetic surface. It is a living organ responsible for:
Barrier protection against pathogens and irritants
Regulation of water balance
Immune signaling and inflammation control
Thermoregulation and sensory input
When this system is repeatedly stressed, even subtly, visible skin disease follows

But here is the nuance dermatologists emphasize:
Skin damage is rarely caused by a single mistake.
It is the cumulative effect of low-grade, repeated insults that gradually erode barrier integrity and resilience. This is why patients often feel their skin is “suddenly worse,” when in reality the threshold has finally been crossed.
More products rarely fix this. Better behavior does.
The dermatologist’s rule of thumb:
Healthy skin routines prioritize protection over intensity.
Cleanse gently
Limit active ingredients
Moisturize consistently
Protect from ultraviolet exposure
Support systemic health through sleep, stress regulation, and nutrition
Simplicity allows the skin to repair itself.
Pro tip:
Think of your skin barrier like a savings account.
Small daily withdrawals add up.
Consistent, protective habits rebuild resilience over time.
The goal is not perfection.
It is sustainability.
We’ve Put Together a Free Guide Just for You!
Healthy skin is not just about the products you use. It is about the habits you build every day. Tiny, repeated actions, both good and bad, add up over time and shape how your skin looks, feels, and functions.
This week, we bring you “Beneath the Surface: The Everyday Skin Health Checklist”, a practical guide to help you protect your skin barrier, reduce inflammation, and prevent common dermatologic issues. Think of it as your personal audit. No perfection is required, just awareness and gradual improvement.
Use this checklist to examine your daily routines, spot hidden stressors, and make small, sustainable adjustments. Over time, these simple habits become your strongest defense against chronic skin problems.
Your skin does not need drastic fixes. It needs consistency, protection, and care. Let us start building those habits today.
Looking for a Job?
We got you.
Here are some job postings you may find interesting:
Nurse Practitioner/Physician Assistant | Full time | On-site | MedMark Treatment Centers • Carmichael, CA | Apply Here
Psychiatric Nurse Practitioner/Physician Assistant | Per diem | On-site | AppleGate Recovery • Bossier City, LA | Apply Here
Physician Assistant or Nurse Practitioner | Full time | On-site | WellNow Urgent Care • Collinsville, IL | Apply Here
Surgical Physician Assistant - Vassar Brothers Medical Center | Full time | On-site | Nuvance Health • Poughkeepsie, NY | Apply Here
GI Physician Assistant / Nurse Practitioner | Full time | On-site | Nuvance Health • Danbury, CT | Apply Here
Nurse Practitioner/Physician Assistant | Per diem | On-site | Health Care Resource Centers • Somersworth, NH | Apply Here
Hospitalist Physician Assistant / Nurse Practitioner | Full time | On-site | Nuvance Health • Norwalk, CT | Apply Here
Physician Assistant (PA) or Nurse Practitioner (NP) | Full time | On-site | WellNow Urgent Care • Belleville, IL | Apply Here
Want to Go Deeper?
Take one of our modules
Whether you’re a clinician, student, or educator, our Maintaining Healthy Skin module breaks down atopic dermatitis, contact dermatitis, dyshidrotic eczema, nummular eczema, and more.
Book Recommendation of the Week
“Principles and Practice of Photoprotection” by Steven Q. Wang, Henry W. Lim
This text offers a comprehensive review of photoprotection science, including UV filters, formulation strategies, antioxidants, DNA repair technologies, and systemic approaches to skin protection. It bridges clinical evidence with practical application and remains a cornerstone reference for clinicians and researchers.
Inspiration of the Week
“Dig deep within yourself, for there is a fountain of goodness ever ready to flow if you will keep digging..”
👋🏻 See you next Thursday, DERM community!
Thanks for joining us on Beneath the Surface.
We hope your year has started off wonderfully.
Remember: most skin conditions aren’t caused by doing too little…they’re caused by doing too much, too often, without realizing it. Your skin doesn’t need more rules. It needs smarter ones.
With care,
-The Derm for Primary Care Team




