Sensitive Skin Survival Guide: 10 Expert Tips & Skin Care Solutions

woman with sensitive skin on face

Written by Founder, Amir Karam MD

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Sensitive skin can often hold people back from achieving their skincare goals, especially when it comes to anti-aging.

This is because people with sensitive skin often avoid powerful active ingredients due to fear of irritation, and miss out on the potential changes those ingredients can offer their skin.

My goal with KaramMD was to design an advanced anti-aging routine that is accessible to all skin types, including the most sensitive. I wanted to create a solution that allowed everyone to achieve more youthful, healthy skin without compromise.

After extensive time, testing, and crafting carefully balanced formulations, we created Trifecta: a skincare routine that makes it possible for sensitive skin types to benefit from potent anti-aging active ingredients without the typical side effects. 

Sensitive skin affects many people in different ways, often leading to confusion and frustration, so today, I want to address some common questions about sensitive skin, and offer you my advice and practical solutions to help you build an effective sensitive skin care routine.

Regardless of which products you choose, I hope this guides your decisions, so you can finally overcome the challenges associated with sensitive skin.

Sensitive Skin 101

Sensitive skin is a condition where the skin exhibits a overactive response to various factors, leading to discomfort and visible irritation.

People with sensitive skin often find that their skin feels uncomfortable after washing or applying certain products, and they may experience flare-ups in response to changes in their environment or even stress that look like:

  • Redness and Blotchiness
  • Dryness and Flakiness
  • Stinging, Burning, or Itching
  • Breakouts and Acne

*If your sensitive skin symptoms are accompanied by inflammation and swelling, severe discomfort that does not go away, widespread hives on the body, or difficulty breathing, you may be experiencing an allergic reaction rather than typical sensitivity. Unlike sensitive skin, allergic reactions are more intense, can spread beyond the area of exposure, and may require immediate medical attention.

What Causes Sensitive Skin?

The skin barrier is the outermost layer of the skin, acting as a protective shield that keeps moisture in and harmful elements out. Reactions usually occur because the skin’s natural protective barrier is compromised, making it more susceptible to irritants. 

When the skin barrier is healthy, it effectively defends against irritants, allergens, and environmental stressors, helping to maintain smooth, hydrated, and resilient skin. 

However, when the skin barrier is compromised, it allows irritants to penetrate more easily, resulting in heightened sensitivity, and increased moisture loss, which leads to dry and damaged skin.

Sensitive skin is often due to a weakened skin barrier and can be influenced by various factors including harsh skincare products, environmental stressors, and lifestyle.

Ingredients like fragrances, alcohol, and preservatives can irritate sensitive skin, especially when the skin’s barrier is already compromised.

Environmental factors such as sun exposure, extreme weather, and pollution can strip the skin of its natural oils, increasing sensitivity.

Genetics also play a role, with individuals predisposed to conditions like eczema or rosacea being more prone to irritation. Additionally, aging, stress, dehydration, and poor hygiene can exacerbate sensitivity.

Understanding these triggers is helpful for identifying and managing sensitive skin effectively.

How Do I Build a Skincare Routine for Sensitive Skin?

Sensitive skin can easily be aggravated by harsh skincare products or incompatible formulations, so finding a well-balanced skincare routine that won't overwhelm your skin barrier is crucial. 

People with sensitive skin tend to avoid powerful anti-aging ingredients that actually make the biggest difference. But, with the right products and approach, anyone can enjoy the benefits of skincare, without fear of irritation. 


Here's how to effectively manage sensitive skin while achieving anti-aging results:

My Top 10 Tips for Sensitive Skin Care

01.

Prioritize Gentle Cleansing

Washing your face twice a day is crucial, especially if you’re prone to breakouts.

Throughout the day, your skin accumulates dirt, sweat, sunscreen, and pollutants, while overnight, it builds up another layer of sweat, bacteria, and oil. However, if you have sensitive skin, it’s important to use a gentle approach. Harsh, foaming cleansers can strip your skin of its natural oils, leading to dryness and increased irritability.

Look for a gentle, non-foaming cleanser like Rinse Daily Cleanser to deeply clean, without stripping your skin’s natural oils or disrupting its pH balance.

