Ask a Dermatologist: Science of Skin Cleansing

How does cleansing affect the skin microbiome?

Cleansing is an important part of the skin microbiome because it helps to restore the natural balance of good and bad bacteria. In acne prone individuals, we consider propionibacterium acnes as a pathogenic bacteria. P acnes otherwise doesn’t cause problems in other individuals. The reason is because excessive growth of p acnes occurs in individuals who produce a certain type of oil- defined by its physical and chemical composition. P. acnes has been identified in acne prone individuals which drives a vicious cycle of inflammation and comedone formation. 

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