
Ceramides vs Hyaluronic Acid: Which Hydrates Better and Why It Matters
Understanding the Basics: What Are Ceramides and Hyaluronic Acid?
In dermatology, “ceramides vs hyaluronic acid” is often framed as a choice. In reality, they do different jobs.
Hyaluronic acid pulls water into the skin.
Ceramides decide whether that water stays.
Understanding those distinct roles is the key to understanding barrier repair, transepidermal water loss, and why ATIKA chose ceramides – not oral hyaluronic acid – as part of a barrier-first, skin longevity strategy.
What Are Ceramides?
Ceramides are lipid molecules naturally present in the outermost layer of the skin, the stratum corneum. They help form and maintain the skin’s protective barrier, limiting transepidermal water loss (TEWL) and shielding skin from environmental stressors such as pollutants and irritants.¹⁻³
When ceramide levels are adequate, the barrier stays intact, skin holds onto moisture better, and the surface feels smoother. When ceramides are depleted, TEWL rises, hydration falls, and skin becomes drier, more sensitive, and more reactive.
In practical terms: ceramides are part of the “mortar” between corneocytes (the “bricks”) that keeps water in and irritants out.
What Is Hyaluronic Acid?
Hyaluronic acid (HA) is a naturally occurring polysaccharide found in the skin’s extracellular matrix, as well as in joints, connective tissue, and the eyes. It functions primarily as a humectant: it attracts and binds water molecules to increase hydration and surface plumpness.⁴
Topically, this can be very useful. HA helps the skin look more hydrated and can soften the appearance of fine lines.
But there are limits:
- HA is a water-binding molecule, not a lipid.
- It does not repair or strengthen the skin’s lipid barrier.²,³
- It does not fill the “mortar” between corneocytes or rebuild the lipid matrix.
This is why HA alone has not been shown to reduce TEWL in human trials: it adds water, but it does not fix the structure that governs water loss.
Micro-Summary
- Ceramides repair the skin barrier and reduce TEWL.
- Hyaluronic acid increases water content but does not rebuild barrier lipids or reduce TEWL by improving barrier cohesion.
Hydration vs. Retention: The Critical Difference
Hydration and retention are often used interchangeably, but physiologically they are not the same thing.⁵⁻⁷
- Hydration: adding water into the skin layers.
- Retention: the barrier’s ability to keep that water in place over time.
Hyaluronic acid, as a humectant, hydrates by pulling water into the epidermis.
Ceramides, as barrier lipids, retain by rebuilding the lipid matrix and reducing TEWL.²,³,⁹
Hyaluronic acid, while generally well tolerated, still functions only as a humectant. In very dry air or at high concentrations, it can sometimes leave skin feeling tighter if the underlying barrier is weak, because water can be pulled upward and evaporate faster if lipids are low.
Elevated TEWL is one of the clearest markers of impaired barrier function.⁷ Ceramides address that directly by replenishing the lipids that seal moisture in. Hydration fades quickly without a functioning barrier, which is why ceramides are foundational for long-term moisture balance.
Hydration and Sensitive or Reactive Skin
For sensitive or reactive skin, barrier status matters more than almost anything else.
- Ceramides replenish barrier lipids in the stratum corneum and help restore defense against moisture loss and external stressors.³,⁶
- Clinical data support their role in conditions characterized by impaired barrier function, such as eczema and atopic dermatitis.⁹⁻¹¹
This positions ceramides to address the root cause of sensitivity: disrupted barrier lipids and elevated TEWL.
Benefits Overview: Ceramides vs. Hyaluronic Acid
Ceramide-Derived Benefits
- Enhance epidermal barrier function by strengthening the intercellular lipid matrix of the stratum corneum, reducing TEWL and improving overall barrier integrity.²,³,⁹,¹¹
- Promote sustained moisture retention by limiting passive water diffusion through the epidermis, particularly when combined with humectants.⁵⁻⁷
- Support structural elasticity by minimizing dehydration-induced rigidity, helping skin feel smoother and more resilient.
- Assist in barrier recovery after irritation or damage by replenishing depleted lipids and reinforcing epidermal cohesion; this is especially relevant in barrier-impaired conditions.⁸⁻¹¹
Hyaluronic Acid–Derived Benefits
- Attract and retain water within the epidermis, providing short-term hydration and visible surface plumpness.⁴,¹²
- Improve the appearance of fine lines and dullness by increasing water content in the upper layers of the skin.
