This message comes from the podcast, 5 Miles from Home. When a high school student disappears from a small Nevada town, a story of betrayal and shocking confessions emerges. Hosted by Dateline's Keith Morrison, search 5 Miles from Home to follow now. You're listening to LifeKit from NPR. These stories create a lot of noise in the skincare space. You can't just go to the store and buy a simple moisturizer. There's a dozen different choices, it seems, from every single brand. And just to figure out what you need for your skin, you have to wade through it all. It's super confusing and complicated. Hey, it's Marielle Segarra, and today we're talking about skincare and how it's actually not as complicated as many brands make it seem. Kelly Walsh is a health journalist who also reports on wellness and lifestyle topics. And she has been deep in the weeds reporting a special newsletter series for LifeKit about skincare. Kelly, welcome to the show. Hey, thanks for having me. What was your relationship to skincare before you started reporting on this? I used a gentle cleanser because my skin can be sensitive, a moisturizer, and then sun protection in the form of sunscreen, ridiculously big hats and scarves and sometimes long sleeves. And then a few years ago, I started using a vitamin C serum because I'd heard it was good for brightening skin and mine was starting to look dull. And I think it helped, but it's expensive. The truth is, I didn't feel very savvy about skincare, and I actually had some FOMO around it. I'd see these other women in their 50s, and they would have this bright, dewy, shiny, buoyant skin, and I'd be like, what do they know that I don't? What are they using? Right. So every once in a while, I'd go down the rabbit hole and I'd buy some new product, and usually I'd stop using it after a few weeks because either I didn't like the way it felt or I didn't think it was making a difference. When I started this series, I discovered I had 10 different skincare products and only used four of them. Wow. Okay. Yeah, the rest were just sitting there on the shelf. Yeah, the skincare graveyard. So for the newsletter, you talked to a bunch of skincare experts, dermatologists, researchers, and it sounds like you got a lot more confident in your skincare routine. You know, it turns out I was doing pretty well by my skin. Who knew, right? I'm still using those core products and I'm keeping the pricey vitamin C serum, and I recently started using a lactic acid serum for gentle exfoliation, but the jury's still out on that one. So the main takeaway for me from reporting this series is that I know what my skin needs now and what it doesn't, and I think a lot of other people might learn the same. On this episode of Life Kit, Kelly's going to share with us what she's learned about skincare. So to start off, it sounds like there are two major claims that skincare products make, and one is that they'll improve the health of your skin, and the other is that they'll improve the appearance of your skin. Let's start with health. What does it actually mean to have healthy skin? You know, we've been convinced that we need to do a lot more for skin than we really do. It's not that difficult to keep your skin healthy and functioning throughout our lives, but along with the rest of our body, skin still ages, and that's the catch. Now to be clear, there are products and treatments that will combat the signs of aging, and I do think that's what many of us are after, but they aren't necessarily or only about having healthier skin. Here's what New York dermatologist Michelle Henry has to say about this. I think we are getting to a place where our aesthetic goals are kind of beyond what healthy skin is. So like, just because you don't have glass skin doesn't mean your skin's not healthy. Just because you don't have wrinkle-free, rosy skin does not mean it's not healthy, right? Because if you have large pores, it does not mean it's unhealthy. So it is important to categorize what is aesthetic and what is truly the health of your skin, and healthy skin is comfortable, functional skin. Yeah. I've noticed like it actually improves my life significantly when I just put moisturizer on because I feel like I'm like, I can move my body a little better. You know, that feels like it falls into the category of healthy skin. Yes. So the other thing that I spoke with, talked about moisturizer as being one of the most effective products you can use on your skin, just moisturizer alone without all the extras. Yeah. What are the main pieces of advice that the experts gave for how to have healthy skin particularly? So it's easy to forget that skin is an organ, right? It's a living, dynamic part of your body. And everything that you do to support your overall health is going to support the health of your skin. So good nutrition, getting enough sleep, exercising, not smoking, all those things. Beyond that, it doesn't require much. That's what Mayo Clinic dermatologist