Doctors Note Logo

Published on: 2/19/2026

Skin Feeling Parched? Why Your Hyaluronic Acid Is Failing & Medically Approved Next Steps

Hyaluronic acid only holds water and can fail when you do not seal it in, the air is very dry, your skin barrier is compromised, or dryness is driven by conditions like xerosis, thyroid disease, diabetes, eczema, or medication effects. If your skin feels tight, stings with products, or stays flaky despite HA, these are important clues. Medically approved next steps include applying HA to damp skin then sealing with a ceramide rich moisturizer or petrolatum, simplifying your routine, using the soak and seal method, adding a humidifier, upgrading moisturizers, and seeing a clinician for severe itch, cracks, fatigue, or other systemic signs. There are several factors to consider; see below for complete guidance that can shape your next steps.

answer background

Explanation

Skin Feeling Parched? Why Your Hyaluronic Acid Is Failing & Medically Approved Next Steps

If your skin still feels tight, flaky, or uncomfortable despite using hyaluronic acid, you're not alone. Hyaluronic acid is one of the most popular skincare ingredients for hydration—but it doesn't always work the way people expect.

Let's break down why your hyaluronic acid may not be delivering results, what could really be causing your dry skin, and what medically approved next steps you can take.


First: What Hyaluronic Acid Actually Does

Hyaluronic acid is a humectant. That means it attracts and holds onto water. In fact, it can bind up to 1,000 times its weight in water.

In healthy skin, hyaluronic acid:

  • Helps maintain moisture balance
  • Supports skin elasticity
  • Reduces the appearance of fine lines caused by dehydration
  • Contributes to a smooth, plump look

But here's the important truth: hyaluronic acid does not create moisture. It only holds onto existing moisture.

If your skin barrier is damaged—or your environment is dry—it may not work as well as you hope.


Why Your Hyaluronic Acid Might Be Failing

1. You're Not Sealing It In

Hyaluronic acid pulls water toward the skin. But if you don't apply a moisturizer on top, that water can evaporate.

This is called transepidermal water loss (TEWL).

What to do:

  • Apply hyaluronic acid to slightly damp skin
  • Immediately follow with a cream containing:
    • Ceramides
    • Glycerin
    • Cholesterol
    • Petrolatum or dimethicone

Think of hyaluronic acid as the "water magnet" and your moisturizer as the "seal."


2. You're in a Dry Climate

In very dry air (winter, heated rooms, desert climates), hyaluronic acid can actually draw moisture out of deeper skin layers if there's not enough humidity in the air.

If you live in a low-humidity environment, consider:

  • Using a humidifier
  • Switching to a thicker cream formula
  • Layering under an occlusive moisturizer

3. Your Skin Barrier Is Damaged

If your skin feels:

  • Tight
  • Burning
  • Stinging when applying products
  • Red or inflamed

You may have a compromised skin barrier.

When the barrier is damaged, water escapes easily—making even high-quality hyaluronic acid less effective.

Common causes:

  • Over-exfoliation
  • Retinoid overuse
  • Harsh cleansers
  • Frequent hot showers
  • Environmental exposure

Medical guidance supports focusing on barrier repair first. That means simplifying your routine and using gentle, fragrance-free products.


4. You Have True Xerosis (Chronic Dry Skin)

Sometimes, the issue isn't product failure. It's an underlying skin condition.

Xerosis is medically defined as abnormally dry skin. It can be caused by:

  • Aging
  • Diabetes
  • Thyroid disorders
  • Kidney disease
  • Certain medications
  • Eczema
  • Nutritional deficiencies

If dryness is persistent, widespread, itchy, or worsening, checking your symptoms with Ubie's free AI-powered Xerosis symptom checker can help you understand whether your skin concerns may indicate an underlying condition that needs medical attention.


5. You're Expecting Hyaluronic Acid to Do Everything

Hyaluronic acid hydrates. It does not:

  • Repair barrier lipids
  • Replace ceramides
  • Treat eczema
  • Fix inflammatory skin conditions
  • Stimulate collagen significantly (in topical form)

If your dryness is moderate to severe, you likely need a combination approach.


Medically Approved Next Steps for Dry, Parched Skin

If hyaluronic acid alone isn't working, here's what dermatology-backed strategies suggest.


✅ Step 1: Simplify Your Routine

Cut back to:

  • Gentle cleanser (non-foaming if possible)
  • Hyaluronic acid serum (optional)
  • Barrier-repair moisturizer
  • Sunscreen during the day

Avoid:

  • Alcohol-heavy toners
  • Frequent exfoliation
  • Fragrance-heavy products

✅ Step 2: Use the "Soak and Seal" Method

Dermatologists often recommend this for xerosis:

  1. Take a lukewarm (not hot) shower for 5–10 minutes.
  2. Pat skin slightly damp.
  3. Apply hyaluronic acid.
  4. Immediately apply a thick moisturizer.
  5. If skin is very dry, apply a thin layer of petrolatum at night.

