See, the more we learn about our skin microbiome, the more we come to understand just how important it is, just how badly we’ve been treating it, what that means for our bodies—and, perhaps most urgently, what we can do to restore it. Sometimes it’s called biome-friendly skin care, microbiome skin care, microflora skin care, or a number of other phrases—but it’s all the same category. Biotic skin care is the broad term in which we categorize products infused with biome-specific ingredients, like pre-, pro-, and postbiotics. The ingredients all work toward barrier support and nurturing a thriving microbial community; though, of course, the ingredients do so to varying degrees of efficacy and mechanisms (don’t worry; we’ll explain more shortly). What’s also cool about these ingredients is that you can really use biotic skin care anywhere: face, body, and scalp, too. “No new skin care product that comes to market can claim to benefit the skin without keeping the microbiome in mind, using ingredients that support a healthy microbiome and avoiding ingredients that disrupt or damage the microbiome,” says board-certified dermatologist Whitney Bowe, M.D. But to understand why and how biotic skin care does all of these good things for the skin, first we must understand the microbiome itself. “As the largest and most visible organ, the skin not only gives clues into what’s happening beneath the surface in terms of immune function, nutrition, oxidative stress, and metabolic issues, to name a few, but it’s the body’s first line of defense against infection, environmental stressors, and loss of nutrients and water, so addressing the skin is a gateway to overall health and well-being,” says board-certified dermatologist Keira Barr, M.D. “The skin microbiome is constantly interacting with our environment and works to support our health by protecting against infection, influencing the immune response, protecting against UV radiation, and helping provide nourishment to the skin cells.” And what’s even more exciting is that while we know the microbiome does a pretty significant amount of work already, it seems that there’s also much to learn: “Research has just begun to piece together the important role they play in our health, and more exciting research is on the horizon,” physician and naturopathic doctor Kara Fitzgerald, N.D., tells us. As we wait with bated breath for new developments, here’s what we know from the current research: The idea here is that much like we have the “good” bacteria that helps your gut thrive, we’ve also been able to identify many of the beneficial bacteria strains that live on your skin and support your barrier function. In an ideal world, we wouldn’t need to do much to help these bacteria, as they strive for a balance naturally. But thanks to modern lifestyle changes, some skin care products, and oversanitization, we’ve disrupted that delicate balance—reducing the good flora and allowing the problematic inhabitants to more easily take hold. When you reintroduce the better-for-you items, you’ll start to see a shift in your skin’s makeup and behavior. As this is the area of biotic skin care that’s been around the longest, there are more studies to back up the claims. Several studies indicate that topical probiotics may help ease the symptoms of skin conditions3 like acne, eczema, rosacea, and other inflammatory issues. Other studies show that probiotics can help your skin’s immune response4, as well as dealing with outside stressors such as UV exposure. Finally, emerging studies think that they can help the skin as it ages5—likely due to tempering inflammation. “Live bacteria in skin care is overrated. More so, it’s not even practical to have them because anytime you’re looking at a cleanser, a moisturizer, or a cream, there are preservatives in there. And there is no way to have a living bacteria in that same product,” says Bowe in this podcast episode. What does this mean in practice? Once you slather said probiotic product on your face, the chance that those organisms are still living isn’t high. Some cosmetic chemists use innovative technologies to ensure they stay active—so be sure to use brands that are able to provide evidence that their probiotics are still beneficial. What’s more important is that you should look for brands that are able to show that their technology ensures the stability of the living organisms (a few brands, like LaForce or Mother Dirt) make these claims. If a brand is hyping “probiotic” technology, but can’t show proof of living organisms it’s likely that the formula actually contains lysates or para-probitoics. Lysates are fragments of fermented bacteria and para-probiotics are dead probiotics. Currently, there’s conflicting evidence if these are helpful for the skin, or if they can actually increase inflammation on the skin. And while under the biotic umbrella, these are a bit less defined than probiotics. That’s because, well, lots of good things can be considered food for healthy bacteria! Some derms and skin care experts go as far as saying that most barrier-supporting creams have some sort of prebiotic effect, as they are essentially enriching the bacteria on your skin. However, there are some ingredients that have a bit more of a prebiotic effect than others: namely plant sugars, algae, and minerals. (These are what we typically think of when we think of prebiotic ingredients.) While prebiotics haven’t been studied to the same extent, studies show that they can support skin barrier function8—especially when paired with probiotics. However, since these specific peptides and fatty acids are formed from fermented bacteria byproducts, they won’t appear as the above on the ingredient label—instead, you’ll see things like “lactobacillus ferment.” For context, live lactobacillus is a strain of bacteria found on the skin—in fact, it’s the main bacteria that lives on the skin when we’re younger, and it performs a host of duties that help our skin thrive, regenerate, and grow. However, we lose it as we age10—as we do many bacteria strains. But by feeding your skin the fermented version, you’re essentially giving your skin all the benefits of the bacteria without having to reintroduce the live version onto the skin. As you can imagine, this process tends to be more effective. “It protects us from mechanical injury, low humidity, cold, heat, sun, wind, chemical exposure, bacteria, viruses, fungi, and other pathogens,” explains board-certified dermatologist Hadley King, M.D., stating that, “a healthy barrier is critical to normal skin function.” Supporting your skin barrier isn’t about superficial aesthetics—there are internal repercussions to disregarding the health of your skin and microbiome. In one 2019 study, researchers found a major link between skin dysfunction and various health conditions caused by chronic inflammation. In the study, researchers connected the use of barrier repair moisturizers with reduced pro-inflammatory cytokines in the blood, highlighting the importance of the skin’s protective role in our overall health: Namely, that poor barrier function is linked to inflammation that can trigger internal health conditions.
