Taos Teens: Altitude Lies About Winter Acne?

Photograph of Franklin Everett ShawBy Franklin Everett Shaw
February 10, 2026

The biting wind whips through the Sangre de Cristo Mountains, carrying with it a dryness that seeps into your skin. You’re a Taos teen, navigating the already turbulent waters of adolescence, and now, winter brings an unwelcome guest: acne that seems to flare up with the first snowfall. It’s not just teenage angst; it’s a confluence of environmental factors unique to this high-altitude haven.

Taos, New Mexico, presents a unique challenge to skin health, especially for adolescents. The combination of high altitude, dry air, intense sun exposure (amplified by snow reflection), and specific winter habits creates a perfect storm for acne breakouts. Let’s break down why this happens and, more importantly, what you can do about it.

First, the altitude. Taos sits at over 7,000 feet above sea level. This means thinner air, which translates to less oxygen. Your skin, like any other organ, needs oxygen to thrive. Lower oxygen levels can impair the skin’s natural healing processes and make it more susceptible to inflammation, a key component of acne.

Then there’s the dryness. The arid climate of New Mexico is exacerbated in winter. Cold air holds less moisture, and indoor heating systems further strip humidity from the air. This leads to dehydrated skin, which can trigger the overproduction of sebum (oil) as your skin tries to compensate. This excess sebum, combined with dead skin cells, clogs pores and creates the perfect breeding ground for acne-causing bacteria.

The sun, even in winter, is a major factor. Taos boasts over 300 days of sunshine a year. At high altitude, the sun’s rays are more intense because there’s less atmosphere to filter them. And in winter, the snow acts like a giant mirror, reflecting up to 80% of UV radiation. This increased sun exposure can damage the skin’s barrier function, making it more vulnerable to dryness and inflammation, both of which contribute to acne.

Finally, winter skincare habits often make things worse. We tend to take longer, hotter showers to combat the cold, which further dries out the skin. We might also neglect sunscreen because it “doesn’t feel sunny,” or we might use heavier, oil-based moisturizers that can clog pores.

So, what’s a Taos teen to do? The key is a tailored skincare routine that addresses these specific challenges. This isn’t your average drugstore acne treatment; it’s a strategy designed for the unique environment of Taos.

Here’s a step-by-step routine:

  1. Gentle Cleansing: Harsh cleansers strip the skin of its natural oils, exacerbating dryness. Opt for a gentle, hydrating cleanser, preferably one with ceramides or hyaluronic acid. CeraVe Hydrating Facial Cleanser is a good option, widely available and effective. Cleanse twice a day, morning and night.

  2. Hydration, Hydration, Hydration: This is the cornerstone of your winter skincare routine. Look for a moisturizer that contains humectants (like hyaluronic acid, which draws moisture from the air), emollients (like shea butter, which softens the skin), and occlusives (like dimethicone, which creates a barrier to prevent moisture loss). Apply moisturizer immediately after cleansing, while your skin is still damp. Consider using a humidifier in your bedroom to combat indoor dryness.

  3. Sun Protection: Even on cloudy days, UV radiation is present. Apply a broad-spectrum sunscreen with an SPF of 30 or higher every morning, even in winter. Look for a mineral sunscreen (containing zinc oxide or titanium dioxide) as these are generally less irritating for acne-prone skin. EltaMD UV Clear Broad-Spectrum SPF 46 is a popular choice. Reapply every two hours, especially if you’re skiing or spending time outdoors.

  4. Gentle Exfoliation: Exfoliation helps remove dead skin cells that can clog pores. However, over-exfoliating can irritate the skin and worsen acne. Opt for a gentle chemical exfoliant, such as a salicylic acid or glycolic acid toner, used once or twice a week. Start with a low concentration (e.g., 2% salicylic acid) and gradually increase as tolerated. Paula’s Choice Skin Perfecting 2% BHA Liquid Exfoliant is a well-regarded option. Avoid harsh scrubs or physical exfoliants, as these can cause micro-tears in the skin.

  5. Spot Treatment: For active breakouts, use a spot treatment containing benzoyl peroxide or salicylic acid. Apply a thin layer to the affected area only, and avoid using it all over your face, as this can cause dryness and irritation. PanOxyl Acne Foaming Wash 10% Benzoyl Peroxide is a strong option, but start with a lower concentration if you have sensitive skin.

  6. Lip Care: Don’t forget your lips! The dry air can cause chapped lips, which can be painful and unsightly. Use a hydrating lip balm with SPF throughout the day. Aquaphor Healing Ointment is a classic choice for severely chapped lips.

Common Mistakes and Pitfalls:

  • Over-washing: Washing your face too often can strip the skin of its natural oils and worsen dryness. Stick to twice a day.
  • Using harsh products: Avoid products containing alcohol, fragrances, or dyes, as these can irritate the skin.
  • Picking and squeezing: This can lead to inflammation, scarring, and infection. Resist the urge!
  • Neglecting sunscreen: Sunscreen is essential year-round, especially in Taos.
  • Not drinking enough water: Staying hydrated from the inside out is crucial for healthy skin.

Local Resources in Taos:

If your acne is severe or doesn’t improve with over-the-counter treatments, consider consulting a dermatologist. While Taos is a smaller town, there are healthcare professionals who can help.

  • Holy Cross Medical Center in Taos has dermatology services. Contact them to inquire about appointments and referrals.
  • Consider telehealth options. Many online dermatology services are available, allowing you to consult with a dermatologist remotely.

Beyond Skincare:

Lifestyle factors also play a role in acne.

  • Diet: While diet isn’t the sole cause of acne, certain foods can trigger breakouts in some people. Pay attention to how your skin reacts to dairy, sugar, and processed foods.
  • Stress: Stress can exacerbate acne. Find healthy ways to manage stress, such as exercise, yoga, or meditation.
  • Sleep: Getting enough sleep is essential for overall health, including skin health. Aim for 8-10 hours of sleep per night.

Dealing with acne in Taos during the winter requires a proactive and informed approach. By understanding the unique environmental challenges and adopting a tailored skincare routine, you can keep your skin clear and healthy, even in the face of high altitude, dry air, and intense sun. Remember to be patient and consistent with your routine, and don’t hesitate to seek professional help if needed. Your skin will thank you for it.

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