- Rely on an intact barrier and adequate lipids to retain that water; HA itself does not restore barrier lipids or reduce TEWL.
Science Summary
Human studies on oral ceramides show improvements in hydration and TEWL, consistent with barrier repair.⁶⁻⁸
Oral HA, by contrast, shows modest and inconsistent systemic effects and no evidence of strengthening the lipid barrier.
Why Internal Hyaluronic Acid Supplements Have Limited Value
From a formulation and physiology standpoint, oral HA has several limitations for barrier repair and TEWL:
- No robust evidence for TEWL reduction
- Rapid degradation in the GI tract
- High molecular weight limits intact absorption
- Systemic delivery is inconsistent
- Cannot rebuild the lipid matrix
- Hydration without barrier repair is transient
Topical HA works because molecular weights can be tuned to sit on or penetrate into the epidermis. Orally, the story is different: HA is a large polymer that is enzymatically broken down in the digestive tract. Only small fragments may be absorbed, and their delivery to the skin is limited and variable. Current human data do not show improvements in TEWL, barrier lipids, or ceramide levels with oral HA.
In other words: oral HA may support general hydration, but it is not a barrier repair ingredient.
Internal Ceramides: Why They Matter More Than Oral HA
Phytoceramides behave very differently.
After ingestion, phytoceramides are absorbed via lipid transport pathways, incorporated into circulating lipoproteins, and delivered to the epidermis, where they contribute to ceramide synthesis and barrier repair.⁶⁻⁸
This pathway helps explain why oral ceramides:
- improve stratum corneum hydration
- reduce TEWL
- support barrier recovery over weeks
Clinical Takeaway
Human studies on Ceramosides™ show improvements in hydration and barrier function as early as 15 days.⁶
- Oral ceramides help rebuild the skin’s lipid matrix from within.
- Oral hyaluronic acid does not.
Additional Benefits: Hair Support
While the primary focus of skin hydration and barrier repair drives the formulation of Advanced Skin Nutrition, phytoceramides also offer emerging support for hair health. In randomized trials using Ceramosides, supplementation increased the number of hairs in the growth (anagen) phase, reduced shedding (telogen phase proportion), and improved hair length and strength when compared with placebo.
These findings suggest that the same lipid-matrix support underlying skin barrier repair may also reinforce the scalp and hair-follicle environment. This means that the barrier-first, lipid-support strategy built into ATIKA not only supports skin hydration and longevity, but may contribute to healthier, stronger hair as well.
Why ATIKA Chose Ceramides (and Not Hyaluronic Acid)
ATIKA was built around a simple principle: if the goal is long-term skin health, treat the bottleneck, not just the symptom.
For hydration, the bottleneck is the barrier.
From that lens, oral hyaluronic acid did not make scientific sense:
- It is a high–molecular weight polymer that does not survive digestion intact.⁴
- Systemic exposure of intact HA is low and inconsistent.
- Oral HA has no evidence for TEWL reduction or barrier lipid restoration.¹²,¹³
Ceramides, on the other hand:
- directly participate in the lipid matrix of the stratum corneum
- have human data for improved hydration and TEWL
- align with a barrier-first, skin longevity framework¹,²,⁶⁻⁸
Advanced Skin Nutrition (ASN) follows that logic: internal lipids → stronger barrier → lower TEWL → more durable hydration.
Why ATIKA Uses Ceramosides™ in Advanced Skin Nutrition
Advanced Skin Nutrition is not a single-ingredient collagen or ceramide product. It is an all-in-one foundational skin nutrition formula designed to support skin longevity, radiance, resilience, and barrier health from multiple angles.
It combines:
- Ceramosides phytoceramides to support barrier lipids and hydration
- Verisol® collagen peptides for structural support and wrinkle reduction
- AstaReal® astaxanthin, Red Orange Complex™, green-tea EGCG, grape-seed extract, and maqui berry for antioxidant and carotenoid defense
- Bamboo-derived silica, niacinamide, zinc, selenium, and vitamins A, C, D to support collagen synthesis, cellular energy, and repair pathways³⁻⁸,¹²,¹³
In this context, Ceramosides play a specific role: restoring barrier lipids and helping reduce TEWL from within. They complement the other pillars – collagen, antioxidants, and cofactors – rather than acting alone.
