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Sensitive Skin and How to Care for It: Understanding the Modern Skin Epidemic
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Time to read 3 min
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Time to read 3 min
Dr Tiina Meder
Founder and CEO of Meder by Dr Tiina Meder (founded in 2009), dermatologist and cosmetic safety expert, an experienced lecturer and speaker on the topic of dermatology and skin care, sharing her expertise around the world in Japan, Taiwan, IMCAS Europe and China, FACE, CCR, APAN (Australia, New Zealand), LNE (France, Poland, Ukraine) and Microbiome Connection (USA) to name but a few. Across her career she has had more than 50 articles published.
Sensitive skin has become one of the most common concerns in dermatology and skincare. In my years of practice, I’ve witnessed a dramatic rise in people reporting skin sensitivity-so much so that today, we’re facing what can only be described as a sensitive skin pandemic. Recent surveys show that up to 71% of people would call their skin sensitive.
But what does sensitive skin really mean, why is it so prevalent, and how can we care for it wisely?
Sensitive skin isn’t a disease, but rather a collection of symptoms: tightness, tingling, burning, redness, dryness, or even oiliness. These sensations can be triggered by countless factors-temperature changes, wind, spicy food, alcohol, stress, hormonal fluctuations, or even seemingly harmless products like hot tea or skincare. Sensitive skin can affect any part of the body, not just the face or hands. Many people notice scalp sensitivity, or discomfort on their arms, legs, or torso, even when these areas aren’t exposed to the environment.
Today, the rise is likely due to a combination of factors:
One of the most fascinating discoveries in recent years is the deep connection between the skin and the nervous system. Both originate from the same embryonic tissue (the ectoderm), and throughout life, they “talk” to each other using the same biochemical language. This explains why stress, emotions, and even cognitive state can directly influence skin sensitivity-and why skin discomfort can impact how we feel and think.
Sensitive skin is notoriously difficult to diagnose because its symptoms are so varied and subjective. One helpful tool is the Sensitive Skin Scale, developed by Professor Laurent Misery.
It requires patients to rate sensations such as stinging, burning, heat, tautness, itching, pain, discomfort, redness, and flaking over the past three days. Scores help determine whether you need special care or even medical attention for underlying skin conditions.
Further reading: Understanding Acne (More Complex Than Previously Thought)
Listen to our podcast: Sensitive Skin Pandemic
Recent research shows that people with sensitive skin have a less diverse and less protective skin microbiome.
This imbalance allows more pro-inflammatory bacteria to thrive, leading to chronic inflammation and discomfort. A healthy microbiome needs moisture-dry skin cannot support beneficial bacteria, while overly oily skin encourages acne-causing microbes. Balance is key.
1. Simplify your routine
The most important step is to stop using harsh or exfoliating products. Sensitive skin thrives on minimalism. Choose a gentle cleanser with prebiotics and anti-inflammatory plant extracts, a calming serum (such as one with Centella asiatica), and a soothing moisturizer to repair the skin barrier.
2. Focus on moisture
Hydration is crucial. Look for “water magnet” ingredients like hyaluronic acid, glycerin, aloe vera, or Irish moss extract. Well-moisturized skin supports a healthy microbiome and reduces sensitivity.
3. Protect your microbiome
Use products with prebiotics and probiotics to restore microbial balance. Avoid over-cleansing or using antibacterial agents unless medically necessary.
4. Manage stress and lifestyle
Prioritize good sleep, regular physical activity, and a balanced diet. Stress management is vital, as emotional well-being directly affects skin comfort.
5. Avoid over-exfoliation and aggressive treatments
Procedures like chemical peels or laser resurfacing can worsen sensitivity and even impact cognitive well-being due to the close connection between skin and nervous system.
Sensitive skin cannot be transformed overnight. There are no shortcuts-only patience, respect, and gentle care. Remember: when you’re kind to your skin, you’re also supporting your nervous system and overall well-being.