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Sensitivity in skin doesn't always present as obviously red, inflamed or irritated skin.
When sensitive skin is balanced, the outer layer of our skin (called the lipid barrier) is intact, and inflammation and irritation should all be under control. If it becomes compromised that's when we notice changes - like redness, tight skin, shiny skin, excess oil or breakouts.
These changes are a consequence of the sensitivity. For example, your skin may have been stripped of its natural protective oils which then in turn causes it to produce more oil and lead to breakouts.
By treating the sensitivity first and working to get the skin balanced your skin function improves and a lot of these other signs such as breakouts start to reduce in appearance as well.