Derm Dispatch at SDPA Fall 2025: The Social Media Skin Care Crisis

In a recent “Derm Dispatch” discussion between Shannon Trotter, DO, and Renata Block, DMSc, MMS, PA-C, the conversation centered on the growing influence of social media in shaping public perceptions of skin care and dermatologic health. Trotter emphasized that platforms such as TikTok and Instagram have effectively replaced traditional sources of health information for many consumers—particularly younger generations—creating both opportunities and challenges for clinicians.

Trotter highlighted her session at SDPA Fall 2025, which aimed to address the role of social media as a primary source of dermatologic information and to evaluate the scientific evidence, or lack thereof, behind trending skin care practices.¹ Among the most persistent fads, she cited slugging—the practice of applying an occlusive layer, typically petrolatum, to seal in moisture—as one that still continues to dominate patient inquiries.

“Believe it or not, our patients often trust what they see online more so than they may even trust you. So it's a scary reality, but we're going to talk more about this with a ‘skin-influencer effect,’ so we can educate you on what's out there, what your patients are going to come in and talk about, and help you navigate that a little bit more,” Trotter said in her presentation.¹

The conversation also explored emerging frontiers in dermatology, including personalized and AI-driven skin care guided by genetics, microbiome analysis, and individual skin characteristics. While both physicians expressed optimism about these innovations, they agreed that clinicians must remain proactive in addressing misinformation before unsubstantiated trends gain traction.

Trotter discussed several examples of viral but scientifically questionable treatments circulating online, such as salmon sperm facials, banana peel masks, and using potatoes for acne. She stressed the importance of dermatologists being aware of these behaviors so they can counsel patients with evidence-based information and dispel myths effectively.

A particularly concerning finding, Trotter noted, is that 33% of Gen Z patients reportedly trust TikTok more than their health care providers for advice. This statistic underscores a widening trust gap between medical professionals and the public. Both clinicians agreed that factors such as limited insurance coverage, healthcare access barriers, and a lack of transparency in the healthcare system may contribute to this erosion of trust.

“There's this level of trust in it and maybe we've lost that in the health care space. We have to really work to get that back,” Trotter said.

The conversation concluded with a call to action: dermatologists must engage with social media to meet patients where they are, provide credible education, and reestablish trust. As Block noted, the “social media train is on its way”—clinicians’ task is to install the guardrails to ensure it stays on track.

Reference

1. Trotter, S. Social Media Trends 2025. Presented at: Society of Dermatology Physician Associates Fall 2025 Conference; November 5-9, 2025; San Antonio, Texas.