Skin Microbiome: Why It's a Breakthrough

Written by: Dr Tiina Meder

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Published on

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Time to read 6 min

Dr Tiina Meder

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. 

The skin microbiome is one of the most fascinating discoveries in modern science, completely reshaping the way we see our bodies and skin health. Just 25 years ago, Nobel laureate Joshua Lederberg invented the term “microbiome.” Today, we know our bodies are hosts to billions of microorganisms, and their collective genome — the microbiome — is essential for life, immunity, and wellbeing.

Microbiome vs. Microbiota: What’s the Difference?

Both terms are now common in discussions about gut health or advanced skincare, but each plays a unique role in your overall well-being.


Picture placing a brand-new computer next to your old one. While they may look identical, the old computer contains data — apps, contacts, photos — that define how it works for you. The new computer is technically the same hardware, but empty. This analogy reflects the relationship between your body’s microbiota and microbiome:

  • Microbiota: The actual living cells of beneficial bacteria and fungi inhabiting your skin and gut — the ‘hardware’ or structure of your skin ecosystem.
  • Microbiome: Living cells and the genetic material from microorganisms, including bacteria, fungi, and even viruses — the ‘data,’ instructions, and potential in your personal skin and gut environment. The microbiome influences nutrient absorption, immune health, and skin resilience.

Each of Us Is a Planet

From the earliest moments of life, we’re already in contact with the microbiome. Our bodies partner with these microbes for symbiotic benefits: they provide protection, teach our immune cells, and even help us adapt to the environment. In a poetic sense, each person is a planet providing a home for fertile microbial life, while we ourselves are just a tiny part of Earth’s vast microbiome.

The “Normal” Microbiome: No Such Thing

There’s no universal definition of a “normal” skin microbiome. 


Like Morticia Addams said, “Normal is an illusion.” What lives happily on one person may cause problems for another. Each skin’s ecosystem is unique, shaped by family, environment, and daily habits.

🎧 Meder Beauty Podcast: Why Microbiome Matters More Than You Think

Resident vs. Transient Microorganisms

  • Residents (Core Microbiota): Stable, foundational bacteria and viruses, forming your unique skin “fingerprint.”
  • Transients (“Tourists”): Temporary visitors — some help, others disrupt. They come and go with encounters, climate, pets, or even a swim in the ocean.

Meet Your Microbial Residents

The bacterial component of the skin microbiome is made up of four main bacterial groups: Actinobacteria, Firmicutes, Proteobacteria, and Bacteroidetes. Important players include Staphylococcus (which has both beneficial and harmful strains), Cutibacterium acnes (not just acne-causing — beneficial for healthy skin), lactic acid bacteria like *Lactobacillus*, and many others. Fortunately, among the millions of bacteria around us, only about 200 types are considered pathogenic — most actually contribute to skin health.


Even so-called "bad" bacteria only cause problems when they overgrow; skin microbiome health depends on a delicate balance, not the mere presence of one species or another. Fungi and viruses on the skin are less understood, but scientists believe the virome — the community of viruses on the skin — is mainly protective. Bacteriophages, the most common viruses on our skin, help control bacterial populations and may prevent infections. Other viruses may even protect against UV-induced skin cancer, a new frontier in microbiome research


While less is known about the roles of fungi and viruses, it's clear that phages can help defend the skin from infections, and fungi support skin protection and overall balance. Many skin fungi collaborate with bacteria to produce protective substances unique to healthy skin. However, under certain conditions, bacteria, fungi, and possibly viruses can overgrow, forming resistant biofilms that lead to chronic skin problems and make the skin harder to treat.

Biofilms

Biofilm is a recently described phenomenon in which microorganisms develop communication and cooperate to form remarkably stable communities. This process, known as quorum sensing, relies on biochemical messaging between organisms. For microorganisms, biofilm formation represents an evolutionary advantage, as it allows the creation of colonies that can protect themselves from external threats, including elimination efforts.


Unfortunately, this adaptation is often detrimental to humans, as biofilms can result in chronic and treatment-resistant infections. Chronic acne, for example, is now recognised as a biofilm-associated skin condition. Improved understanding of the role of biofilms in chronic skin conditions has led to changes in treatment protocols, including a reduced reliance on antibiotics in dermatology and new strategies that target and disrupt biofilm communities for improved therapeutic outcomes.

