Investigation on Acne Patients' Use and Awareness of Cosmetics for Acne / 대한피부과학회지

BACKGROUND: Some cosmetics used for treating acne are considered as cosmeceuticals. Consequently, patients with acne are now more likely to perceive such products as actual treatments. OBJECTIVE: We aimed to investigate the awareness and use of cosmetics for acne and to compare them with hospital treatments in terms of efficacy and safety. METHODS: We surveyed patients who presented at the National Medical Center for acne treatment. We collected data on demographics, hospital treatments, kinds of cosmetics for acne, awareness and use of cosmetics for acne, efficacy and adverse effects (cosmetics for acne vs. hospital treatments), and overall patient satisfaction. RESULTS: Of 101 enrolled participants, 94 (mean [SD] age, 25.6 [6.5] years; 59 women) were analyzed. Seventy-one (75.5%) patients used cosmetics for acne. Only 30% perceived that cosmetics for acne were insufficient to treat acne, whereas 45~55% deemed cosmetics for acne as applicable replacements for topical and oral treatments. The participants rated their improvement to be significantly better with hospital treatments than with cosmetics for acne (much improved: 45.1% vs. 2.8%, became worse: 1.4% vs. 8.5%, p<0.01). There were significantly fewer adverse events after hospital treatments than after use of cosmetics for acne. The overall satisfaction scores were significantly higher with hospital treatments than with cosmetics for acne. CONCLUSION: Patients with acne mistakenly believe that cosmetics for acne can replace topical and oral treatments. Dermatologists should disseminate information and educate patients about the proper treatments for acne. Moreover, it is desirable to exclude the word “acne” from the name of cosmeceuticals.

Cosmecéuticos Indispensable para otorrinolaringólogos y cirujanos plásticos faciales / Cosmeceuticals Essential for facial plastic surgeons and otolaryngologists

Objetivos: Definir el término cosmecéutica, presentar los ingredientes activos más comúnmente utilizados, sus indicaciones y ventajas. Evaluar nuestros productos para el cuidado y rejuvenecimiento de la piel, teniendo en cuenta variables como pigmentación, líneas de expresión y ritides finas, hidratación, brillo y envejecimiento. Diseño: Serie de Casos Materiales y métodos: Se realizó un estudio retrospectivo mediante análisis fotográfico ciego de 50 casos de rejuvenecimiento facial usando únicamente cosmecéutica seleccionados al azar durante el periodo Agosto 2015 ­ Julio 2016. Se utilizó un régimen cosmecéutico personalizado incluyendo: limpieza y exfoliación, hidratación, reparación, despigmentantes, antienvejecimiento y fotoprotección, dos veces al día durante 6 meses. Las variables evaluadas mediante una escala semi-cuantitativa de 5 puntos fueron: pigmentación, ritides finas, envejecimiento en general, hidratación, brillo cutáneo y mejoría estética. La prueba no paramétrica de Wilcoxon fue seleccionada para evaluar significancia estadística. Resultados: Las lesiones pigmentadas, las ritides finas y el envejecimiento en general disminuyeron 32.7, 26.3 y 22%, respectivamente. Alcanzando significancia estadística (p<0,05). El brillo y la hidratación mejoraron en 47.5 y 55.3%, respectivamente. Se encontró una mejoría estética del 58%. La escala analógica visual reveló un rejuvenecimiento del 16,5% (p=0,0018). Conclusiones: La incorporación de cosmecéuticos en la práctica de la otorrinolaringología y la cirugía plástica facial mejora la apariencia de los pacientes, rejuvenece la piel y puede contribuir potenciando los resultados posoperatorios.

Objectives: To define cosmeceuticals, introduce common active ingredients, their indications and advantages, and to assess our skin care protocol anti-aging effects, improving dyschromia, wrinkles, hydration and other signs of aging. Design: Case Series Materials and methods: We developed a retrospective photographic analysis of 50 facial rejuvenation patients using our cosmeceuticals. A blind photographic analysis of dyschromia, fine wrinkles, overall aging, skin light reflection, hydration and aesthetic improvement using 5-point grading scales was carried out. The nonparametric Wilcoxon test was selected to evaluate statistical significance. A tailored cosmeceutical regimen including: cleaning and exfoliating, moisturizing, repairing, pigment lightening, anti-aging formulations and photo-protection was applied twice a day for 6 months. Results: Dyschromia, fine wrinkles and overall aging decreased 32.7, 26.3 and 22 percent, respectively. Reaching statistical significance (p<0,05). Luminosity, hydration and overall aesthetic change improved 47.5, 55.3 and 58 percent, respectively. The visual analog aging severity scale revealed a statistically significant 16,5% of rejuvenation (p=0,0018). Conclusions: Incorporating cosmeceuticals in the facial plastic surgery practice can promote a better overall patient experience by rejuvenating the skin, hastening postoperative healing and reducing common postoperative side effects.

Dermocosmetic care for rosacea

ABSTRACT Rosacea is a chronic inflammatory skin disease that primarily affects the central area of the face; it is characterized by erythema, papules, pustules, nodules, and telangiectasia. This condition arises between 30-60 years of age, and it usually occurs in fair-skinned people. Rosacea is characteristic of sensitive skin, as it is a disease marked with punctuated phases of exacerbated signs and symptoms that alternate with periods of remission. Humans have long incorporated cosmetics in their daily habits; given the scientific and technological developments that emerged in cosmeceuticals or dermocosmetics, the current cosmetic options are now used for much more than adornment or cleansing. The purpose of cosmetic care in rosacea is to restore the balance of the skin, while reducing the underlying inflammation, sensitivity, and dehydration. This review aims to highlight the various dermocosmetic care options that can reduce discomfort for and bring benefit to patients who have reactive and sensitive skin associated with rosacea. Additionally, this report discusses how pharmacists - public health agents - can and should offer counseling and support interventions to patients once oral or topical medications are dispensed to this pathology.