praCTiCe managemenT | SKin Care ProDuCTS | iNto your practice
iNcorporatiNg skiN care products
Mary P Lupo explains how the inclusion of cosmeceuticals into the practice of dermatology is good for both patients and doctors
a
MARY P LUPO, MD, FAAD Clinical Professor of Dermatology, Tulane Medical School, New Orleans, LA Founding Director, Lupo Center for Aesthetic and General Dermatology , New Orleans, LA
email
DrLupo@DrMaryLupo.com
KEYWORDS Cosmeceutical; antioxidant; ethics; exfoliant; collagen- stimulating; dermatologist
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ll dermaTologisTs maKe sKin Care reCommendaTions to their patients. medical dermatologists diagnose and treat a myriad of skin conditions that require adjunctive topical care to complement the prescription treatments. atopic dermatitis, contact dermatitis, psoriasis, seborrheic dermatitis, and rosacea are just some of the most commonly diagnosed conditions that should have strict protocols to
help treat and then prevent flares of these skin diseases. acne treatment with retinoids can lead to dry, inflamed skin if the dermatologist does not properly instruct the patients with skin care recommendations that help to hydrate and protect the epidermal barrier. retinoid irritation can result in non-compliance and treatment failure if skin care instructions are not outlined by the treating dermatologist. surgical dermatologists who diagnose and treat skin cancers always admonish these patients to protect their skin from the risk of future skin cancers by using skin creams that provide adequate ultraviolet (spf) protection. finally, cosmetic or “procedural” dermatologists utilize cosmeceutical protocols to prepare the skin for treatments such as chemical peels and laser, to complement the benefits and speed healing of these procedures, and use skin care to maintain the benefits of these treatments.
using products such as retinoids and hydroquinone is a gold standard in pre- and post-laser and light-based treatments(1). For these reasons, it is a natural extension of the dermatologists’ care to include these topical cosmeceutical products in treatment recommendations and to incorporate them into their practices. Patients look to their dermatologists for direction on which products to purchase for their individual needs and goals. The decision of which product to recommend, ethical business and medical practices of selling cosmeceuticals, and the logistics of adding this service are important considerations that must be resolved.
March 2011 |
prime-journal.com
How to choose products in order to make cosmeceutical recommendations to patients, it is important to understand the potential benefit that a product can deliver and which medical or cosmetic condition may respond to that product. Some of the clinical diagnoses that dermatologists treat which can be improved with the addition of appropriate complementary cosmeceuticals include skin cancer, photoageing, acne, rosacea, melasma, and any skin condition that results in lipid barrier disruption (i.e., atopy). Some topical prescription remedies such as 5-fluoruracil,
imiquimod, and aminolevulenic acid for actinic damage
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