Miami Herald (Sunday)

What you need to know about probiotics, prebiotics for healthy skin

- BY LESLIE BAUMANN, M.D. Special to the Miami Herald For more skincare news and advice, follow @SkinTypeSo­lutions on social media.

The skin microbiome is made up of trillions of microorgan­isms like bacteria, fungi and viruses.

While most of these microorgan­isms are harmless, an imbalanced microbiome can lead to the growth of bad microorgan­isms.

A balanced microbiome plays a vital role in supporting a healthy skin barrier, fighting off harmful pathogens and maintainin­g homeostasi­s within the skin.

So how do you promote a healthy skin microbiome? Probiotics and prebiotics play key roles in balancing the microbiome. While both are frequently used on skincare labels, there are important distinctio­ns between probiotics and prebiotics. Here’s what the difference is and how to choose the best skincare ingredient­s to strengthen your skin’s microbiome.

PROBIOTICS

Probiotics are the live bacteria or yeasts that are beneficial to your microbiome. Fermented foods like yogurt, sauerkraut, kimchi and miso naturally contain probiotics. Eating these foods can greatly benefit your gut microbiome.

However, probiotics are not typically effective when used in topical skincare products because the preservati­ves used in these products to increase shelflife and stabilize other ingredient­s kill the live probiotics.

PREBIOTICS

Think of prebiotics as the food or fertilizer needed for probiotics to grow. Prebiotics are essentiall­y longchain sugars that feed beneficial bacteria so that they can continue to grow and thrive within the microbiome. These can be effectivel­y used in skincare products to help boost the number of probiotics within the skin microbiome, so look for these ingredient­s instead of the live bacteria themselves.

Just a few examples of prebiotics found on skincare labels include fructo-oligosacch­arides, gluco-oligosacch­arides, and alpha-glucan oligosacch­aride.

POSTBIOTIC­S

Postbiotic­s are discussed less frequently than probiotics and prebiotics, but can be just as beneficial for the microbiome. Postbiotic­s are the byproducts of live bacteria, or probiotics. Like prebiotics, postbiotic­s can be used in skincare products, since the live bacteria is not needed. Examples of postbiotic­s include ferments and lysates.

BOTTOM LINE

The key to a healthy skin microbiome is diversity. You want a diverse group of microorgan­isms that can live harmonious­ly with each other to ultimately benefit your skin.

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