Its inclusion of Aloe Vera along with other soothing ingredients ensures that your skin feels refreshed and comfortable after each wash, avoiding any dryness or tightness.

Prioritizing a gentle cleanser in sensitive skincare is an essential first step in your routine.

02.

Look for Mild Active Ingredients

Retinol is one of the most effective anti-aging ingredients but can be intimidating, especially for those with sensitive skin.

I felt strongly about making Retinol more approachable, so I adapted the typical compound into a more moderated, mild version within KaramMD’s Illuminate Anti-Aging Cream

A more mild approach doesn’t need to mean less effective, it just means less intense.

For starters, I divided a typical single dose of Retinol in half: splitting it into one application for the morning and another at night. This approach makes the formula less harsh, while still delivering the maximum daily benefits.

The Retinol in Illuminate is also encapsulated in a time-released formula, allowing it to permeate the skin slowly throughout the day and night, rather than all at once.

This process ensures a smoother, more gradual dispersion process, which is particularly advantageous for sensitive skin. 

03.

Use Compatible Forms of Retinol & Vitamin C

Vitamin C and Retinol are two of the most important active ingredients in skincare, but many people avoid this combination due to a popular skincare myth that you can't use them together.

Concerns about using Vitamin C and Retinol together often stem from incompatible formulations of each ingredient, that overwhelm the skin barrier when combined.

But, Vitamin C and Retinol are two of the leading anti-aging ingredients for healthier, more youthful skin, so avoiding these actives means missing out on significant skin improvements.

The good news is, when these ingredients are formulated to work together, they're not only compatible, but complement and enhance one another: boosting collagen production to reduce fine lines, brightening the skin, fading darks spots, and balancing skin tone and texture.

I created Quench Vitamin C Serum and Illuminate Anti-Aging Cream with modified versions of both active ingredients to ensure Vitamin C and Retinol could be used safely together. This pairing provides balanced doses of potent actives, without the risk of irritation or skin barrier damage.

04.

Incorporate Gentle Ingredients to Soothe Skin

Even if you have highly reactive sensitive skin that prevents you from using Retinol or Vitamin C, there are still plenty of other active ingredients you could incorporate to maintain a viable anti-aging routine.

I recommend looking for gentle alternative ingredients that can actively improve your skin health while also addressing the symptoms of your sensitivity.

For example, Azelaic acid helps to reduce redness and inflammation, curbs breakouts, and diminishes dark spots like post-inflammatory hyperpigmentation, which often occurs in those with sensitive skin.

Bakuchiol, a natural Retinol alternative, delivers similar anti-aging benefits like smoothing fine lines and wrinkles and improving cell turnover, without an acclimation phase of dry skin or flakiness.

Niacinamide, Hyaluronic acid, Broccoli Seed Oil, Calendula, and Aloe are examples of safe and soothing ingredients that also boost moisture to maintain a healthy skin barrier.

These ingredients can alleviate potential irritation and redness from potent active ingredients, which is why we used them alongside the ingredients in the Trifecta to bring balance to the formulations.

Additionally, they have their own active biological effects on the skin, making them valuable additions to your routine, especially if you can’t use Vitamin C or Retinol.

05.

Avoid Over-Exfoliation

Exfoliation is critical for keeping your skin smooth and clear, but for those with sensitive skin, finding a suitable exfoliator can be challenging.

Over-exfoliating can damage your skin barrier, can lead to increased sensitivity that results in stinging or burning when you apply the rest of your products.

Polish Enzymatic Exfoliator is a unique exfoliating option--using natural fruit enzymes to gently dissolve dead skin cells, combined with ultra fine rice powder, coconut milk powder, and bamboo powders to buff them away. Polish ensures gentle exfoliation, keeping pores clear and improving texture without risking harm to your skin.

The enzymatic approach is safe for all skin types, effectively clearing away dead skin cells without causing physical irritation or damage to the skin barrier.

06.

Hydrate and Protect Your Skin Barrier

A compromised skin barrier is often the root cause of sensitivity. This makes hydration and skin barrier protection essential components for sensitive skin health.

When the barrier is weak, it can lead to dryness, irritation, and increased reactivity. This is where a barrier balm becomes a key part of your sensitive skin routine.

