POSTED: 28 Jul 2017

Rethinking Skin Type, Here’s How to Find Yours

Walk down any skincare aisle and within seconds it asks you to sort yourself into a box. Oily. Dry. Combination. Normal. It is the first question every brand asks, and it trips a lot of people up. Those four labels were only ever meant to describe how your skin feels on the surface. They say very little about what is driving your breakouts, your dullness or those stubborn patches of pigment. When the label is the only thing guiding your choices, you can end up with a shelf full of products that quietly work against each other. In this article we rethink the standard skin type model, show you how to read your own skin properly and explain how to turn that into a routine that actually targets your concerns.

Why is the Usual Skin Type Model Not Enough?

You are probably familiar with splitting skin into normal, oily, dry or combination. It is a reasonable starting point, but on its own it tells you very little. Two people can both have oily skin and need almost opposite routines, because one is fighting persistent acne whilst the other is mostly worried about early signs of ageing. A single word cannot hold all of that.

We find it far more useful to read skin in three layers. First comes your base, which is the oil-and-hydration behaviour you were largely born with. Then comes your major problem, the one concern that is active and worsening. Last come your secondary issues, the established problems that are stable rather than getting worse. So you might have an oily base, with acne as your major problem and acne scarring plus rough texture as secondary issues. Someone else might share that oily base but pair it with ageing as the major concern and uneven hyperpigmentation underneath. Once you see your skin as a stack rather than a single label, choosing what to actually put on it becomes far less of a guessing game.

How Do You Work Out Your Base Skin Type?

The simplest test takes about half an hour and costs nothing. Remove your makeup, cleanse gently and pat your skin dry. Then leave it completely bare, wait 20 to 30 minutes, and look closely in the mirror at how it behaves.

If a sheen appears across the whole face, you are likely oily. Oily skin tends to come with slightly thicker skin, a coarser texture and more visible pores, since the same sebum that adds shine also stretches the pore walls. If your skin instead feels tight, or looks and flakes dry, you sit at the dry end. If the shine shows up only across the T-zone (the nose, chin and centre of the forehead) whilst your cheeks stay matte or tight, you have combination skin.

So where does normal or sensitive skin fit? Normal skin is better understood as a point on a scale than a category of its own. Picture skin type as a sliding scale, with dry at one end, oily at the other and combination in the middle. Most people sit somewhere around the middle, leaning a little towards dry or oily depending on the day, the season and their hormones. On that view, combination is the closest thing there is to normal.

Sensitive skin is a different kind of question altogether. Almost everyone experiences sensitivity at some point, though some people are far more reactive than others. Because sensitisation depends on a trigger, the useful move is not to label yourself sensitive and retreat. Instead, work out which specific ingredients set your skin off and avoid those. As a rule, treat sun damage, harsh detergents and high concentrations of alcohol in everyday products as likely culprits.

How Do You Identify Your Major & Secondary Concerns?

Once you have your base, the next job is to name your major problem. This is your main ongoing and worsening concern, the thing you would fix first if you could only fix one. For most people it is acne, ageing or a pigmentary issue such as melasma or rosacea. Secondary issues are the established problems sitting underneath, the ones that are stable rather than actively worsening. These tend to be rough texture, scarring, patchy or uneven pigmentation, enlarged pores or a general dullness.

The reason this matters is that base, major and secondary each call for a different kind of ingredient. Your base decides the texture and weight of your products. The main skin problem decides the hero active at the centre of your routine. Your secondary issues decide the supporting cast. Map all three and you have, in effect, written your own brief.

How Do You Build a Routine Around Your Skin Type?

Once you have read your skin in these three layers, choosing products becomes more straightforward. Every skin type needs the same three basics, namely gentle cleansing, hydration and daily sun protection. Beyond that, your base steers the format. Oily skin does best with lightweight, water-based non-comedogenic textures that hydrate without adding grease. Dry skin wants richer, more emollient, intensely hydrating formulas. Combination skin needs a balance that calms the oily T-zone whilst still supporting the drier cheeks.

Your major concern then dictates the active doing the heavy lifting. For acne that usually means retinoids, azelaic acid or clindamycin. For ageing it tends to be retinoids alongside ingredients like glycolic acid. If you have pigmentation issues, suppressants such as hydroquinone, tranexamic acid, arbutin or azelaic acid are key. Supporting players then handle your secondary issues, with hyaluronic acid for hydration, vitamin C for brightness and tone, and niacinamide for texture, pores and redness. If you want this translated into a step-by-step plan, our skincare routines pages set out a framework for each base type.

Reading your skin this way also helps if you ever see a doctor about it. The more precisely you can describe your base, major and secondary concerns, the more accurately a treatment can be matched to them. A compounded prescription formula can combine a retinoid for ageing with a pigment suppressant and a barrier-supporting base in a single tube, at concentrations chosen for your skin. For many people that means a shorter routine that still covers more than a shelf of separate products would.

At City Skin Clinic, we are passionate about personalised skincare. Our doctors treat conditions including acne, hyperpigmentation, melasma and skin ageing via bespoke compounded treatments designed around your skin type and concerns, using prescription-strength ingredients like tretinoin and hydroquinone where appropriate. Book a video consultation or start your online consultation today. Your journey towards great skin starts here.

This article is intended for general informational purposes only and is not a substitute for medical advice, diagnosis or treatment. Always consult a qualified medical professional with any concerns about your skin or treatment options.

Authored by:

Dr Amel Ibrahim
Aesthetic Doctor & Medical Director
BSC (HONS) MBBS MRCS PHD
Founder City Skin Clinic
Member of the Royal College of Surgeons of England
Associate Member of British Association of Body Sculpting GMC Registered - 7049611

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