This method reduces water loss and improves hydration more effectively than serum alone.


✅ Step 3: Upgrade Your Moisturizer

Look for creams containing:

  • Ceramides (restore barrier lipids)
  • Cholesterol
  • Fatty acids
  • Urea (for severe dryness)
  • Glycerin
  • Petrolatum

Hyaluronic acid works best as part of a multi-ingredient hydration system, not as a solo product.


✅ Step 4: Adjust Your Environment

Dry indoor air significantly worsens skin dehydration.

  • Use a humidifier (aim for 40–60% humidity)
  • Avoid sitting directly under heating vents
  • Limit very hot showers

These changes are simple but surprisingly effective.


✅ Step 5: Consider Medical Causes

If you notice:

  • Severe itching
  • Cracked or bleeding skin
  • Thickened patches
  • Fatigue alongside dry skin
  • New symptoms like weight changes or hair loss

It's time to speak to a doctor.

Persistent dry skin can sometimes be a sign of:

  • Hypothyroidism
  • Diabetes
  • Atopic dermatitis
  • Nutritional deficiencies
  • Kidney or liver issues

Most cases are not dangerous—but it's important not to ignore symptoms that are spreading, painful, or worsening.


Does Oral Hyaluronic Acid Help?

Some people consider supplements. Research on oral hyaluronic acid shows modest benefits in skin hydration in certain studies, but results vary.

It is generally safe, but:

  • It is not a substitute for medical treatment.
  • It will not correct underlying systemic disease.

If you're considering supplements, discuss this with a healthcare professional—especially if you take other medications.


When Hyaluronic Acid Does Work Well

Despite the frustrations, hyaluronic acid can be very effective when:

  • Used on damp skin
  • Sealed with an occlusive moisturizer
  • Combined with barrier-repair ingredients
  • Applied consistently

It works best for:

  • Mild dehydration
  • Fine lines caused by dryness
  • Supporting a healthy skin barrier

It is less effective for severe, chronic dryness without additional support.


The Bottom Line

If your skin feels parched despite using hyaluronic acid, it doesn't mean the ingredient is "bad." It likely means:

  • You need better sealing
  • Your skin barrier needs repair
  • Your environment is too dry
  • Or there's an underlying condition

Start with practical changes. Strengthen your barrier. Simplify your routine.

If dryness is persistent or severe, use Ubie's free AI-powered Xerosis symptom checker to get personalized insights about your symptoms and understand whether you should seek medical care.

And most importantly: speak to a doctor if your symptoms are intense, spreading, painful, or associated with other health changes. While dry skin is common and often manageable, untreated underlying medical conditions can become serious over time.

Hydrated skin is not about one miracle ingredient. Even powerful ingredients like hyaluronic acid work best when used correctly—and when the rest of your skin and health are supported.

With the right steps, most people can significantly improve dry, uncomfortable skin safely and effectively.

(References)

  • * Kerscher M, Buntrock H, von der Lippe E, et al. Hyaluronic acid and water - a tricky relationship: The impact of environmental humidity on hyaluronic acid-based products. J Cosmet Dermatol. 2021 Jul;20(7):2171-2178. doi: 10.1111/jocd.13886. Epub 2020 Dec 29. PMID: 33369408.

  • * Souto EB, Souto SB, Campos JRA, et al. Hyaluronic Acid: A Review of Its Benefits and Limitations in Dermal Fillers and Topical Applications. Pharmaceutics. 2023 Jul 19;15(7):1987. doi: 10.3390/pharmaceutics15071987. PMID: 37513753; PMCID: PMC10385966.

  • * Proksch E. Pathophysiology of dry skin. Hautarzt. 2016 Oct;67(10):794-799. doi: 10.1007/s00105-016-3881-2. PMID: 27620853.

  • * Lodén M. Topical moisturizers for the treatment of dry skin. G Ital Dermatol Venereol. 2019 Jun;154(3):289-297. doi: 10.23736/S0392-0488.19.06282-3. Epub 2019 Jan 10. PMID: 30628318.

  • * Hon KL, Kung JSC, Ng WGG, Leung TF. The role of moisturizers in the management of atopic dermatitis. Am J Clin Dermatol. 2016 Apr;17(2):167-78. doi: 10.1007/s40257-016-0182-3. PMID: 26868625.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Learn more about diseases

Xerosis

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.