“…These studies have shown that the strongest influence on the skin microbiome stems from the local skin microenvironment, in particular determined by skin pH, skin hydration, sebum production and epidermal lipid content. 69,70 Additionally, links between the skin microbiome or its members and a variety of intrinsic and extrinsic factors have been observed, including age, 57,71,72 sex, 73,74 BMI, 75 use of cosmetic products, 76,77 exposure to antibiotics, 78 ethnicity and geographical region. [79][80][81] Moreover, variation in the skin microbiome was found to be associated with several environmental factors, including UV exposure, 82 exposure to domestic animals such as dogs, 83 contact with soil and plants, 84 and urbanization of place of residence.…”