The present invention is an oil-in-water emulsified skin cosmetic comprising acetylated hyaluronic acid, a specific polymethacryloyloxyethyl phosphorylcholine derivative, non-emulsifying cross-linked silicone, glycerin, polyvinyl alcohol, an acrylamide type thickener, and an oil component in the amount of 25 wt% or more relative to the total amount of the oil-in-water emulsified skin cosmetic. The object of the present invention is to provide an oil-in-water emulsified skin cosmetic manifesting superior effects in improving spreadability on the skin, absorption in the skin, absence of stickiness, emollient sensations, taut sensations, and wrinkles/sagging.本發明係一種水中油型乳化皮膚化妝料,其特徵在於含有:乙醯化玻尿酸;特定之聚甲基丙烯醯氧基乙基磷酸膽鹼衍生物;非乳化性交聯型聚矽氧;甘油;聚乙烯醇;丙烯醯胺系增黏劑;及相對於水中油型乳化皮膚化妝料總量,總量為25質量%以上之油分。本發明之目的在於提供一種於肌膚上之延展性、肌膚親和性、無黏膩感、柔潤感、緊致感且皺紋/鬆弛改善等效果優異之水中油型乳化皮膚化妝料。