The present invention relates to solid or liquid cosmetic, dermatological or medicinal balneotherapeutic preparations for bathing or showering which are essentially anhydrous (with a low water content of less than 1% by weight) and have a lipid content with preferably at least one liquid lipid, furthermore dispersants, and which have a content of probiotic active substances, selected mainly among bacteria of the genus Lactobacillus and Bifidobacteria. When applying these preparations, skin regions which are brought into contact with them can, surprisingly, be provided topically with the probiotic active substances in the meaning of a care effect by maintaining and, if appropriate, restoring the healthy microbial status of the skin while in additional simultaneously cleansing and providing the skin with lipids. In this context, the stability of the microorganisms in the preparations which is required for the above-described effect does not require any further special measures.