Rates of skincare product and cosmetic procedure use in patients with acne vulgaris and the effective factors: A multicenter study with 1,755 patients

Abstract

Background Skincare products and cosmetic procedures are used as an adjunct or complementary to conventional drug therapy for acne vulgaris (AV). Objective To evaluate the use of skincare products and the frequency of cosmetic procedures in AV treatment. Methods A total of 1,755 patients with AV completed the survey prepared by the researchers and the Cardiff Acne Disability Index (CADI) questionnaire. The clinical findings and the Food and Drug Administration (FDA) severity scores were recorded by the dermatologists. Results For AV, 66.7% of the patients stated that they used skincare products and 26.7% had undergone cosmetic procedures. The use of skincare products was statistically significantly higher in women (female: 74.5%, male: 57.7%, p < 0.0001); older people (users: 22 ± 7.6years, non‐users: 21.2 ± 5.7 years, p < 0.0001); patients with a higher CADI score (users: 7 ± 3.7, non‐users: 6.9 ± 4.3, p = 0.010); FDA severity score 2 and 3 (FDA‐1: 58.1%; FDA‐2: 72.4%, FDA‐3: 73%, FDA‐4: 67%, p < 0.0001); long‐term disease (users: 57 ± 43 months; non‐users: 47.7 ± 42.3 months, p < 0.0001); facial involvement (present: 70.2%, absent: 51.4%, p = 0.017); high income levels (users: 73.5%; non‐users: 26.5%, p = 0.001); and graduate or post‐graduate degrees (undergraduate≤%62.8, graduate≥%76.8, p < 0.0001). The rate of cosmetic procedures was higher in those with higher CADI scores (users: 7.8 ± 3.8; non‐users: 7.1 ± 3.96, p < 0.0001); older patients (users: 22.7 ± 10.7 years; non‐users: 21.3 ± 5 years, p < 0.0001); high school (25.6%); and graduate (28.9%) education (p = 0.043), those with lower disease severity (FDA‐1: 31.1%; FDA‐2: 28.5%, FDA‐3: 27.1%, FDA‐4: 20.4%, p = 0.022); smokers (smokers: 32.5%; non‐smokers: 25.5%, p = 0.020), and those with AV in the family (present: 29.8%; absent: 24.2%, p = 0.009). The patients most frequently used cleansers (85.2%) as cosmetic products, and most commonly underwent skincare treatment (71%) as an interventional procedure. They mostly learned about such products and methods from the Internet, and 33.3% of the participants had undergone procedures performed by non‐physicians. Conclusion The patients generally choose skincare products as a result of their Internet search and sometimes have these procedures performed by non‐physicians. Dermatologists should be aware of this situation and inform their patients about appropriate products and procedures.

Antibacterial and hemocompatibility potentials of nano-gold-cored alginate preparation against anaerobic bacteria from acne vulgaris

“…Acne can be affected by factors, e.g ., family history, the nature of the skin, oily and mixed skin, obesity, sweetened food, smoking, poor quality of sleep, and stress 47 . Also, the usage of skincare products, especially in females, the acne incidence was statistically higher in females at 74.5% 48 . Figure 8 B summarizes the distribution of acne, gender, and regions of acne together with acne-sourced bacterial strains between the genders.…”

The Effectiveness of Pyruvic Acid Peeling in Improving the Quality of Life of Patients with Acne Vulgaris

“…Cosmetic procedures, depending on the severity of the acne, can be an individual therapy or can support pharmacological treatment. Among the cosmetic procedures for acne, the following can be distinguished: chemical peeling, microdermabrasion, cavitation peeling, sonophoresis, iontophoresis, photodynamic therapy, and laser therapy [8,9].…”

The Impact of Social Media on Skin Care: A Narrative Review

“…Social media has a paradoxical effect on one hand accounting for improved access to healthcare and support while on the other demonstrating a negative impact due to peer pressure and beauty standards. Acne is one of the eight dermatological diseases with the most frequently viewed hashtags on social media [21]. We, therefore, thought it imperative to review how acne treatment specifically is influenced by social media.…”

“…It provides affordable alternatives to treatment options that show considerable improvement in mild acne conditions. Another study indicates that it is comforting for patients to encounter others with similar health problems and see how they cope with them, this is further supported by 14.2 % of patients clearly stating that seeing other patients with acne vulgaris on health programs on television was a relief [21]. However, it must be noted that most treatment decisions based on social media recommendations do not align with American Academy of Dermatology guidelines.…”

“…Most respondents who used social media for acne treatment advice were more likely to consult a medical professional. Even if they had the opportunity to send their photographs to doctors and ask questions about their disease, participants stated that they would not trust doctors' responses to their online inquiries, and a large proportion of them would still visit a physician for an examination [21].…”