Skin care

Skin care is the range of practices that support skin integrity, enhance its appearance and relieve skin conditions. They can include nutrition, avoidance of excessive sun exposure and appropriate use of emollients. Practices that enhance appearance include the use of cosmetics, botulinum, exfoliation, fillers, laser resurfacing, microdermabrasion, peels, retinol therapy[1] and ultrasonic skin treatment.[2] Skin care is a routine daily procedure in many settings, such as skin that is either too dry or too moist, and prevention of dermatitis and prevention of skin injuries.[3]

For other uses, see Skin care (disambiguation).

A cosmetologist applying a face mask

Skin care is a part of the treatment of wound healing, radiation therapy and some medications.

Background

Skin care is at the interface of cosmetics,[4] and dermatology, a traditional medical discipline;[5] there is some overlap with each of these topics.

The Federal Food, Drug, and Cosmetic Act defines cosmetics as products intended to cleanse or beautify (for instance, shampoos and lipstick). A separate category exists for medications, which are intended to diagnose, cure, mitigate, treat, or prevent disease, or to affect the structure or function of the body (for instance, sunscreens and acne creams), although some products, such as moisturizing sunscreens and anti-dandruff shampoos, are regulated within both categories.[4][6]

Skin care differs from dermatology, as traditionally practiced, by its additional but less medical scope and by its inclusion of non-physician professionals, such as estheticians and wound care nursing staff.[1][7] Skin care includes modifications of individual behavior and of environmental and working conditions.[7] Nevertheless, dermatology has co-opted some aspects of skin care, particularly in the U.S., and to a significantly lesser extent elsewhere, such as the U.K.[1] Add from[1][3][8][9] [10]

Neonate

Guidelines for neonatal skin care have been developed. Nevertheless, the pediatric and dermatologic communities have not reached consensus on best cleansing practices, as good quality scientific evidence is scarce.[11] Immersion in water seems superior to washing alone, and use of synthetic detergents or mild liquid baby cleansers seems comparable or superior to water alone.[11] Add from [12][13]

Sunscreen
Main articles: Sunscreen and Health effects of sunlight exposure
A woman applying sunscreen

Sun protection is an important aspect of skin care. Though the sun is beneficial in order for the human body to get its daily dose of vitamin D, unprotected excessive sunlight can cause extreme damage to the skin. Ultraviolet (UVA and UVB) radiation in the sun's rays can cause sunburn in varying degrees, early ageing and increased risk of skin cancer.[14] UV exposure can cause patches of uneven skin tone and dry out the skin.

This can reduce the skin's elasticity and encourage sagging and wrinkle formation. Sunscreen can protect the skin from sun damage; sunscreen should be applied at least 20 minutes before exposure, and should be re-applied every four hours. Sunscreen should be applied to all areas of the skin that will be exposed to sunlight, and at least a tablespoon (25 ml) should be applied to each limb, the face, chest, and back, to ensure thorough coverage. Many tinted moisturizers, foundations and primers now contain some form of SPF.

Sunscreens may come in the form of creams, gels or lotions; their SPF number indicates their effectiveness in protecting the skin from the sun's radiation. There are sunscreens available to suit every skin type; in particular, those with oily skin should choose non-comedogenic sunscreens; those with dry skins should choose sunscreens with moisturizers to help keep skin hydrated, and those with sensitive skin should choose unscented, hypoallergenic sunscreen and spot-test in an inconspicuous place (such as the inside of the elbow or behind the ear) to ensure that it does not irritate the skin.

Elderly

Skin ageing is associated with increased vulnerability.[15] Skin problems including pruritus are common in the elderly but are often inadequately addressed.[16] A literature review of studies that assessed maintenance of skin integrity in the elderly found most to be low levels of evidence[15] but the review concluded that skin-cleansing with synthetic detergents or amphoteric surfactants induced less skin dryness than using soap and water.[15] Moisturizers with humectants helped with skin dryness, and skin barrier occlusives reduced skin injuries.[15]

There is limited evidence that moisturising soap bar; combinations of water soak, oil soak, and lotion are effecrive in maintaining the skin integrity of elderly people when compared to standard care.[17]

Acne
Main article: Acne

According to the American Academy of Dermatology, between 40 and 50 million Americans suffer from acne each year.[18] While many associate acne with adolescence, acne can occur at any age, with its causes including heredity, hormones, menstruation, food, and emotional stress.[18]

Those with inflammatory acne should exfoliate with caution as the procedure may make conditions worse and consult a dermatologist before treatment.[18] Some anti-acne creams contain drying agents such as benzoyl peroxide (in concentrations of 2.5 - 10% ).[19]

Pressure sore
Main article: Pressure ulcer

Pressure sores are injuries to skin and underlying tissue as a result of prolonged pressure on the skin. A known example of pressure sore is bedsore called pressure ulcer.

Stoma

Add from [20][21]

When cleaning the stoma area, plain warm water should be use and dry wipe to gently clean around the stoma. Pat gently and make sure not to rub the area. Put all used wipes in a disposable bag and wash your hands after.

Wound healing
Main article: Wound healing

Wound healing is a complex and fragile process in which the skin repairs itself after injury. It is susceptible to interruption or failure that creates non-healing chronic wounds.[22]

Nutrition

Add from

  • 2001 American Society for Clinical Nutrition Nutritional skin care: health effects of micronutrients and fatty acids Esther Boelsma, Henk FJ Hendriks, and Len Roza.

