Skip to main content

The Sensitive Skin: Do’s and Don’ts

  • Chapter
  • First Online:
Skin Diseases in Females
  • 670 Accesses

Abstract

Sensitive skin is characterized by abnormal and unpleasant sensations of burning, tingling, smarting or pricking, sometimes accompanied with redness, tightness or dryness of skin, after coming in contact with routinely used skin products or cosmetics. Syndet bar use leads to minimal or no skin irritation along with preservation of cutaneous protein, natural moisturizing factor and lipid content. Combination skin care regime, i.e., use of micellar water cleanser in morning, non-tinted cream with sunscreen in afternoon and serum in night, can help in reduction of sensitivity. Non-foaming cleansers are preferred choice in sensitive skin. Specially formulated anti-ageing creams containing sodium salicylates (1%), polyhydroxy and bionic acids are preferred in sensitive skin. Even the botanical or “natural” products can cause or precipitate sensitive skin symptoms. Powder-based cosmetics are safer in sensitive skin. Water soluble cosmetics with inert, hypoallergic, fragrance free, pure ingredients, specially formulated for sensitive skin should be used. Sunscreen with microfine zinc oxide or titanium oxide is preferred due to their inert and non-irritant nature. Nail polish with toluenesulfonamide-formaldehyde resin should be avoided. Individuals with sensitive or very sensitive skin may have impaired self-perception of social, physical and mental health. So, persistent symptoms may warrant psychological evaluation and counselling.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Inamadar AC, Palit A. Sensitive skin: an overview. Indian J Dermatol. 2013;79(1):9–16.

    Google Scholar 

  2. Escalas-Taberner J, Gonzalez-Guerra E, Guerra-Tapia A. Sensitive skin: a complex syndrome. Actas Dermosifiliogr. 2011;102(8):563–71.

    Article  CAS  PubMed  Google Scholar 

  3. Meena N, Sinha S, Sarkar R. Sensitive skin care: general measures—Do’s and Don’ts. In: Sarkar R, Sinha S, editors. The sensitive skin: treatment modalities and cosmeceuticals. 1st ed. New Delhi: Jaypee Bros; 2019. p. 14–8.

    Google Scholar 

  4. Muizzuddin N, Marenus KD, Maes DH. Factors defining sensitive skin and its treatment. Am J Contact Dermat. 1998;9(3):170–5.

    CAS  PubMed  Google Scholar 

  5. Pons-Guiraud A. Sensitive skin: a complex and multifactorial syndrome. J Cosmet Dermatol. 2004;3(3):145–8.

    Article  CAS  PubMed  Google Scholar 

  6. Sinha S, Sarkar R. What is sensitive skin? In: Sarkar R, Sinha S, editors. The sensitive skin: treatment modalities and cosmeceuticals. 1st ed. New Delhi: Jaypee Bros; 2019. p. 1–13.

    Google Scholar 

  7. Fisher AA. “Status cosmeticus”: a cosmetic intolerance syndrome. Cutis. 1990;46(2):109–10.

    CAS  PubMed  Google Scholar 

  8. Dieamant Gde C, Velazquez Pereda Mdel C, Eberlin S, Nogueira C, Werka RM, Queiroz ML. Neuroimmunomodulatory compound for sensitive skin care: in vitro and clinical assessment. J Cosmet Dermatol. 2008;7(2):112–9.

    Article  PubMed  Google Scholar 

  9. Ständer S, Schneider SW, Weishaupt C, Luger TA, Misery L. Putative neuronal mechanisms of sensitive skin. Exp Dermatol. 2009;18(5):417–23.

    Article  PubMed  Google Scholar 

  10. Duarte I, Silveira J, Hafner MFS, Toyota R, Pedroso DMM. Sensitive skin: review of an ascending concept. An Bras Dermatol. 2017;92(4):521–5.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Draelos ZD. Sensitive skin: perceptions, evaluation, and treatment. Am J Contact Dermat. 1997;8(2):67–78.

    CAS  PubMed  Google Scholar 

  12. Abbas S, Goldberg JW, Massaro M. Personal cleanser technology and clinical performance. Dermatol Ther. 2004;17(1):35–42.

