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Dry Skin & TEWL: How Hyaluronic Acid Restores Hydration

  • Writer: Marcelline Goyen
    Marcelline Goyen
  • Mar 25
  • 8 min read

Updated: Jul 4

Close-up view of a dropper applying hyaluronic acid serum on hydrated skin
Applying hyaluronic acid serum on hydrated skin to reduce dry skin and TEWL


By Marcelline Goyen, BSc

Dermal Therapist, Skin-Gut Axis Specialist & Author

Published on: March 25, 2026




Dry skin is a common concern that affects millions worldwide, often leading to discomfort, irritation, and a dull complexion. One key factor behind dry skin is the loss of moisture through the skin barrier, scientifically known as transepidermal water loss (TEWL). Hyaluronic acid, a natural molecule celebrated for its hydrating properties, plays a crucial role in managing dry skin and reducing TEWL. This article explores the relationship between dry skin, hyaluronic acid, and TEWL, offering practical insights to help you achieve healthier, more radiant skin.



Table of Contents


Understanding Dry Skin and TEWL


Dry skin occurs when the skin loses more water than it retains, leading to a compromised skin barrier. This barrier normally protects against environmental damage and prevents excessive water loss. When the barrier weakens, transepidermal water loss (TEWL) increases, causing the skin to feel tight, flaky, and sometimes itchy.


TEWL is the process where water passes from the deeper layers of the skin through the epidermis and evaporates into the atmosphere. Everyone experiences some level of TEWL, but factors such as weaker tight junctions (TJs) between the skin cells, a disturbed skin pH, cold weather, low humidity, harsh skincare products, and aging can increase this loss, worsening dry skin. Therefore, with higher moisture loss, the skin's TEWL increases.


Key points about TEWL and dry skin:

  • TEWL is a natural process but can be accelerated by external and internal factors.

  • Increased TEWL leads to dehydration of the skin’s outer layer (stratum corneum).

  • A damaged skin barrier cannot retain moisture effectively, causing dryness and irritation.


Understanding TEWL helps in choosing skincare ingredients that strengthen the skin barrier and lock in moisture. In my skin-gut axis books you can read about the skin parameters like the TEWL, Hyaluronic acid, skin pH, sebogenesis and sebum.



What Is Hyaluronic Acid and How Does It Work?


Hyaluronic acid (HA) is a naturally occurring molecule found in the skin, connective tissues, and eyes. It is known for its remarkable ability to hold water—up to 1,000 times its weight—making it a powerful hydrating agent.


In the skin, HA attracts and binds water molecules, helping to maintain moisture levels and skin elasticity. It also supports the skin’s repair processes and contributes to a plump, youthful appearance.


The beneficial effects of hyaluronic acid on the skin and skin barrier:

Topical hyaluronic acid (HA) functions as a powerful humectant that optimizes cutaneous moisture levels by drawing water from both the ambient environment and the deeper dermal layers directly into the stratum corneum. By flooding the extracellular matrix with hydration, HA reinforces the skin's structural barrier, which actively minimizes transepidermal water loss (TEWL) and calms underlying tissue irritation and neurovascular redness. Because of its native presence in human tissue and its lightweight, non-comedogenic structure, HA provides exceptional soothing benefits across all dermatological profiles, making it highly compatible with even the most sensitive, reactive, or acne-prone skin types.


Because of these properties, hyaluronic acid is a staple ingredient in many moisturizers, serums, and treatments aimed at combating dry skin.



The Connection Between Dry Skin, Hyaluronic Acid, and TEWL


Dry skin, hyaluronic acid, and TEWL are closely linked through the skin’s ability to retain moisture. When TEWL increases, the skin loses hydration faster than it can replenish, leading to dryness and discomfort.


Hyaluronic acid helps by:

Core Biological Process

Underlying Mechanism of Hyaluronic Acid (HA)

Clinical Outcome for Dry Skin

TEWL Regulation

Minimizes transepidermal water loss by strengthening and sealing the lipid matrix of the stratum corneum.

Prevents rapid moisture depletion, ensuring the skin retains hydration faster than it can evaporate.

Hydration Enhancement

Dynamically attracts and binds water molecules within the skin’s extracellular matrix.

