The clinical process of repairing and strengthening the stratum corneum and the underlying epidermal lipid matrix, which together form the skin’s critical defense against external pathogens, irritants, and excessive transepidermal water loss. Successful restoration is essential for alleviating symptoms of dryness, sensitivity, and chronic inflammation. This function is often compromised by age and hormonal shifts.
Origin
This term is a key concept in dermatological physiology, emphasizing the protective role of the skin’s outermost layer. It is directly linked to the maintenance of cutaneous homeostasis.
Mechanism
Restoration is primarily achieved by optimizing the synthesis and organization of the intercellular lipid mixture, which consists of ceramides, cholesterol, and fatty acids. Hormones like estrogen and thyroid hormone influence the keratinocyte differentiation process and lipid metabolism, ensuring the proper formation of the barrier structure. The therapeutic goal is to reduce permeability and stabilize the epidermal moisture gradient, thereby enhancing resilience.
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