    Article  PubMed  Google Scholar 

  13. Ananthapadmanabhan KP, Moore DJ, Subramanyan K, Misra M, Meyer F. Cleansing without compromise: the impact of cleansers on the skin barrier and the technology of mild cleansing. Dermatol Ther. 2004;17(1):16–25.

    Article  PubMed  Google Scholar 

  14. Mukhopadhyay P. Cleansers and their role in various dermatological disorders. Indian J Dermatol. 2011;56(1):2–6.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Draelos ZD. The science behind skin care: cleansers. J Cosmet Dermatol. 2018;17(1):8–14.

    Article  PubMed  Google Scholar 

  16. Mias C, Maret A, Gontier E, Carrasco C, Satge C, Bessou-Touya S, et al. Protective properties of avène thermal spring water on biomechanical, ultrastructural and clinical parameters of human skin. J Eur Acad Dermatol Venereol. 2020;34(5):15–20.

    Article  CAS  PubMed  Google Scholar 

  17. Strugar TL, Kuo A, Seité S, Lin M, Lio P. Connecting the dots: from skin barrier dysfunction to allergic sensitization, and the role of moisturizers in repairing the skin barrier. J Drugs Dermatol. 2019;18(6):581.

    CAS  PubMed  Google Scholar 

  18. Hodgkinson B, Nay R, Wilson J. A systematic review of topical skin care in aged care facilities. J Clin Nurs. 2007;16(1):129–36.

    Article  PubMed  Google Scholar 

  19. Tarun J, Susan J, Suria J, Susan VJ, Criton S. Evaluation of pH of bathing soaps and shampoos for skin and hair care. Indian J Dermatol. 2014;59(5):442–4.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Lazzarini R, Costa LL, Suzuki NM, Hafner MFS. Allergic contact dermatitis by shampoo components: a descriptive analysis of 20 cases. An Bras Dermatol. 2020;95(5):658–60.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Schlichte MJ, Katta R. Methylisothiazolinone: an emergent allergen in common pediatric skin care products. Dermatol Res Pract. 2014;2014:132564.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Chen SY, Yin J, Wang XM, Liu YQ, Gao YR, Liu XP. A new discussion of the cutaneous vascular reactivity in sensitive skin: a sub-group of SS? Skin Res Technol. 2018;24(3):432–9.

    Article  CAS  PubMed  Google Scholar 

  23. Guertler A, Jøntvedt NM, Clanner-Engelshofen BM, Cappello C, Sager A, Reinholz M. Efficacy and safety results of micellar water, cream and serum for rosacea in comparison to a control group. J Cosmet Dermatol. 2020;19(10):2627–33.

    Article  PubMed  Google Scholar 

  24. Brenaut E, Barnetche T, Le Gall-Ianotto C, Roudot A-C, Misery L, Ficheux A-S. Triggering factors in sensitive skin from the worldwide patients’ point of view: a systematic literature review and meta-analysis. J Eur Acad Dermatol Venereol. 2020;34(2):230–8.

    Article  CAS  PubMed  Google Scholar 

  25. Grivet-Seyve M, Santoro F, Lachmann N. Evaluation of a novel very high sun-protection-factor moisturizer in adults with rosacea-prone sensitive skin. Clin Cosmet Investig Dermatol. 2017;10:211–9.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Chintaginjala A, Kamcharla L, Kolalapudi S. Sunscreens. J NTR Univ Health Sci. 2012;1(4):210–6.

    Article  Google Scholar 

  27. Ehnis-Perez A, Torres-Alvarez B, Cortes-Garcia D, Hernandez-Blanco D, Fuentes-Ahumada C, Castanedo-Cazares JP. Relationship between transient receptor potential vanilloid-1 expression and the intensity of sensitive skin symptoms. J Cosmet Dermatol. 2016;15(3):231–7.

    Article  PubMed  Google Scholar 

  28. Merinville E, Byrne AJ, Rawlings AV, Muggleton AJ, Laloeuf AC. Three clinical studies showing the anti-aging benefits of sodium salicylate in human skin. J Cosmet Dermatol. 2010;9(3):174–84.