Rapidly replenishes moisture levels in the outer epidermal layers, relieving dryness and structural discomfort.

Texture Refinement

Optimizes cellular hydration levels to support smooth, even tissue cohesion.

Improves overall skin texture, leaving the cutaneous surface visibly smoother, softer, and more radiant.


Hyaluronic acid is widely discussed in dermatology for its ability to attract and hold moisture, which may help support skin hydration and barrier comfort. Many people find that products containing hyaluronic acid contribute to a smoother, more supple feel, especially when the skin is dry or sensitive. Because individual responses vary, those with persistent dryness or barrier concerns may benefit from personalised advice from a qualified skincare or healthcare professional.



Clinical Protocols: Maximizing Hyaluronic Acid for Transepidermal Water Loss (TEWL)

Successfully mitigating chronic dryness and transepidermal water loss (TEWL) requires a precise approach to product selection, formulation science, and application methodology. From a clinical perspective, utilizing hyaluronic acid (HA) is not merely about product application, but about manipulating molecular weights and structural layering to support the cutaneous barrier.


Strategic Selection and Formulation Dynamics

Achieving deep cellular hydration relies entirely on the molecular weight of the topical formulation. Standard macromolecular HA remains on the surface to form a temporary protective film, whereas low molecular weight hyaluronic acid penetrates deeper into the stratified layers of the epidermis to replenish internal moisture reserves. For optimal barrier repair, this humectant should ideally be co-formulated alongside structural lipids such as ceramides, cholesterol, or free fatty acids. Furthermore, it is essential to rigorously audit ingredient labels to exclude common triggers like denatured alcohols and volatile synthetic fragrances, which can exacerbate low-grade inflammation and compromise a sensitive skin-gut axis.


Optimized Application and Moisture Anchoring

Because hyaluronic acid behaves as a dynamic molecular sponge, its physical performance depends heavily on environmental and surface moisture. Applying an HA serum directly onto bone-dry skin can inadvertently cause a reverse moisture draw, pulling critical hydration out of the deeper dermal layers. To prevent this, the formulation must be applied immediately following cleansing while the skin surface is still distinctly damp, providing an immediate external water source for the molecules to bind.


Occlusive Layering and Long-Term Stability

To permanently arrest elevated TEWL, humectant hydration must be sealed with a secondary structural layer. Following the serum application with a dedicated moisturizer rich in occlusive or emollient agents—such as squalane, shea butter, or medical-grade petrolatum—creates a biomimetic seal over the stratum corneum. This critical outer matrix physically prevents moisture from evaporating into the ambient air. Sustaining this targeted barrier support through consistent daily application, particularly during cold or dry seasonal transitions, allows the cutaneous tissue to fully stabilize its homeostatic balance over time without causing cellular over-saturation.



Nutritional Endocrinology: Optimizing Endogenous Hyaluronic Acid and Connective Tissue

While topical interventions offer immediate barrier support, long-term structural integrity requires a metabolic foundation. The human body continuously synthesizes and degrades hyaluronic acid and collagen within the dermal extracellular matrix. To tip this balance in favor of regeneration, your daily diet must provide the precise biochemical building blocks and cofactors necessary to stimulate fibroblasts and protect connective tissue from premature enzymatic breakdown.


Amino Acid Matrices and Structural Precursors

Slow-simmered bone broth serves as an exceptional dietary source of bioavailable type I collagen, glycosaminoglycans, and key amino acids like proline, glycine, and hydroxyproline. These molecules provide the exact structural substrates required for endogenous connective tissue repair. Furthermore, the inclusion of organic soy products introduces genistein—an isoflavone that research suggests helps stimulate hyaluronic acid production while inhibiting the matrix metalloproteinases (MMPs) responsible for breaking down the dermal framework.


Micronutrient Cofactors and Phytonutrient Shields

To synthesize these raw materials into a firm dermal matrix, the body relies heavily on specific micronutrients. Magnesian-rich sweet potatoes and dark leafy greens, such as kale and spinach, act as critical enzymatic cofactors. Magnesium is required for the proper functioning of hyaluronic acid synthases—the enzymes natively responsible for manufacturing HA within human tissue.

