Hydration is one of the most misunderstood aspects of skin health. Many people assume “dry” and “dehydrated” mean the same thing, but they reflect different imbalances: one linked to oil, the other to water.
Knowing the difference helps explain why skin can feel tight, flaky, or even oily and still be dehydrated.
How the Barrier Regulates Moisture
The skin barrier is more than just a surface layer. It includes physical, chemical, microbiologic, and immunologic systems that regulate hydration, prevent inflammation, and maintain balance [1].
Within this barrier, ceramides and lipids form a protective film that minimizes transepidermal water loss (TEWL) while natural moisturizing factors (NMF) and aquaporins help control water flow through the epidermis [2; 3].
Why Does Hydration Matters for Skin Function?
Hydration is essential because it keeps the skin barrier strong. When barrier integrity is compromised by age, environment, or over-cleansing, moisture escapes faster. This increases transepidermal water loss (TEWL), leaving skin vulnerable to dullness, sensitivity, and inflammation.
Research confirms that enhancing hydration not only improves comfort but also reduces barrier permeability and inflammation [4].
This is why moisturizers and hydration-focused treatments work: occlusives lock in water, humectants draw it in, and emollients rebuild the lipid matrix.
Typical TEWL Values by Body Site
Body Site | Average TEWL (g/m²/h) | Notes |
---|---|---|
Breast | 2.3 (range: 1.9-2.7) | Lowest overall, most protected. |
Volar Forearm | 9.7-10.1 | Stable site in healthy adults. |
Leg | 9.7 | Similar to forearm; varies with clothing. |
Forehead | 12.5-21.4 | Higher due to sun exposure; seasonal swings. |
Cheek | 6.0-18.8 | Higher in polluted urban areas. |
Palm | 44.0-49.3 | Highest, weakest barrier. |
Healthy adult skin averages 5-40 g/m²/h. Values above 40 may indicate barrier disruption or sensitivity.
Key Takeaways
- Dry skin = lacks oil (lipid deficiency).
- Dehydrated skin = lacks water (hydration deficit).
- TEWL levels reveal how strong the skin’s barrier is; higher numbers mean faster moisture escape.
- Environmental stress, aging, and barrier damage all increase TEWL and leave skin vulnerable.