IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 4167 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Article in PDF (111 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   References

 Article Access Statistics
    Viewed4578    
    Printed59    
    Emailed2    
    PDF Downloaded600    
    Comments [Add]    

Recommend this journal

 


 
ACNE IN INDIA: GUIDELINES FOR MANAGEMENT - IAA CONSENSUS DOCUMENT
Year : 2009  |  Volume : 75  |  Issue : 7  |  Page : 55-56

Cosmetics and skin care in acne


members Indian Acne Alliance, India

Correspondence Address:
Raj Kubba
Consultant Dermatologist, Kubba Clinic,10, Aradhana Enclave, Ring Road, New Delhi - 110066
India
Login to access the Email id

Source of Support: Production and publication of this supplement is made possible by an educational grant from Galderma India Pvt. Ltd., Conflict of Interest: Indian Acne Alliance (IAA) meetings logistics to formulate IAA consensus document DQAcne in India: Guidelines for managementDQ were supported by Galderma India Pvt. Ltd.


PMID: 19282598

Rights and PermissionsRights and Permissions



How to cite this article:
Kubba R, Bajaj A K, Thappa D M, Sharma R, Vedamurthy M, Dhar S, Criton S, Fernandez R, Kanwar A J, Khopkar U, Kohli M, Kuriyipe V P, Lahiri K, Madnani N, Parikh D, Pujara S, Rajababu K K, Sacchidanand S, Sharma V K, Thomas J. Cosmetics and skin care in acne. Indian J Dermatol Venereol Leprol 2009;75, Suppl S1:55-6

How to cite this URL:
Kubba R, Bajaj A K, Thappa D M, Sharma R, Vedamurthy M, Dhar S, Criton S, Fernandez R, Kanwar A J, Khopkar U, Kohli M, Kuriyipe V P, Lahiri K, Madnani N, Parikh D, Pujara S, Rajababu K K, Sacchidanand S, Sharma V K, Thomas J. Cosmetics and skin care in acne. Indian J Dermatol Venereol Leprol [serial online] 2009 [cited 2018 Aug 18];75, Suppl S1:55-6. Available from: http://www.ijdvl.com/text.asp?2009/75/7/55/45489


A cosmetic is defined as an "article intended to be rubbed, poured, sprinkled, or sprayed on the human body for the purpose of cleaning, beautifying, promoting attractiveness, or altering the appearance without affecting the body's structure or function." [1] Appropriate skin care contributes to successful management of acne. Skin care needs to be rational, flexible, and adaptive. The objective is to keep the skin and hair (scalp) clean, to control oiliness and prevent excessive dryness, to understand the changing needs of the skin on a daily basis brought about by variations in environmental conditions, physical activities, and the effects of topical and systemic treatments, and to compensate for such changes so as to maintain the skin in a near-ideal state. This is possible to achieve by balancing cleansing, moisturizing, and judicious use of supplemental skin care products.

Cleansers: The purpose of cleansing is to remove dirt, sebum, and sweat that could stick on to an oily skin. Soaps are not recommended as they dry up the skin which is already dry and irritated with topical medications such as retinoids and BPO. Frequent washing to reduce oiliness is counterproductive as it leads to rebound oiliness through irritation of the sebaceous gland. Steaming, scrubbing, and the use of exfoliants make acne worse. Soap-free cleansers with pH of 5-7 are the best. Salicylic-acid-containing cleansers as gels and foams are helpful in the early stages of treatment. Lathering antiseptics, lather-producing gels or creams, should be discouraged as they can irritate acne-treated skin. Cleansing milk is better for make-up removal versus toners and astringents.

Shaving: Daily shaving can irritate the skin. An electric shaver may be better option than hand-held razor. [2] A shaving gel or cream is better than shaving foam. A moisturizing lotion is better than conventional after-shave lotion.

Hair oils: Liberal use of hair oils or oil massages is to be discouraged as this could contribute to pomade acne. Frequent shampooing is advised to keep scalp free of seborrhea.

Adjuvants cosmetics: Cosmetics with fragrances and photosensitizers should be avoided. Water-based foundation is safe to use.

Moisturizers: Most topical antiacne treatments lead to dryness or desquamation of skin. Appropriate use of oil-free moisturizers should be permitted or even encouraged. The objective is to correct dryness to be comfortable in feeling and appearance without causing oiliness.

Sunscreen products: Some acne treatments have the potential to cause photosensitivity. Even otherwise, a parallel objective of treatment is to enhance the skin. Sunprotection and tan prevention is encouraged. This requires identifying a suitable sunscreen product which is then incorporated in the daily routine. Most sunscreens are too oily for acne patients and tend to aggravate it. Lately, some sunscreen gels and oil-free lotions have become available that are suitable for acne patients.

Masks: These are the products that contain substances like clay, kaolin, or talc, which can absorb sebum and make the skin temporarily dry. [3]

Exfoliators: These are the products which contain cornedolytics like salicylic acid, glycolic acid, and resorcinol. They are available as cleansers, washes, leave-on-gels, and scrubs. Exfoliators speed the natural renewal of skin cells and help in the treatment of acne by alleviating comedones. [4]

Foundations: They are thick and occlusive and can lead to cosmetic acne. Hence, oil-free foundations are better. Oils in foundations are substituted by silicone derivatives like cyclometissue or dimethicone.

In conclusion, dermatologists should acquire sound knowledge and familiarity with skin care products that need to be recommended or condemned as part of acne management. Skin care products labeled as "noncomedogenic" or "tested for comedogenicity" help make the job easier. Incorporating cosmetics in acne treatment regimens supports the concept of the dermatologist as the skin care expert.

 
  References Top

1.Tombs EL. Cosmetics in the treatment of acne vulgaris. Dermatol Clin 2005;23:575-81.  Back to cited text no. 1    
2.Poli F. Acne: Personal hygiene. Ann Dermatol Venereol 2003;130:50-2.   Back to cited text no. 2    
3.Savant SS. Personal care and cosmetic products. In: Textbook of dermatosurgery and cosmetology. 2 nd ed. Vol. 62. Mumbai: ASCAD; 2005. p. 500-15.  Back to cited text no. 3    
4.Sheth RA. Cosmetics and cosmetic procedures. In: Valia RG, Valia A, editors. IADVL Textbook and Atlas of Dermatology. 2nd ed. Mumbai: Bhalani Publishing House; 2001. p. 1313-25.  Back to cited text no. 4    




 

Top
Print this article  Email this article
Previous article Next article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow