Skin Infections
Dermatologists Say What You Wear in Extreme Heat Can Cause Skin Infections

You probably do it every summer morning without thinking twice: you grab whatever looks cute, step outside, and within fifteen minutes your shirt is plastered to your back like a second skin. We all assume we know how to dress for the heat – lighter colors, fewer layers, done. But the material clinging to your body right now might actually be working against you in ways that go beyond simple discomfort. Textile researchers and dermatologists say the wrong fabric choice can trap heat, breed bacteria, and even trigger skin infections.

Why what you wear in a heatwave is a health issue, not just a style one

Western Europe is currently enduring the most severe heatwave in its history. The brutal temperatures have forced more than 1,000 schools across the UK to close and caused a surge in hospital admissions. The central and eastern US is also bracing for extreme heat ahead of the Fourth of July holiday. In conditions like these, your wardrobe becomes more than an aesthetic decision – it is part of how your body copes.

Dr Doris Day, a board-certified dermatologist and associate professor of dermatology at the New York University Langone Medical Center, warns that fabrics trapping heat against the body can impede your ability to regulate temperature. The consequence? Heat rash, for starters. And if you stay in sweat-soaked clothes too long, Day notes you risk developing acne or fungal acne breakouts – an infection of the hair follicle that produces small, red, itchy bumps on the skin. So the question isn’t just whether you feel hot. It’s whether your clothing is actively making it harder for your body to cool itself down.

The materials textile experts want you to rethink immediately

Synthetic fabrics such as polyester, nylon, and acrylic are the biggest culprits. According to Dr Saetbyul Park, assistant professor of apparel and textile design at Michigan State University, these materials do have moisture-wicking properties, meaning they absorb sweat and move it away from the skin. But in extreme heat, they tend to be less comfortable because they are more tightly woven, less breathable, and prone to trapping heat against the body.

There is also the smell factor. A 2014 study found that polyester attracted odor-causing bacteria while cotton did not, and that polyester smelled significantly more strong, more sweaty, and more sour. And synthetic fabrics are far more common than most people realize – Strauss, a textile expert, points out that many people do not grasp how much of their everyday clothing is polyester or a poly blend, even outside of exercise gear.

Silk might seem like a safe bet since it is a natural fiber, but Strauss cautions that silk is actually quite insulating. Covering a large portion of your body in silk can leave you feeling overheated. Beyond personal comfort, there is an environmental dimension worth considering: a 2020 Guardian report revealed that 4,000 metric tons of microfibers from synthetic clothing had been released into California’s natural environment alone.

What to reach for instead – and the color trap nobody warns you about

The general expert recommendation is simple: lean toward natural fibers, specifically cotton and linen. Park describes linen as one of the coolest fabrics for summer because it is breathable, absorbs moisture, and is lightweight and stiff enough that it will not cling to your skin when it gets wet. Cotton, meanwhile, is absorbent, breathable, easy to care for, and durable. But it has a catch – cotton can absorb moisture and become heavy if you sweat a lot, and heavier cotton fabrics like denim can trap heat. Park suggests opting for chambray instead, which has a similar look to denim but is much lighter.

Color matters too, and in surprising ways. According to Strauss, heathered grey is your worst enemy because its black undertones make it look dramatically darker when wet, creating a stark contrast between dry and damp areas. Dark colors in general absorb more heat than lighter shades, which means they will make you feel warmer. However, dark colors do offer more sun protection – a black T-shirt shields your skin from significantly more harmful UV rays than a white one. It is a genuine trade-off, and there is no single perfect answer. Beyond color, Day recommends changing out of sweat-soaked clothing as soon as possible to avoid those rash and acne flare-ups.

The bottom line for surviving summer in style

The fabric against your skin is doing more work than you probably gave it credit for. We now know that synthetics like polyester and nylon can lock in heat, attract odor-causing bacteria, and even contribute to skin irritation, while silk – despite being natural – insulates more than it ventilates. Linen and lightweight cotton remain the smartest picks for scorching days, and swapping denim for chambray is a small change that can make a real difference. Next time the forecast hits triple digits, check your clothing label before you check the mirror. Your body will handle the heat far better when your wardrobe is not fighting against it.