This review introduces the categories, characteristics, and preparation processes for constructing materials with applications for electronic skins, from the perspective of composition structure of the electronic skins with tactile sensing capability. The compelling features of breathable fiber materials serving as substrate layer, electrode layer, and sensing layer in electronic skins were highlighted, in view of the poor air permeability of current dense film-based and rubber-based electronic skins that easily lead to itching during long-term wearing. The working mechanisms of piezoelectric and triboelectric electronic skins were introduced, which are not only able to achieve real-time pressure sensing response, but also able to harvest the ambient mechanical energy and convert it into electricity to power themselves. These are conducive to the fabrication of miniatured, lightweight, and flexible wearable devices. The research progresses in fiber-based self-powered electronic skins in the fields of motion monitoring and medical detection were comprehensively summarized in terms of preparation methods, performance characterizations, and practical applications. The existing challenges and future development directions of fiber-based self-powered electronic skins were extensively discussed.