Enrich Breathable Barrier Balm was specifically formulated to support and strengthen your skin’s barrier while locking in essential moisture.

However, Enrich is more than just a moisturizer—it nourishes, soothes, actively repairs the skin barrier overnight, while also delivering potent anti-aging benefits when incorporated into your evening slugging routine.

07.

Include Antioxidant Defense

Sensitive skin is more vulnerable to external aggressors like pollution, bacteria, and UV rays, making it essential to use products with antioxidant ingredients like Vitamin C, Vitamin E, and green tea.

Trifecta has antioxidants in each of its three products, working to protect your skin during the day, and help to repair environmental damage overnight.

To top it off, Enrich is also packed with antioxidants and nutrient-rich plant oils that make it a versatile skincare companion, both day and night: protecting, repairing, and locking in moisture with its lightweight, non-comedogenic formula that won’t clog pores or cause breakouts.

08.

Be Mindful of External Environmental Influences

Ensure your living environment is clean.

Regularly wash pillowcases, towels, and makeup brushes to avoid transferring bacteria and irritants to your skin.

Your phone can also collect dirt and bacteria, which can transfer to your face, causing breakouts and irritation.

And of course, sun exposure is another external factor that can worsen sensitivity, making daily SPF application crucial.

I recommend EltaMD sunscreens for sensitive skin, as they offer broad-spectrum protection in a gentle, lightweight formula that won’t clog pores or cause irritation.

09.

Choose Clean, Fragrance-Free Products

For highly sensitive skin, it’s best to use fragrance-free products or those with light, natural scents. Synthetic fragrances and artificial dyes can irritate sensitive skin, leading to redness, itching, or allergic reactions.

Chemicals, sulfates, and alcohol can also dry out your skin barrier, causing it to become more vulnerable to external irritants, which is why it was important that all of our KaramMD products are vegan, cruelty-free, and formulated without chemical dyes, harsh sulfates, phthalates, parabens, GMOs, or alcohol.

KaramMD's Quench and Polish are both completely fragrance-free, while Enrich does not contain added fragrance, but is naturally scented with jasmine, ylang-ylang flower, lavender, orange, rose, among 30 other natural oils - offering a delicate fragrance that is tolerable for sensitive skin.

By choosing clean, fragrance-free or naturally scented products, you can minimize the risk of irritation and help maintain a calm, balanced complexion.

10.

Streamline Your Routine

Using too many products or layering harsh ingredients can overwhelm sensitive skin.

Stick to a streamlined routine with products that are formulated to work together. The Trifecta system from KaramMD provides all the essential steps without overloading your skin.

Pay attention to how your skin responds to different products and environmental changes. If your skin starts to feel tight, itchy, or red, it may be a sign that you’re overdoing it. Adjust your routine as needed, like scaling back on exfoliation and focusing on more soothing, hydrating products like a barrier balm.

Consistency is crucial for managing sensitive skin. Commit to your sensitive skin routine and give your skin time to adjust. While you might experience setbacks like breakouts or acclimation to the actives at first, with regular care, your skin will become more resilient, and you’ll see the benefits of a well-thought-out routine.

By following these tips and incorporating products designed with sensitive skin in mind, like those in the KaramMD line, you can effectively manage your skin’s sensitivity and achieve the healthy, radiant complexion you’ve always wanted. 


Each product in the Trifecta system has been carefully formulated to be safe for sensitive skin--providing powerful anti-aging results without compromising your skin’s comfort or integrity.

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I have very sensitive skin and have never been able to stick with a solid skin care routine due to irritation. Until now! I have been consistently using these products for 3 months and my skin has never looked or felt better. Not only do they work and I can clearly see results (even skin tone, less breakouts, smaller pores), the entire routine takes a couple of minutes which is key for me. On top of that I’ve had several compliments on my skin! 100% best skin care I have ever used.”

--Jane H.

Amir Karam MD

Board Certified Facial Plastic Surgeon
Founder / Creator of KaramMD Skin

Dr. Amir Karam is a renowned facial cosmetic surgeon and an authority in his field. With over two decades of experience helping patients achieve a younger, refreshed appearance. In addition to surgical procedures that sculpt a youthfully-defined facial shape, Dr. Karam takes the quality of the skin into account.

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