At Livingstone Dermatology, we understand that your skin is a reflection of your health and well-being. We are committed to the latest advancements in dermatological science, and dedicated to providing you with quality care.
Wet wrap therapy is a deeply hydrating and anti-inflammatory technique designed to calm severe eczema, atopic dermatitis, and other dry, inflamed skin conditions. This method involves applying topical medication or moisturisers to affected skin, followed by layers of damp and dry bandages to create an occlusive and cooling environment. The therapy helps lock in moisture, enhances absorption of topical agents, and soothes inflamed, itchy skin.
Often recommended for patients experiencing severe flare-ups or widespread skin irritation, the treatment offers a safe and non-invasive way to restore the skin barrier. It also provides immediate comfort, particularly in children and those with chronic eczema.
The treatment works by creating a moist and healing environment that reduces inflammation and promotes skin repair. The process begins with the application of a topical corticosteroid, emollient, or medicated cream to affected areas. A layer of damp, breathable fabric (usually cotton or gauze) is then wrapped over the treated skin, followed by a second dry layer to retain warmth and moisture.
This dual-layer wrap improves skin hydration, soothes itching, and enhances the penetration of topical medication. The coolness of the damp layer also helps reduce skin temperature and inflammation, breaking the itch-scratch cycle and supporting barrier recovery.
Depending on the condition’s severity, wraps may be worn for a few hours or overnight under medical guidance.
Wet wrap therapy provides fast, intensive skin recovery and relief from discomfort, making it especially useful during acute flare-ups. Some of the other benefits include:
Although wet wrap therapy is often used to treat eczema, it can also be used for:
However, it is not typically used for infected or weeping skin unless prescribed alongside appropriate antimicrobial treatments.
Wet wrap therapy is typically used during intense flare-ups or when standard topical treatments do not provide adequate relief. It works best as part of a structured eczema care plan and can be performed in a clinical setting or at home with proper guidance.
Here is what the process usually involves:
Before treatment
A dermatologist will first assess your skin condition, triggers, and current treatment regimen. This is important as wet wrap therapy is often recommended when topical treatments alone provide insufficient relief.
During treatment
After cleansing the skin gently, a layer of prescribed corticosteroid or emollient is applied to the affected areas. A damp layer of medical-grade fabric is then placed over the skin, followed by a dry outer layer. This is done either in-clinic for education and demonstration or at home with detailed guidance.
Wraps are typically worn for 2 to 6 hours, or overnight. This will depend on the severity of the condition and your skin’s response.
After treatment
Once the wraps are removed, your skin will likely feel calmer, less itchy, and more hydrated. Our dermatologist may adjust your treatment plan based on your response and recommend repeating the wraps for several nights or intermittently during flare-ups.
Wet wrap therapy often delivers dramatic short-term improvement, especially in children or patients with severe eczema who have not responded well to conventional emollients or steroid creams alone. Many reports reduced redness, smoother skin, and significantly less itching even after the first few sessions.
While the treatment is not a long-term solution by itself, it is an excellent supportive treatment during flare-ups or transitions between medication adjustments. With consistent use during flare phases and ongoing moisturisation, patients can expect improved skin barrier function, reduced inflammation, and greater comfort in daily life.
When combined with an individualised eczema care plan, wet wrap therapy plays a key role in achieving long-term skin stability.
The frequency of wet wrap therapy is tailored to your skin’s needs. For acute flare-ups, daily or nightly wraps may be advised for 3 to 7 days. For maintenance, wraps may only be required intermittently during episodes of dryness or itching.
Our dermatologist will provide a personalised treatment schedule and guide you on how to apply wraps safely at home, including when to reduce or discontinue use.
At Livingstone Dermatology, we understand the impact eczema and chronic inflammation can have on your quality of life. Our dermatologists are experienced in using wet wrap therapy as part of a holistic skin management plan to relieve flare-ups, calm sensitive skin, and help you regain control of your skin health.
Contact us to schedule an appointment and find out whether wet wrap therapy is right for you or your child.
Is wet wrap therapy suitable for children?
Yes. Wet wrap therapy is especially effective for children with moderate to severe eczema. It provides quick relief with minimal risk, making it a preferred option for paediatric patients.
Will it cure my eczema?
Wet wrap therapy does not cure eczema, but it provides rapid symptom relief and enhances the effectiveness of other treatments. It is an excellent supportive method during acute flares.
Are there any side effects?
When used as advised by a dermatologist, side effects are minimal. Overuse of topical steroids under wraps without medical guidance may cause thinning of the skin, so always follow instructions carefully.
Can I do this at home?
Yes. Once demonstrated in-clinic, most patients or caregivers can perform wet wrap therapy at home using prescribed creams and suitable wraps. We will teach you the correct technique to ensure safety and effectiveness.
How quickly will I see improvement?
Many patients notice a significant improvement after just 1 or 2 treatments, especially in terms of reduced itching and redness.
Whether you’re dealing with a specific skin concern or seeking to enhance your natural beauty, Livingstone Dermatology is here to guide you on your journey to healthy, radiant skin.
Schedule an appointment today and experience the Livingstone standard of care in a welcoming, professional environment.
