Skincare advice is everywhere, but much of it oversimplifies how skin conditions present and heal across different skin tones. In this article, Dr. Avee Naidoo, a physician practicing dermatology at HealthOne Skin Clinic in Toronto, addresses common myths she encounters in practice and clarifies what evidence-based dermatology supports, drawing on her work in ethnodermatology.
Some of the most common skincare myths include:
These myths can be especially confusing because they often contain a small amount of truth. A product may be effective. An ingredient may be well studied. A routine may work for one person. But that does not mean it is right for everyone.
"I often see patients who simplify their skincare routine and notice more improvement than when they were using multiple products inconsistently. A gentle cleanser, moisturizer and sunscreen used consistently are often the foundation of healthy skin." - Dr. Avee Naidoo
There is a growing trend toward complex, multi-step skincare routines that layer multiple active ingredients, often inspired by what patients see online. While each product may be effective on its own, using too many at once disrupts the skin barrier and leads to redness, irritation and sensitivity, which are signs of damage rather than improvement.
Fact: In practice, less is often more. A simple routine with a gentle cleanser, moisturizer, daily sunscreen, and one or two targeted treatments can often be more effective.
Skincare is highly individualized, and ingredients that work well for one person won’t necessarily work for someone else. At times, social media presents certain products as universally effective and doesn’t account for differences in skin type, sensitivity, or underlying conditions.
Fact: Even well-established ingredients like retinoids or exfoliating acids need to be introduced and used appropriately. The focus should be on understanding your skin and choosing treatments that align with your specific needs, rather than following trends.
Adult acne is increasingly common, particularly among women in their late 20s to 40s. While it’s often assumed to be related to skincare habits, acne is influenced by a combination of factors such as hormones, stress, and inflammation.
Fact: Overly complicated routines often worsen breakouts by disrupting the skin barrier and increasing irritation. A more balanced approach that focuses on reducing inflammation, supporting the skin barrier, and using targeted treatments is more effective.
Many skincare recommendations do not account for how conditions present across different skin tones on the Fitzpatrick scale. Skin responds differently to inflammation, pigmentation, and certain treatments, and these differences are not always reflected in generalized advice.
For example, brown or darker pigmentation is often assumed to be a sign of healing, but in deeper skin tones it can also indicate ongoing inflammation, which causes it to be overlooked or misinterpreted.
Fact: An accurate assessment requires an understanding of how skin conditions present across a range of skin tones, along with a more tailored approach to care. This is a key focus within ethnodermatology, which aims to improve recognition and treatment across all skin tones.
There is a growing amount of misinformation online, particularly around certain treatments such as topical steroids. While concerns about side effects are widely shared, they are often presented without proper clinical context. When prescribed appropriately and used as directed, topical steroids are safe and remain one of the most effective treatments for inflammatory skin conditions such as eczema.
Fact: Misinformation often leads patients to delay care or avoid treatments that would help manage their condition.
Skincare misinformation has become more common, driven in part by simplified social media content that promotes one-size-fits-all routines, fear-based narratives around certain ingredients or treatments, and marketing that focuses on quick fixes over long-term skin health. Research in dermatology and public health shows a growing presence of misinformation and “fake news” online, particularly across social media platforms where unverified or promotional content can spread widely and influence how patients understand and approach treatment plans.
While access to information has improved, important context is often missing. Skincare is highly individualized, and what works for one person is not always appropriate for another.
Medical guidance is recommended when skin concerns persist or worsen despite over-the-counter treatments. This includes ongoing breakouts, increasing redness or irritation, dark marks that are not improving, or symptoms such as severe dryness, burning, or sensitivity.
Recurrent conditions like eczema or rosacea flares that do not resolve over time should also be assessed. Early evaluation helps identify the underlying cause and guide appropriate care before symptoms become more difficult to manage.
For patients experiencing acne, irritation, pigmentation changes, or chronic inflammatory skin conditions, consultations are available at HealthOne Skin Clinic at The Well. A personalized assessment helps determine the underlying cause and guide appropriate next steps based on individual skin needs.
Dr. Naidoo takes a compassionate, holistic, and patient-centered approach to skin care and provides dermatological care tailored to Canada’s diverse population. With a special focus on ethnodermatology, Dr. Naidoo believes in improving accessibility to dermatological care for all skin types. Further, she is committed to educating her patients on skin health through evidence-based practices. She is thrilled to be extending her practice to HealthOne The Well.
Dr. Naidoo holds a master’s degree in Immunology and Inflammation from McMaster University, where she received the prestigious CIHR Institute of Aging Anne Martin-Matthews Doctoral Research Prize. She completed Medical School and Residency at the University of Toronto and pursued a fellowship at the renowned Lynde Institute of Dermatology. Dr. Naidoo is certified by the College of Family Physicians, the College of Physicians and Surgeons of Ontario, and holds a postgraduate Diploma in Practical Dermatology from Cardiff University.