    Article  PubMed  Google Scholar 

  29. Green BA, Yu RJ, Van Scott EJ. Clinical and cosmeceutical uses of hydroxyacids. Clin Dermatol. 2009;27(5):495–501.

    Article  PubMed  Google Scholar 

  30. Yeh LC, Gonzalez N, Goldberg DJ. Comparison of a novel wound dressing vs current clinical practice after laser resurfacing. J Cosmet Dermatol. 2019;18(4):1020–4.

    PubMed  Google Scholar 

  31. Draelos ZD, Ertel K, Berge C. Niacinamide-containing facial moisturizer improves skin barrier and benefits subjects with rosacea. Cutis. 2005;76(2):135–41.

    PubMed  Google Scholar 

  32. Zane LT, Hughes MH, Shakib S. Tolerability of crisaborole ointment for application on sensitive skin areas: a randomized, double-blind, vehicle-controlled study in healthy volunteers. Am J Clin Dermatol. 2016;17(5):519–26.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Zane LT, Chanda S, Jarnagin K, Nelson DB, Spelman L, Gold LS. Crisaborole and its potential role in treating atopic dermatitis: overview of early clinical studies. Immunotherapy. 2016;8(8):853–66.

    Article  CAS  PubMed  Google Scholar 

  34. Farage MA. Sensitive skin in the genital area. Front Med. 2019;6:96.

    Article  Google Scholar 

  35. Farage MA. Perceptions of sensitive skin: women with urinary incontinence. Arch Gynectol Obstet. 2009;280(1):49–57.

    Article  Google Scholar 

  36. Culp B, Scheinfeld N. Rosacea: a review. P T. 2009;34(1):38–45.

    PubMed  PubMed Central  Google Scholar 

  37. Sethi A, Kaur T, Malhotra S, Gambhir M. Moisturizers: the slippery road. Indian J Dermatol. 2016;61(3):279–87.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Purnamawati S, Indrastuti N, Danarti R, Saefudin T. The role of moisturizers in addressing various kinds of dermatitis: a review. Clin Med Res. 2017;15(3-4):75–87.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Pazyar N, Yaghoobi R, Kazerouni A, Feily A. Oatmeal in dermatology: a brief review. Indian J Dermatol. 2012;78(2):142–5.

    Google Scholar 

  40. Draelos ZD, Gunt H, Zeichner J, Levy S. Clinical evaluation of a nature-based bakuchiol anti-aging moisturizer for sensitive skin. J Drugs Dermatol. 2020;19(12):1181–3.

    Article  PubMed  Google Scholar 

  41. Heinicke IR, Adams DH, Barnes TM, Greive KA. Evaluation of a topical treatment for the relief of sensitive skin. Clin Cosmet Investig Dermatol. 2015;8:405–12.

    PubMed  PubMed Central  Google Scholar 

  42. Schoelermann AM, Jung KA, Buck B, Grönniger E, Conzelmann S. Comparison of skin calming effects of cosmetic products containing 4-t-butylcyclohexanol or acetyl dipeptide-1 cetyl ester on capsaicin-induced facial stinging in volunteers with sensitive skin. J Eur Acad Dermatol Venereol. 2016;30(S1):18–20.

    Article  CAS  PubMed  Google Scholar 

  43. Sulzberger M, Worthmann A-C, Holtzmann U, Buck B, Jung KA, Schoelermann AM, et al. Effective treatment for sensitive skin: 4-t-butylcyclohexanol and licochalcone A. J Eur Acad Dermatol Venereol. 2016;30(S1):9–17.

    Article  CAS  PubMed  Google Scholar 

  44. Kolbe L, Immeyer J, Batzer J, Wensorra U, Dieck K, Mundt C, et al. Anti-inflammatory efficacy of Licochalcone A: correlation of clinical potency and in vitro effects. Arch Dermatol Res. 2006;298:23–30.