and researcher Serena Wiles has to say. From a skin health standpoint, it's really two key ingredients. You just have to keep your skin moisturized and you have to keep your skin protected from UV with sunscreen. Now, of course, sunscreen is just one part of the equation when we talk about sun protection. Hats, scarves, long sleeves, seeking out shade, avoiding sun when the UV rays are strongest or equally important. But those two products, I mean, moisturizer and sunscreen, they're supporting skin's primary function, which is to serve as a barrier that protects us from the outside world. And dry skin, which is more common as we age, threatens that barrier. So does UV radiation. Takeaway one, if your primary concern is healthy, comfortable, functional skin, you don't need much. Use a gentle cleanser, a moisturizer and sunscreen along with other sun protection like covering up with hats, scarves and sunglasses. Those are the basics. A lot of us are also looking for aesthetic benefits. We want to reduce our fine lines and wrinkles or deal with acne. So we'll talk about all that after the break. This message comes from CBC. Discount Dave and the Fix is the true-ish story of a fake rock star, a real trial, and what it means to stop running, face yourself and fight to heal. Listen now, wherever you get your podcasts. What if people are concerned about the aesthetics? What can they do beyond those few steps? So there are a few ingredients that do support with some of the sides of aging, antioxidants, which can help protect against free radical damage while also helping to brighten skin. So there are a bunch of different types of skin that can help to help you. These can be in the form of a vitamin C serum, for example, exfoliants, and there are a bunch of different kinds and different strains. And those will help support skin cell turnover, and that's a natural process that slows down as we age. And possibly retinoids, which in over-the-counter form are called either retinol or retinol, and they're less powerful than the prescription retin-A, but they still support skin rejuvenation. So increase sun sensitivity. One thing that I feel I can fall into the category of healthy skin and skin appearance is acne. We tend to think of that as something that teenagers struggle with, and that's true, but it's also a problem for a lot of adults, especially when you're going through hormonal shifts, I've noticed. I'm curious what you learned about that and what ingredients or what treatments are most effective. Yeah, absolutely. Adult acne is really common, especially among women during those perimenopausal to menopausal years, and it's confusing, right? Amy Wexler, a dermatologist who launched spotless acne clinics in Manhattan last year, said this. What happens is a woman will come to see me and a woman between 35 and 55 with pimples and wrinkles, and they'll say, like, I feel too old for my pimples and too young for my wrinkles, and they are like, what is happening? But there are treatments, and it's always treatable. So from mild or adult acne. I'm told that over-the-counter products with things like benzoyl peroxide, salicylic acid, or azelaic acid may help. But for persistent or that hormonally driven acne, you might want to see a dermatologist, and they may prescribe topical retinoids or other topicals that actually can influence oil production in the skin, and for some women, they may recommend oral hormonal treatments. Takeaway two, let's talk about aesthetics. If you want to limit some of the signs of aging, again, sunscreen and moisturizer are the place to start, but there are some other topical ingredients that work well too. For brighter, smoother looking skin, look for products with antioxidants. Also look for exfoliants, which can be physical or chemical. Lactic acid and glycolic acid are some examples of chemical exfoliants, and for fewer fine lines, look for products with retinoids. You can get the less powerful version over-the-counter, and the more powerful but also potentially more irritating version by prescription. If you have mild acne, look for over-the-counter topicals, but if it's more severe, see a dermatologist. They can help you figure out what's causing the acne and treat it accordingly. Let's talk about the cost of skincare products. You could spend a lot of money on all these things together. Is expensive skincare better? No. My sources said that there is no correlation between cost and efficacy when it comes to skincare products. Here's dermatologist Faye and Frye who test skincare products and post results to her consumer guide called FryeFace.com. There is no correlation, not one bit, between how much you spend on a product and how well it works. All of my sources said that you can get really good quality products at fair prices wherever skincare products are sold, like Walgreens Target, even at the grocery store. Now, that's not to say that expensive products are bunk. There are certainly some brands