The skin’s outer layers are home to densely populated micro-organisms known collectively as the microbiome. These organisms have a symbiotic relationship with the skin’s health, boost the balance of healthy microbiota to help improve skin health. This article presents the latest findings from scientific research on the balance of our skin’s microbiome and its relationship with the gut microbiome, and how improvements in microbiome health can help counter acne, breakouts and other skin conditions as well as slow the signs of ageing.