    Article  CAS  PubMed  Google Scholar 

  45. Draelos ZD. Cosmetics in acne and rosacea. Semin Cutan Med Surg. 2001;20(3):209–14.

    Article  CAS  PubMed  Google Scholar 

  46. Draelos ZD. Active agents in common skin care products. Plast Reconstr Surg. 2010;125(2):719–24.

    Article  CAS  PubMed  Google Scholar 

  47. Lev-Tov H, Maibach HI. The sensitive skin syndrome. Indian J Dermatol. 2012;57(6):419–23.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Hausen BM, Milbrodt M, Koenig WA. The allergens of nail polish. (I). Allergenic constituents of common nail polish and toluenesulfonamide-formaldehyde resin (TS-F-R). Contact Dermat. 1995;33(3):157–64.

    Article  CAS  Google Scholar 

  49. Lazzarini R, Duarte I, de Farias DC, Santos CA, Tsai AI. Frequency and main sites of allergic contact dermatitis caused by nail varnish. Dermatitis. 2008;19(6):319–22.

    Article  PubMed  Google Scholar 

  50. Lee S, Maor D, Palmer A, Nixon RL. Declining prevalence of allergic contact dermatitis caused by toslyamide/formaldehyde in nail polish. Contact Dermat. 2018;79(3):184–5.

    Article  Google Scholar 

  51. Le Q, Cahill J, Palmer-Le A, Nixon R. The rising trend in allergic contact dermatitis to acrylic nail products. Australas J Dermatol. 2015;56(3):221–3.

    Article  PubMed  Google Scholar 

  52. Lazzarini R, Hafner MFS, Lopes ASA, Oliari CB. Allergy to hypoallergenic nail polish: does this exist? An Bras Dermatol. 2017;92(3):421–2.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Misery L, Myon E, Martin N, Consoli S, Boussetta S, Nocera T, et al. Sensitive skin: psychological effects and seasonal changes. J Eur Acad Dermatol Venereol. 2007;21(5):620–8.

    CAS  PubMed  Google Scholar 

  54. Zafiriou E, Angelopoulos NV, Zintzaras E, Rallis E, Roussaki-Schulze AV. Psychiatric factors in patients with sensitive skin. Drugs Exp Clin Res. 2005;31:25–30.

    PubMed  Google Scholar 

  55. Beiu C, Mihai M, Popa L, Cima L, Popescu MN. Frequent hand washing for COVID-19 prevention can cause hand dermatitis: management tips. Cureus. 2020;12(4):e7506.

    PubMed  PubMed Central  Google Scholar 

  56. Masood S, Tabassum S, Naveed S, Jalil P. COVID-19 pandemic & skin care guidelines for health care professionals. Pak J Med Sci. 2020;36(4):S115–7.

    PubMed  PubMed Central  Google Scholar 

  57. Rundle CW, Presley CL, Militello M, Barber C, Powell DL, Jacob SE, et al. Hand hygiene during COVID-19: Recommendations from the American Contact Dermatitis Society. J Am Acad Dermatol. 2020;83(6):1730–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Araghi F, Tabary M, Gheisari M, Abdollahimajd F, Dadkhahfar S. Hand hygiene among health care workers during COVID-19 pandemic: challenges and recommendations. Dermatitis. 2020;31(4):233–7.

    Article  CAS  PubMed  Google Scholar 

  59. Hu K, Fan J, Li X, Gou X, Li X, Zhou X. The adverse skin reactions of health care workers using personal protective equipment for COVID-19. Medicine. 2020;99(24):e20603.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Desai SR, Kovarik C, Brod B, James W, Fitzgerald ME, Preston A, et al. COVID-19 and personal protective equipment: treatment and prevention of skin conditions related to the occupational use of personal protective equipment. J Am Acad Dermatol. 2020;83(2):675–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sinha, S., Meena, N. (2022). The Sensitive Skin: Do’s and Don’ts. In: Sarkar, R., Sinha, S. (eds) Skin Diseases in Females. Springer, Singapore. https://doi.org/10.1007/978-981-16-6065-8_21

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-6065-8_21

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-6064-1

  • Online ISBN: 978-981-16-6065-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics