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Dry and Flaky Skin

Improve Moisturization and Hydration in Fruitland, Idaho

There are many reasons a person may deal with dry and flaky skin. At Fruitland, Idaho’s CT Derm, Dr. Carl Thornfeldt and his trained nurse practitioners work with each patient as a unique individual to determine the underlying cause of this problem. Dr. Carl is always asking himself what the skin is trying to tell us, since about 80 percent of all skin diseases are related to internal problems. Possible triggers for dry and flaky skin include contact with irritants or allergens; infections from fungi, yeast, or bacteria; or long-term medical conditions. Fish scale flaking and peeling that resists moisturizers are characteristic of icthyoses. Gland abnormalities such as thyroid deficiency, excess thinning of skin from being elderly, or suffering from auto-immune diseases like lupus usually cause dry, flaky, and rough skin.

The treatment approach to dry and flaky skin is to relieve any discomfort, itching, or burning; smooth the rough skin; and correct the source of the problem by investigating to determine the causes.

CT Derm

Contact CT Derm about dry and flaky skin in Fruitland, Idaho. To set up a consultation, call 208-452-7450 or send a message online.

What Causes Dry and Flaky Skin?

There are numerous reasons a person develops dry and flaky skin, known as xerosis. Some are mentioned above. Dr. Thornfeldt and his nurse practitioners Brittany Irons and Jeanna Rendo will explore each patient’s medical history with a thorough examination. Additional possible causes of dry and flaky skin include:


Changes in the weather—including humidity, wind, temperature shifts, air pollution levels, and duration of daylight—all wreak havoc on skin cells and skin layers. This results in inadequate cell division or maturation, so the protective skin barrier is not repaired. Nor does it reach optimum thickness.


It may seem counterintuitive, but prolonged exposure to water can lead to dry and flaky skin by separating skin cells and hot water can strip away protective oils, damaging the skin barrier. Frequent hand-washing and use of hand sanitizers can cause severe dryness that evolves into dermatitis, with redness and cracking of the skin. Long, hot baths or showers daily or more frequently, especially in the elderly, will also trigger dry and flaky skin. Using a highly fragranced soap like bubble bath can also induce this skin damage. The most damaging are exfoliants like high concentrations of hydroxyl acids, vitamin A or C containing products, fragrances, preservatives, formaldehyde in fabric softeners, detergents, and solvents.


Chlorine in pools and spas can induce dry and flaky skin, as well as roughness. Workplace cutting oils, cleansers, gasoline, and cement can produce not only scaling and flaking, but also a full-blown itchy or painful red dermatitis due to allergy or irritation. These are difficult to treat, but are curable.


High glycemic diets with sugars, starch, caffeine, and alcohol damage skin cells, make skin brittle, and increase inflammation of any cause, often seen as dry and flaky skin.

Skincare Products

Emollient soaps and shampoos like glycerin-containing ones such as Epionce and Neutrogena are good for your skin. Harsh and abrasive products to “remove dead cells” tear the skin while removing hydrating oils and sweat, which provide natural moisturizing factors for the skin barrier and normal hydration. Astringents also damage skin layers. This results in dry and flaky skin.


Dry and flaky skin with roughness can be the initial skin abnormality signaling the onset of a medical condition such as dermatitis, psoriasis, certain infections, or gland malfunctioning. Physical and emotional stress prevent or slow down repair of damage, which initially look like dry and scaly skin. Sleep disturbances and intense exercise also inhibit skin repair. Mild to moderate exercise improves healing of disrupted skin by increasing blood flow and nutrients to cells.

Are There Recommended Moisturizers to Help with Dry and Flaky Skin?

Moisturizers increase water in the skin, but too much can damage the skin barrier, as mentioned above. Moisturizers do not improve skin barrier function. Epionce is the only skincare line on the market to contain all three of the key barrier oils in the proper ratios and barrier proteins that accelerate repair of the damaged skin barrier and maximize its function. Clinical studies proved Epionce to be more than twice as effective in repairing the skin barrier than the next most potent, which is Vaseline. Evidence also found that after using Epionce twice daily for four days, there was continual benefit for an additional 10 more days to a greater degree than a prescription lactate-containing product.

Glycerin followed by Vaseline applied to dry and flaky skin is the lowest-cost barrier repair strategy. If you have severely dry and flaky skin, but without itching or pain, it is best to apply urea-containing Carmol 20 or Ureacin 20 or ammoniated lactate in Amlactin XL or salicylic acid in Keralyt Cream. Follow this with Vaseline or midchain triglyceride (KCT) oil for best results.


Bathing and showering should be brief and avoid hot water, ideally only every other day. Use a hydrating soap containing good oils like Epionce cleansers or glycerol- or oil-containing ones. Do not rub on wet skin after bathing, but brush off excess water or pat dry. Then apply the barrier-repairing oil, protein, and water-containing creams to moisturize dry and flaky skin.

CT Derm

Ready to start treatment for dry and flaky skin? Contact Fruitland, Idaho's CT Derm by submitting an online message, or call 208-452-7450.

Epionce Skincare

As a clinical dermatologist, Dr. Carl Thornfeldt created Epionce® to be the science-backed solution to specific skin concerns. Decades of research went into the physician-strength, clinically tested skincare line, which uses botanical ingredients to boost the skin barrier, improve radiance, and more.

Here is What our Patients Think

All of the interaction with the staff, technicians and doctors have been professional and friendly. The staff is efficient, the wait times are minimal, and the care is exceptional. I highly recommend CTDerm.

Wade W. (Patient since 2019)

I have known from a distance that Dr. Thornfeldt and his staff were very good. But in just one visit, I realize that I had underestimated how good they are. Our son and daughter's skin issues, as well as my own, were not noticed by our dermatologist where we live. It was fully worth the trip from Florida.

Robert H. (patient since 2016)

My experience with Dr. Thornfeldt and his staff has been nothing but pleasurable. The staff are friendly and helpful going the extra mile to meet the patients needs. Dr. Thornfeldt is dedicated to the care of his patients, actively listening and responding as he seeks to see the bigger picture.

Dezra. R (patient since 2019)

The staff at CT Derm is very friendly and helpful. I found the visit very comfortable. Dr. Thornfeldt is extremely knowledgeable, thorough, and understanding. I am a former patient of his from when he had an office in Nampa, but due to improved skin issues and major life changes, -- a divorce and move, I didn't follow him to his Fruitland office. After over 12 years, and new skin problems, I knew it was time make the drive. I trust him completely and appreciate his experience and expertise.

Ellen S. (patient since 2018)

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CT Derm PC

Contact Our Office

811 NW 12th St Fruitland ID 83619

Phone: 208-452-7450

Fax: 208-452-7550

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