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Managing Eczema: The Brick Wall & Emollients
Key Information
- The Foundation of Care: Using emollients (medical moisturisers) is the most important part of managing eczema.
- The “Brick Wall” Analogy:
- Healthy Skin: A strong brick wall where cells are bricks and the “mortar” locks moisture in and keeps irritants out.
- Eczema Skin: There isn’t enough mortar, creating a “leaky” barrier that lets moisture out and irritants in.
- The Solution: Emollients act as the missing mortar, repairing the barrier and protecting the skin.
The 3 Golden Rules of Application
- Be Frequent & Generous:
- Apply at least twice daily, every day, from head to toe.
- Continue even when skin is clear to prevent flare-ups.
- Apply straight after bathing or swimming.
- Smooth, Don’t Rub:
- Gently smooth in the direction of hair growth.
- Avoid rubbing, as it creates heat and can worsen itching.
- Avoid Soap:
- Standard soaps and shower gels strip natural oils.
- Use an emollient or soap substitute instead.
Finding the Right Emollient
The best emollient is simply the one you are happy to use consistently.
- Lotions: Light and suitable for hairy areas.
- Creams: A good all-round option.
- Ointments: Greasier and ideal for very dry skin or overnight use.
Tip: When trying a new product, test it on a small patch of skin first.
What Happens Next?
Using emollients correctly is the best way to prevent eczema flare-ups.
We may need to try a few options to find the best match for your skin. If a product causes irritation, stop using it and let us know.
Further Information
Treating Eczema Flare-Ups: Using Steroid Creams Safely
Infected Eczema: When to Seek Help
For more information about emollients, including how to apply them and possible side effects, please visit the NHS website.
Last reviewed: 02 April 2026
Next review due: 02 April 2029
Providing NHS Services
Telephone: 01727 853107