Why the Microbiome Matters for Skin Health

  • Protection: Microbes act as teachers, guiding immune cells to defend against threats.
  • Adaptation: Living in tough environments? The microbiome adapts, producing protective substances.
  • Antioxidant Power: Microbes like Cutibacterium acnes produce and metabolise antioxidants to shield your skin from UV and pollutants.
  • Skin Barrier Maintenance: Beneficial microbes regulate lipid production and essential components that maintain hydration and protect against environmental damage. 
  • Nutrient Metabolism: Microorganisms break down complex molecules into simpler forms that can be used by the skin and host, playing a role in essential metabolic processes. 
  • Influence on Systemic Health: Scientifically proven connections, such as the gut-skin axis and skin-brain axis where changes in the skin microbiome can influence health through systemic interactions. 

Microbiome-Friendly Skincare: The New Gold Standard

Microbiome-friendly means products that don’t disrupt skin flora. They avoid changing pH, disinfecting, or sterilising skin. Keeping your microbial ecosystem happy means healthier, slower-aging, and better-protected skin.

  • Friendly Ingredients: hyaluronic acid, glycerin, aloe vera juice, some plant extracts (without antibacterial properties), peptides, proteins (collagen, soy, silk), most vitamins and natural oils.
  • Unfriendly Ingredients: hydroxy acids, active forms of retinols, benzoyl peroxide, most essential oils (their antibacterial effects can disrupt balance).

Clarifying Microbiome Terminology

“Microbiome-friendly” is used for products that are neutral and do not disturb the skin’s natural microbial balance — they are essentially inert or gentle, minimising disruption. It’s misleading to describe skincare that actively restores or corrects microbiome imbalances (such as targeted acne care) as “microbiome-friendly,” because these formulations are designed to interact with the ecosystem, not simply protect it.


Rather than simply using the label “microbiome-friendly,” it is better to speak about microbiome-addressing skincare that actively targets microbial imbalances and aims to restore harmony. Microbiome scientists recently introduced the concept of microbiome support — skincare designed to promote resilience and balance, especially when the microbiome has been disrupted.

Active Ingredients: A Context-Driven Approach

Supporting or restoring a healthy microbiome must be nuanced:

  • Hydroxy acids can help address acne by acidifying the skin and suppressing pathogenic C. acnes strains, contributing to a healthier balance in oily or acne-prone skin.
  • On sensitive or dry skin, these same acids can disrupt beneficial bacteria and aggravate symptoms, illustrating that “friendly” is not universally beneficial — it’s context-specific.

The Rise of the "-biotics" Generation

New generation ingredients that actively support microbiome health fall under the “-biotics” umbrella:

  • Prebiotics: “Food” for good bacteria and fungi; support beneficial strains.
  • Probiotics: Live bacteria/fungi to boost balance.
  • Postbiotics: Bacterial by-products, and/or cell‐wall components released by probiotics often used in skincare.
  • Metabiotics: Bio-fermented plant complexes (think kimchi or sake in moisturisers) support barrier function and calm inflammation.

These ingredients allow for truly microbiome-supportive and microbiome-addressing skincare, going beyond neutrality to actively encourage recovery, resilience, and optimal skin health — provided they’re chosen for each skin’s unique environment and needs. 


However, topical products with probiotics are still limited to personal care brands because they contain high amounts of live bacteria, making it hard to meet old fashioned testing rules for microbial content. Most skincare brands now use postbiotics in their formulations but often call them probiotics — this has become a common practice. Technically, it’s not entirely wrong, since terms like postbiotics, paraprobiotics, non-viable probiotics, inactivated probiotics, tyndallized probiotics, or ghost probiotics are all used for products containing non-living microorganisms. 


However, at Meder, we believe the best practice is to be precise: we specify when probiotics are inactivated, and we include this information educating skin professionals. 

Everyday Actions Helping To Maintain Healthy Microbiome

  • Choose gentle, microbiome-friendly products.
  • Avoid disinfectants, hydroxy acids, and barrier-destroying ingredients.
  • Embrace diversity: open water swims, outdoor lifestyle, gardening, team sport, keeping pets (especially dogs), healthy food and quality skincare promote microbial variety and skin health.

Closing Thought: Care for Your Microbiome, and It Cares for You

We are ecosystems, not just individuals. By respecting the microbiome, we ensure healthy, radiant, and resilient skin — and contribute to a healthier planet for all.


Try the Meder Quiz to choose a personalised, microbiome-supporting skincare routine.

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