ATIKA uses Ceramosides rather than generic plant-ceramide powders because they are standardized, bioavailable, and clinically validated in human trials for hydration and barrier outcomes.⁶⁻⁸ This supports a barrier-first, evidence-based approach to skin longevity.

How to Combine Ceramides and Hyaluronic Acid in Practice
Topically, HA and ceramides work best together.
A simple layering strategy:
- Cleanse the skin with a gentle cleanser.
- Apply a hyaluronic acid serum on slightly damp skin to increase immediate hydration.
- Seal with a ceramide-rich moisturizer or barrier cream to reinforce lipids and keep that water in place.
- Support barrier lipids from within with oral ceramides, such as Ceramosides in ATIKA Advanced Skin Nutrition, to address TEWL and barrier resilience systemically.
Key Takeaways
- Ceramides and hyaluronic acid both support hydration, but through different mechanisms.
- Hyaluronic acid draws water into the skin; ceramides lock it in by rebuilding the lipid matrix and reducing TEWL.
- Long-term hydration depends on barrier integrity, making ceramides foundational — especially in dry, barrier-compromised, or mature skin.
- Oral ceramides (such as Ceramosides) support internal barrier repair and hydration; oral HA does not show evidence for TEWL reduction or barrier rebuilding.³,⁶⁻⁸,¹²,¹³
- A combined approach – topical HA, ceramide-rich topicals, and internal ceramides – offers the most robust strategy for plump, smooth, resilient skin.
FAQs
-
Can I use both ceramides and hyaluronic acid together?
Yes. HA attracts water; ceramides help retain it by reinforcing the barrier. Together, they offer immediate hydration and longer-term moisture retention. -
How long until I see benefits from ceramides?
In human studies, oral ceramides have shown improvements in hydration and barrier-related endpoints within 2–4 weeks, with continued gains over 8–12 weeks. Individual timelines may vary. -
I have eczema/very sensitive skin. Which should I prioritize?
Prioritize ceramides. They help replenish barrier lipids and support comfort in barrier-compromised skin, while HA alone does not repair the barrier. -
Do oral ceramides work differently from hyaluronic acid supplements?
Yes. Oral ceramides support the lipid barrier from within, improving moisture retention and reducing water loss.³,⁶⁻⁸ Hyaluronic acid supplements primarily increase water content but have not shown evidence of rebuilding barrier lipids or reducing TEWL.¹²,¹³ -
Why are ceramides considered more important than hyaluronic acid for long-term skin health?
Ceramides address the root cause of chronic dryness by strengthening the barrier and reducing TEWL. Hyaluronic acid provides hydration but depends on a functioning barrier to retain it. For long-term resilience, ceramides are foundational, especially in dry, barrier-compromised, or mature skin.
Conclusion
Hyaluronic acid provides the water; ceramides provide the structure that keeps it there.
For short-term hydration and surface plumpness, HA has a clear role, especially in topical skincare. But for long-term moisture retention, barrier repair, and skin longevity, ceramides operate at a deeper structural level by rebuilding the lipid matrix that controls TEWL.
For anyone experiencing dryness, sensitivity, or barrier fatigue, restoring lipid balance is the starting point. Supporting that process internally with targeted lipids – such as Ceramosides phytoceramides in ATIKA’s Advanced Skin Nutrition – helps fortify barrier function from within. With consistent care, skin can remain supple, hydrated, and glowing at every age — not just temporarily moisturized, but structurally supported and protected from within.
Notes
- ATIKA Advanced Skin Nutrition (ASN) is formulated to support skin hydration and barrier function from within and is not a replacement for topical skincare, in-office procedures, or other medical interventions. While ingredient studies indicate potential complementary benefits, ASN has not been clinically tested in combination with these interventions.
- Always consult a healthcare professional before use, especially if pregnant, nursing, taking medications, or managing a medical condition.
- Individual results may vary. Timelines mentioned are based on studies of specific ingredients (e.g., Ceramosides™ phytoceramides) and may not reflect personal outcomes.
