Dermatologists’ Perspectives on Skincare Routine Trends

Background: Multi-step skincare routines have become increasingly popular, particularly among adolescents and young adults, driven by social media exposure and commercial marketing. Although individual skincare ingredients have demonstrated efficacy for specific dermatological conditions, evidence supporting the routine use of elaborate multi-step regimens in otherwise healthy skin remains limited. Concerns have been raised regarding potential adverse effects and misinformation, especially among younger users. Objective: To explore dermatologists’ perspectives on multi-step skincare routines, including perceived risks and benefits, observed complications, and the influence of social media. Material and Methods: A cross-sectional digital survey was distributed to Dutch dermatologists and dermatology residents via the Dutch Society for Dermatology and Venereology. The questionnaire addressed attitudes toward skincare trends, observed dermatoses, implicated ingredients, recommended routine complexity, and perceived social media impact. Associations were analyzed using Fisher’s Exact Test, Mann–Whitney U -test, and Spearman’s rank correlation. Results: A total of 168 respondents participated, including 146 board-certified dermatologists and 22 dermatology residents. Most respondents (91.6%) expressed concern about the popularity of multi-step skincare routines, and 88.1% reported regularly encountering skincare-related skin problems, most commonly irritant eczema, perioral dermatitis, allergic contact dermatitis, and acne exogenica. Retinoids, exfoliating acids, fragrances, and products marketed as natural were frequently mentioned in association with these complaints. Despite concerns, 79.8% acknowledged potential benefits, such as increased awareness of skin health and sun protection. Nearly all respondents identified daily sunscreen use as essential, whereas only 12.5% actively recommended multi-step routines. Social media was perceived as highly influential, with frequent reports of misinformation and delayed medical consultation. Conclusion: Dermatologists report substantial concern regarding complex skincare routines, particularly in relation to complications and misinformation among younger users. Although some benefits are recognized, professional recommendations emphasize simplicity and daily sun protection. Keywords: skincare routines, social media, cosmetic dermatology, contact dermatitis, adolescents, skin irritation