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Loving the New Skin You're In

Experts offer solutions to dieting-related skin problems

WebMD Weight Loss Clinic-Exclusive Feature

You've finally made the commitment -- you're on a weight loss program. And you're starting to see some results.

But if you're like many dieters, you may also see something you weren't expecting: skin problems! While switching to a lower-fat, lower-calorie eating plan is good for your body, don't be surprised if your skin doesn't think so -- at least for the first few weeks.

"In the beginning, even a healthy diet can stress your system, and there is no question that it's stressful enough to impact your skin," says David Goldberg, MD, director of Skin Laser and Surgery Specialists of New York/New Jersey and a clinical professor of dermatology at Mt. Sinai Medical Center in New York.

'Dieter's Acne'

One of the most common problems is a condition loosely defined as "dieter's acne" either breakouts that occur for the first time, or an acne condition that worsens when you begin a new eating plan.

"Part of it has to do with the overall change in the kinds of foods you are eating, which can stress the system initially," Goldberg says. "But I also think it's related to the whole process of dieting, which can be very stressful. ... And there's no getting around it, your skin will show how you feel."

When we're stressed, a cascade of hormonal activity takes place, some of which can influence our skin. For those who have never had skin problems, this activity may be enough to initiate a breakout. If you start your diet with an oily complexion and occasional breakouts, Goldberg says, dieting can make it seem worse -- at least at first.

The good news: It's only temporary.

Once your body adjusts to your new, healthier food intake, and you emotionally accept dieting as a positive force in your life, Goldberg says, stress levels generally go down and your skin will calm down as well.

"The important thing is not to get stressed about your skin, which can only make the breakouts last longer," says Goldberg.

In the meantime, he recommends keeping skin clean, wear as little makeup as possible, and try an over-the-counter drying solution containing either benzoyl peroxide or salicylic acid.

When Dieting Ages Skin

Acne may be a problem you face at the start of your diet. But if you stick with your weight loss plan long enough, you may notice more lines and wrinkles, particularly on your face and neck.

Fat helps keep skin taut. And as we begin to lose that underlying support, our skin may react by looking looser and, possibly more wrinkled. This is particularly true if you're over 35 when you start to lose weight.

"As we age, we don't make as much collagen, and what we do make isn't quite as good as what our body produced when we were younger," says esthetician Susie Galvaz, owner of Face Works Day Spa in Richmond, Va. With less fat to support the skin from underneath, and less collagen to hold moisture and water, Galvaz warns, lines and creases can follow.

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