What Your Skin Texture Says About Your Health | Dermatologist Explains

Board-certified dermatologist Dr. Dray explains what changes in skin texture may reveal about overall internal health. While many people focus on wrinkles, texture changes such as roughness, velvety thickening, follicular bumps, fragile skin, and induration can sometimes provide important clinical clues. In this educational deep dive, she separates common benign skin changes from those that may warrant medical evaluation. This video covers conditions including acanthosis nigricans, keratosis pilaris, phrynoderma, scleredema, insulin resistance, hypothyroidism, vitamin deficiencies, and more. She also discusses what skin texture changes do not mean, addressing common myths about toxins, candida overgrowth, and “leaky gut.” TIMESTAMPS 0:00 Introduction 0:38 What is skin texture? 1:03 Persistent roughness and flaking 1:59 Velvety dark thickened skin and acanthosis nigricans 3:23 Sudden adult acne or oily texture changes 4:42 Waxy, puffy, doughy skin and hypothyroidism 6:00 Fragile, crepey, easily bruised skin 7:13 Keratosis pilaris and systemic associations 9:07 Phrynoderma and vitamin A deficiency 10:01 Skin tags and metabolic syndrome 11:34 Scleredema and systemic disease 14:36 What skin texture does not mean 16:13 Closing thoughts RELATED VIDEOS Reverse skin thinning https://youtu.be/hueDR91RtsE Ichthyosis vulgaris https://youtu.be/AayNcxecoWQ Warning signs of vitamin deficiency https://youtu.be/DSn4mdI70Ms Scleroderma https://youtu.be/U3fnD8eBcPo Candida overgrowth