that create high quality, effective skincare. It's just that you don't need to spend a lot of money to get perfectly good products that will support the health of your skin and also offer some of those extra benefits that we seek. All right, take away three. When it comes to skincare, more expensive does not necessarily mean more effective. You can get products that work in your price range. But Kelly says, you also want to keep your expectations realistic. Over the counter, skin products are really only going to do so much to improve the appearance of your skin. Right. They're going to moisturize it, which is super important for both the health and the appearance of your skin. And some of the ingredients like antioxidants, exfoliants, retinols, they can provide some visible improvements over time. But the changes won't be dramatic. And you're also going to need to keep using these products to maintain those results, like indefinitely. So you may notice that your skin looks a bit brighter, a bit fresher, and that's not nothing, right? I mean, that may be all you need to feel better about the way you look. But it is important to know that these over-the-counter products are not designed to erase years from your face. Here's what Michelle Henry says. When we're just starting to see lines, they truly are fine lines. We can get some improvement with topicals or we can delay the need for more aggressive treatments with things like your retinoid, your vitamin C. Once it's much deeper than fine, then you're probably going to need something a little bit more aggressive. You might need some injectables, Botoxo and or filler or lasers, things that can stimulate collagen in a more robust manner. Takeaway four. There's only so much that over-the-counter topicals can do to change how your face looks. And while we think you look beautiful just as you are, this is about how you feel. If you're looking for more results, see your dermatologist. So that's where things stand with skincare here in 2026. Now there is a lot of research happening in the skincare space and specifically on how to maintain skin health at the molecular level. And I'm told that over the next decade, there will be advances in ingredients and products to slow skin cell aging and that will trickle down to cosmetic skincare. But when it comes to what we know works well right now, it's not complicated. And for me, that was just really helpful to learn. Okay, Kelly Walsh, thank you so much for doing this. You're welcome, Mariela. It was a pleasure. Now, before I get into a recap about that newsletter series, it is four parts and it goes way more in depth on this topic. For instance, you'll learn about what ingredients are effective for different skin concerns. Like if you want brighter looking skin, use these topicals. If you want plumper skin, use these. Kelly also talks more about medical interventions and what specifically a dermatologist can do for you on that front. And much more. You can sign up at npr.org slash skincare. And the link is also in our episode description. All right, now it's time for a recap. Take away one, if your primary concern is healthy, comfortable, functional skin, you don't need much. Use a gentle cleanser, a moisturizer and sunscreen along with other sun protection like hats, scarves, sunglasses. Those are the basics. Take away two, aesthetics. If you want to limit some signs of aging, sunscreen and moisturizer, great place to start. But there are other topical ingredients too, like for brighter, smoother looking skin, look for products with antioxidants and exfoliants. For fewer fine lines, look for products with retinoids. You can get the less powerful version over the counter and the more powerful but also potentially more irritating version by prescription. If you have mild acne, you can use over-the-counter topicals. But if it's more severe, see a dermatologist. Take away three, when it comes to skincare, more expensive does not necessarily mean more effective. You can get products that work in your price range. And take away four, there's only so much that over-the-counter topicals can do to change your face. And while we think you're beautiful just as you are, this is about what you want and what you're comfortable with. So if you're looking for more results, again, see your dermatologist. This episode of Life Kit was produced by Claire Marie Schneider. It was edited by Rebecca Ramirez and our digital editor is Malika Gareeb. Our visuals editor is CJ Ricalon. Megan Kane is our senior supervising editor and Lauren Gonzalez is our executive producer. Our production team also includes Andy Tagle, Margaret Serino and Sylvie Douglas. Engineering support comes from Tiffany Vera Castro. Fact-checking by Sassile Davis Vazquez. I'm Mary El Cigarra. Thanks for listening. No thinking about tax and compliance, it's handled. Calculating, filing, validating, accurately and audit defensively. Avalara, agentic tax and compliance with confidence.