References
-
Rabionet M, Gorgas K, Sandhoff R. Ceramide synthesis in the epidermis. Biochim Biophys Acta. 2014 Mar;1841(3):422-34. doi: 10.1016/j.bbalip.2013.08.011. Epub 2013 Aug 27. PMID: 23988654.
-
Elias PM. Structure and function of the stratum corneum extracellular matrix. J Invest Dermatol. 2012 Sep;132(9):2131-3. doi: 10.1038/jid.2012.246. PMID: 22895445; PMCID: PMC3587970.
-
Madison KC. Barrier function of the skin: "la raison d'être" of the epidermis. J Invest Dermatol. 2003 Aug;121(2):231-41. doi: 10.1046/j.1523-1747.2003.12359.x. PMID: 12880413.
-
Price RD, Berry MG, Navsaria HA. Hyaluronic acid: the scientific and clinical evidence. J Plast Reconstr Aesthet Surg. 2007;60(10):1110-9. doi: 10.1016/j.bjps.2007.03.005. Epub 2007 Apr 26. PMID: 17466613.
-
Verdier-Sévrain S, Bonté F. Skin hydration: a review on its molecular mechanisms. J Cosmet Dermatol. 2007 Jun;6(2):75-82. doi: 10.1111/j.1473-2165.2007.00300.x. PMID: 17524122.
-
Bizot V, Cestone E, Michelotti A, Nobile V. Improving Skin Hydration and Age-related Symptoms by Oral Administration of Wheat Glucosylceramides and Digalactosyl Diglycerides: A Human Clinical Study. Cosmetics. 2017; 4(4):37. https://doi.org/10.3390/cosmetics4040037
-
Tessema EN, Gebre-Mariam T, Neubert RHH, Wohlrab J. Potential Applications of Phyto-Derived Ceramides in Improving Epidermal Barrier Function. Skin Pharmacol Physiol. 2017;30(3):115-138. doi: 10.1159/000464337. Epub 2017 Apr 14. PMID: 28407621.
-
Tsuchiya Y, Ban M, Kishi M, Ono T, Masaki H. Safety and Efficacy of Oral Intake of Ceramide-Containing Acetic Acid Bacteria for Improving the Stratum Corneum Hydration: A Randomized, Double-Blind, Placebo-Controlled Study over 12 Weeks. J Oleo Sci. 2020 Nov 1;69(11):1497-1508. doi: 10.5650/jos.ess20115. Epub 2020 Oct 15. PMID: 33055441.
-
Kono T, Miyachi Y, Kawashima M. Clinical significance of the water retention and barrier function-improving capabilities of ceramide-containing formulations: A qualitative review. J Dermatol. 2021 Dec;48(12):1807-1816. doi: 10.1111/1346-8138.16175. Epub 2021 Oct 1. PMID: 34596254; PMCID: PMC9293121.
-
Cespedes Zablah A, Lio P. Oral Lipids/Fatty Acids Supplements and Eczema: What Is Known? Dermatitis. 2025 Jan 8. doi: 10.1089/derm.2024.0317. Epub ahead of print. PMID: 39772730.
-
Spada F, Harrison IP, Barnes TM, Greive KA, Daniels D, Townley JP, Mostafa N, Fong AT, Tong PL, Shumack S. A daily regimen of a ceramide-dominant moisturizing cream and cleanser restores the skin permeability barrier in adults with moderate eczema: A randomized trial. Dermatol Ther. 2021 Jul;34(4):e14970. doi: 10.1111/dth.14970. Epub 2021 May 24. PMID: 33984185; PMCID: PMC8459234.
-
Asserin J, Lati E, Shioya T, Prawitt J. The effect of oral collagen peptide supplementation on skin moisture and the dermal collagen network: evidence from an ex vivo model and randomized, placebo-controlled clinical trials. J Cosmet Dermatol. 2015 Dec;14(4):291-301. doi: 10.1111/jocd.12174. Epub 2015 Sep 12. PMID: 26362110.
-
Sun Q, Wu J, Qian G, Cheng H. Effectiveness of Dietary Supplement for Skin Moisturizing in Healthy Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Front Nutr. 2022 Jun 2;9:895192. doi: 10.3389/fnut.2022.895192. PMID: 35719159; PMCID: PMC9201759.

Leave a comment
This site is protected by hCaptcha and the hCaptcha Privacy Policy and Terms of Service apply.