Additionally, incorporating polyphenol-rich dark chocolate (minimum 70% cacao) and almonds into your nutritional framework delivers heavy doses of copper, vitamin E, and cellular antioxidants. These compounds physically safeguard existing connective tissue by neutralizing free radical damage and mitigating the low-grade systemic inflammation that frequently disrupts the skin-gut axis.



Homemade chicken soup with broth.
Homemade chicken soup with broth.


Additional Tips to Reduce TEWL and Improve Skin Hydration


Many people find that supporting the skin barrier involves a combination of gentle skincare and mindful lifestyle habits. Using mild cleansers, limiting exposure to very hot water and maintaining comfortable indoor humidity levels are often mentioned as ways to help the skin retain moisture. Protecting the skin from wind, cold and UV radiation can also contribute to overall comfort. Staying well‑hydrated and choosing products that contain barrier‑supportive ingredients—such as ceramides, niacinamide or certain fatty acids—may further help the skin feel more resilient. Hyaluronic acid is frequently included in routines for its ability to attract moisture, although individual responses vary. Anyone dealing with persistent dryness or concerns about TEWL may benefit from personalised guidance from a qualified skincare or healthcare professional.


For additional insights and practical tips, don’t miss my related article on this topic Can Dish Soap Cause Dry Skin and How to Prevent It?.


Frequently Asked Questions (FAQ)


What causes increased transepidermal water loss (TEWL)?   TEWL can be influenced by factors such as weather conditions, skincare habits, and the overall condition of the skin barrier. People with ongoing dryness or irritation may benefit from guidance from a qualified skincare or healthcare professional.


Can hyaluronic acid alone fix dry skin?   Hyaluronic acid is often used to support hydration, but many people find it works best as part of a broader routine that includes moisturizers and barrier‑supportive ingredients. Individual responses vary.


Is hyaluronic acid safe for sensitive skin?   Hyaluronic acid is generally well‑tolerated, though sensitivities can differ from person to person. Those with reactive or persistent skin concerns may wish to consult a skincare or healthcare professional.


How often should I apply hyaluronic acid?   People use hyaluronic acid in different ways depending on their skin needs. Some apply it once or twice daily, often followed by a moisturizer, but the ideal routine varies per individual.


Does hyaluronic acid help with aging skin?   Hyaluronic acid is commonly included in routines aimed at supporting hydration and skin comfort. Some individuals feel their skin looks smoother or more supple with regular use, though results differ widely.



Summary and Next Steps


Dry skin is often associated with increased moisture loss through the skin barrier, and many people find that hydrating ingredients such as hyaluronic acid can help the skin feel more comfortable. Hyaluronic acid is known for its ability to attract water, and when used alongside a moisturizer, it may support the skin’s overall hydration. Individual responses vary, and the ideal routine depends on the skin’s needs and sensitivity.


A gentle skincare approach, attention to environmental factors and the use of barrier‑supportive ingredients can also contribute to maintaining skin comfort. Those who experience persistent dryness or concerns about their skin barrier may benefit from personalised advice from a qualified skincare or healthcare professional.


For more detailed insights on skin hydration and barrier health, explore related articles on skin-gut axis and discover how internal health impacts your skin’s appearance.



⚖️ Medical Disclaimer: The information provided on this website, including articles, textbook references, and educational materials, is for informational and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.



Marcelline Goyen, BSc | Dermal Therapist | Skin-Gut Axis Specialist | Author Founder of www.skin-gut-axis.com


Marcelline Goyen BSc Skin Therapy and author in the Netherlands



About Marcelline Goyen, BSc Marcelline Goyen, BSc, is a dermal therapist (formerly practicing), international educator, and author specializing in the complex interactions of the skin-gut axis. With over two decades of clinical experience, she is known for her pioneering work on the skin-gut-brain connection and integrative approaches to skin health. To make her knowledge more widely accessible, her work has culminated in the publication of two books, which are used as reference works in the field of holistic skin rehabilitation. Alongside her writing, she shares her insights globally through masterclasses and webinars.


Discover more about her books and clinical vision at www.skin-gut-axis.com, or connect with Marcelline on LinkedIn.







 
 
 

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