Pedro Almodovar describes his latest film The Skin I Live In as, “a horror story without screams or frights.” Despite this, it can hardly be said that the film is comfortable to watch. Based on Mygale, a novel by Thierry Jouquet, it follows the disturbing story of Dr Robert Ledgard (Antonio Banderas), a scientist pursuing unethical research to improve skin, and his human guinea pig Vera (Elena Anaya).

Despite being a genre which Almodovar has never explored to this extreme before, it is full of his distinctive cinematic style. The controlling Robert lives in a world of absolute perfection where every surgical instrument, needle or microscope, is paid rigorous attention. His obsession is encapsulated with a beautifully captured shot of him gazing over a larger than life television image of Vera- the object of both his love and hatred.

The film touches on Almodovar’s favourite ideas: obsession, anxiety and sexual identity. Each character is at a stage in their life where they must decide whether the skin they live in is definitive of them as a person. The appearance versus reality dichotomy is a driver for much of the emotional conflict that they encounter.

Banderas, rejoining with Almodovar for their first collaboration in over 20 years, will be highly praised for his cold portrayal of the heartless Robert. More praiseworthy is the perfect balance between tenacity and fragility which Anaya brings to her role as Vera. In a film which swings between horror, science fiction and romance, the two leading actors have achieved a continuity which is relatable and engaging.

Any review of this film must tread lightly to avoid revealing what is an immensely disturbing plot twist and for that reason it is difficult to give an adequate indication of what is in store for those who watch it. Yet for die hard Almodovar fans and those ignorant of his work alike, The Skin I Live In is a story which will  both repulse and enthral.