“Don’t use your skin as a playground for marketing,” Dr Barbara Sturm tells us, in her characteristically matter-of-fact style. Founder of her eponymous skincare brand, the German doctor and anti-inflammatory pioneer takes a resolutely no-nonsense approach to skin, rejecting trends and buzzworthy ingredients in favour of streamlined formulas proven to reduce inflammation.
Featured in this article
When it comes to building an effective routine and knowing how to layer skincare, the key, she stresses, is tackling inflammation. “I think that inflammation is the biggest culprit when it comes to ageing,” she explains. “I’m an anti-inflammatory doctor, and my background is anti-inflammatory science. I started on orthopaedics, and lots of my skincare ingredients come from orthopaedic, anti-inflammatory science like exosomes and telomerase activators.”
Layering your skincare with nourishing, skin barrier-supporting ingredients is central to this philosophy – an idea she illustrates through her raisin-and-grape theory. But which steps go where? Which products are essential, and which can you skip for good? Here, legendary aesthetic specialist Dr Barbara Sturm breaks down how to best layer our skincare to maximise results.
A common misconception when you’re prone to doomscrolling TikTok for skincare recommendations is that more skincare layers mean better results. But that is not always the case. How extensive your routine should be is a matter of time, lifestyle and your skin needs. “You can have 10 steps, and it won’t hurt you”, says Dr Sturm. But you can also keep it simple, “I sometimes have only two steps. If you want just the most effective and quickest, you need to make sure your skin is super hydrated. I use hyaluronic serum and my face cream, and I’m out the door, and I will have glowy, beautiful, healthy, dewy skin.”
When selecting the products to include in your routine, it comes down to three main pillars, reveals the expert: hydration, barrier support and anti-inflammatory care. She uses the analogy of grapes vs raisins. “Grapes are the hydrated skin cells. You want the grapes,” she stresses.
The first step in curating an effective skincare routine is to establish the basics. And these, according to the aesthetic doctor, are the inclusion of a proper cleanser, gentle exfoliation a couple of times a week and hydration, hydration, hydration. She believes that with just these steps alone, you can achieve healthy, glowy skin.
Dr Sturm advises paying attention to the pH of this product. As the product most often applied to the skin, you want to start out on the right foot. Too alkaline (high pH) and it will strip the complexion of its natural oils, moisture and disrupt the skin barrier. The skin is naturally acidic (pH 4.5–5.5), and thus your cleanser should be as well to maintain barrier function and prevent inflammation. “I recommend my foaming cleanser because its pH is the pH of the skin, and it really helps the microbiome and the skin barrier to be strong.”
“You need to make sure your skin is mildly exfoliated before you add any serum or ingredient to your skin,” she recommends to prep your skin for active ingredients and maximise absorption. But only when done right. Overexfoliating only damages the skin barrier. “So twice a week, use my Enzyme Cleanser, which is the mildest, most gentle form of exfoliation because it’s done by enzymes.” Additionally, she says this step helps prevent breakouts by removing dead skin cells that could clog pores.
Dubbed by the skincare expert as the “grape maker”, hyaluronic acid brings instant hydration to the skin.
“Protect your skin barrier from any external aggressors like UV, pollution or blue light with a lipid-rich face cream,” Dr Sturm says. She formulated her brand’s Face Cream to include anti-inflammatory ingredients like purslane, which is an antioxidant.
“We need sunlight for vitamin D production, which is actually a hormone, for our mental health, for our bones, for our respiratory tract, for our heart condition,” she explains. However, “it needs to be in balance and in moderation and always with SPF.” But it is important to always shield your skin against the environmental aggressors like UVA and UVB rays, but also pollution and blue light that can cause stress to the skin.
When it comes to layering serums, Dr Sturm says, “You always start with the light, watery serums.” Think lightest to heaviest. With this in mind, hyaluronic acid, as a water-based serum, is usually first and is then followed by light actives like anti-ageing peptides or exosomes. Oil-based or rich textures are slotted before your face cream, which locks it all in. Read the full Vogue guide here.
She adds that you should wait around 20 seconds in between layers and has a helpful way of making that work in her morning routine. “Before I apply the next one, I make sure it really goes into my skin. I start naked, put my HA serum on, then put on my underwear, and then I come back to the mirror, and I do my next serum. I keep going back and back and once I’m dressed, I’m also done with my skincare.”
The focus for your AM and PM routines is different, which is why the products included will also change. In the morning, hydration, protection and lightweight textures are favoured, while at night, it’s all about rejuvenating. “At night, our skin has a different task than throughout the day. At night, we rejuvenate, we repair, we heal, so you need different ingredients to support. Also something happens called transepidermal water loss.” She favours the inclusion of polyglutamic acid, a powerful humectant that holds more water than hyaluronic acid to prevent this, which also serves to plump fine lines.
Dr Sturm says heavy, irritating oils are not best suited for those with rosacea. On the other hand, soothing ingredients like niacinamide, ceramides, centella or azelaic acid can calm redness and support the skin barrier. She advises the use of a gentle cleanser and to pay attention to diet, which may trigger a rosacea flare-up – “it’s not just what skincare you use, it’s also the way you live.”
When you have eczema, the more gentle, the better, which is why many, including Dr Sturm, encourage the use of products from kids’ and babies’ collections. “Bring healing ingredients to support and nourish the skin barrier,” she says. Fragrance-free products may combat potential irritation.
“What’s really important if you have acne-prone skin,” Dr Sturm tells us, is to “never dry out your skin. Skin always needs hydration. There’s no way around it. If you have dehydrated or dry skin, you have to fix it. Skin never works dehydrated. You need the grapes.”
For oily skin types, Dr Sturm recommends switching to a lighter face cream and incorporating clarifying serums into your routine.
The difference between your summer and winter skincare routines is down to the richness of your moisturiser. “In summer, your skin is more oily than in winter, so you use less oily face cream,” Dr Sturm explains. Whereas in winter, colder weather causes blood vessels to tighten, which reduces circulation. This, combined with cold air and indoor heating, dries out the skin and compromises the skin barrier, so you need a thicker, richer moisturiser to suit. You may also increase exfoliation in summer and apply more SPF.
Dr Sturm makes it clear that she does not believe in the likes of skincare fasting, nor that your skin can get used to the products that you use. Perhaps controversially too, the aesthetic doctor deems retinol is not in line with her brand’s “anti-inflammation is anti-ageing” principle. Retinol is commonly misused, which can lead to inflammation. The potent active may irritate when first used or used at too high a strength and disrupt the skin barrier, leading to transepidermal water loss – “Now, you don’t have the grapes, you have the raisins.” That being said, it is one of the most studied anti-ageing ingredients that increases cell turnover, improves texture, signs of ageing and pigmentation. But use it gradually. Read our retinol guide to find out more.
Look out too for the percentage of vitamin C that you are applying to the skin. “There are so many hardcore vitamin C serums,” Dr Sturm says, and when it is included in a high strength and low pH, “It can damage your skin.” The effectiveness of a vitamin C serum is highly dependent on its form, pH, stability and delivery system.
Dr Sturm stresses to avoid the ingredients that “break through your skin barrier, make your skin look red and break out.” She emphasises that redness, stinging or tightness is categorically not a sign that something is working. “Do the things that are nourishing, healing, repairing and strengthening,” she says and remember happy skin is hydrated skin.
