Cosmetics and their role in modulating skin microbiome health. A narrative review Authors Munazza Fatima Department of Microbiology, Government College University, Lahore, Pakistan Hiba Omer Department of Microbiology, Government College University, Lahore, Pakistan Nadia Nadeem Department of Internal Medicine, Pakistan Kidney and Liver Institute and Research Center, Lahore, Pakistan Saira Imtiaz Department of Research, Pakistan Kidney and Liver Institute and Research Center, Lahore, Pakistan DOI: https://doi.org/10.47391/JPMA.30352 Keywords: Skin Microbiome, Cosmetics, Nanotechnology, Probiotics, Prebiotics, Dysbiosis, Dermatological health Abstract The skin microbiome plays a vital role in immune regulation, barrier function, and protection against pathogens. Cosmetics, traditionally used for aesthetic purposes, also influence skin microbiomes. Depending on their formulation, they can support microbial balance through probiotics, prebiotics and postbiotics, or disrupt it, leading to dysbiosis and conditions such as eczema and acne. Advances in nanotechnology have further altered cosmetic efficacy and microbial interactions. The current narrative review was planned to highlight the dual role of cosmetics in modulating skin microbiome health, to emphasise the need for regulatory oversight, and to explore strategies for developing safe, microbiome-friendly skincare products. Key Words: Skin microbiome, Cosmetics, Nanotechnology, Probiotics, Prebiotics, Dysbiosis, Dermatological health. Downloads Full Text Article Published 2026-03-01 How to Cite Fatima, M., Omer, H., Nadeem, N., & Imtiaz, S. (2026). Cosmetics and their role in modulating skin microbiome health. A narrative review. Journal of the Pakistan Medical Association, 76(03), 417–423. https://doi.org/10.47391/JPMA.30352 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 76 No. 03 (2026): March Section NARRATIVE REVIEW License Copyright (c) 2026 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.