Radiation

Radiation induces skin reactions in the treated area, particularly in the axilla, head and neck, perineum and skin fold regions.[23] Formulations with moisturising, anti-inflammatory, anti-microbial and wound healing properties are often used, but no preferred approach or individual product has been identified as best practice.[23][24] Soft silicone dressings that act as barriers to friction may be helpful.[23] In breast cancer, calendula cream may reduce the severity of radiation effects on the dark spot corrector.[24][25] Deodorant use after completing radiation treatment has been controversial but is now recommended for practice.[25] Add from[26][27][28][29]

EGFR

Epidermal growth factor receptor (EGFR) inhibitors are medications used in cancer treatment. These medications commonly cause skin and nail problems, including rashes, dry skin and paronychia.[30] Preventive intensive moisturising with emollient ointments several times, avoidance of water-based creams and water soaks (although in certain circumstances white vinegar or potassium permanganate soaks may help), protection the skin from excessive exposure to sunshine, and soap substitutes which are less dehydrating for the skin than normal soaps, as well as shampoos that reduce the risk of scalp folliculitis, are recommended. Treatment measures with topical antibiotic medication can be helpful.[30][31][32]

Main articles: Cosmeceutical and Nutricosmetics

Cosmeceuticals are topically-applied, combination products that bring together cosmetics and "biologically active ingredients". Products which are similar in perceived benefits but ingested orally are known as nutricosmetics. According to the United States Food and Drug Administration (FDA), the Food, Drug, and Cosmetic Act "does not recognize any such category as "cosmeceuticals." A product can be a drug, a cosmetic, or a combination of both, but the term "cosmeceutical" has no meaning under the law". Drugs are subject to an intensive review and approval process by FDA. Cosmetics, and these related products, although regulated, are not approved by FDA prior to sale.

Procedures
Main article: Dermatology § Therapies

Skin care procedures include use of botulinum;[33] exfoliation; fillers; laser medicine in cosmetic resurfacing, hair removal, vitiligo, port-wine stain and tattoo removal; photodynamic therapy; microdermabrasion; peels; retinol therapy.[1]

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gollark: Except for the build guides?
gollark: Of course, it doesn't actually tell you what components are *good*, since that's kind of out of scope.
gollark: There is a lot of relevant knowledge in choosing parts, but generally you can offload it onto someone else.
gollark: I mean, preloading adware shows a general disregard of the consumer's desires.

References
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  2. Rodulfo, Kristina (2018-04-06). "Ultrasonic Face De-Gunking Spatulas Are a Thing and You're Going to Want One". ELLE. Retrieved 2020-03-08.
  3. Lichterfeld A, Hauss A, Surber C, Peters T, Blume-Peytavi U, Kottner J (2015). "Evidence-Based Skin Care: A Systematic Literature Review and the Development of a Basic Skin Care Algorithm" (PDF). J Wound Ostomy Continence Nurs. 42 (5): 501–24. doi:10.1097/WON.0000000000000162. PMID 26165590.
  4. Kessler R. More than Cosmetic Changes: Taking Stock of Personal Care Product Safety. Environ Health Perspect; DOI:10.1289/ehp.123-A120
  5. Random House Webster's Unabridged Dictionary. Random House, Inc. 2001. Page 537. ISBN 0-375-72026-X.
  6. FDA. Cosmetics: Guidance & Regulation; Laws & Regulations. Prohibited & Restricted Ingredients. [website]. U.S. Food and Drug Administration, Silver Spring, MD. Updated 26 January 2015.
  7. Schwanitz HJ, Riehl U, Schlesinger T, et al. (2003). "Skin care management: educational aspects". Int Arch Occup Environ Health. 76 (5): 374–81. doi:10.1007/s00420-002-0428-z. PMID 12719982.
  8. Handbook of Cosmetic Skin Care Second Edition AVI SHAI, HOWARD I. MAIBACH, and ROBERT BARAN Published August 2009 ISBN 9780415467186 Edition Second Pages 308 226 http://informahealthcare.com/isbn/9781616310004
  9. Antioxidants and skin care: The essentials Graf J - Plastic and Reconstructive Surgery, 2010
  10. Draelos ZD Active agents in common skin care products - Plastic and Reconstructive Surgery, 2010
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  14. Clark A, Hessler JL (Aug 2015). "Skin Care". Facial Plast Surg Clin North Am. 23 (3): 285–95. doi:10.1016/j.fsc.2015.04.002. PMID 26208767.
  15. Kottner J, Lichterfeld A, Blume-Peytavi U (2013). "Maintaining skin integrity in the aged: a systematic review". Br. J. Dermatol. 169 (3): 528–42. doi:10.1111/bjd.12469. PMID 23773110.
  16. Beauregard S, Gilchrest BA (1987). "A survey of skin problems and skin care regimens in the elderly". Arch Dermatol. 123 (12): 1638–43. doi:10.1001/archderm.1987.01660360066014. PMID 3688904.
  17. Cowdell, Fiona; Jadotte, Yuri T; Ersser, Steven J; Danby, Simon; Lawton, Sandra; Roberts, Amanda; Dyson, Judith (2020-01-23). Cochrane Skin Group (ed.). "Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD011377.pub2.
  18. "Acne clinical guideline". American Academy of Dermatology. 2018.
  19. "Topical Acne Drug Products". CFR - Code of Federal Regulations, Title 21, U.S. Food and Drug Administration. 1 April 2018.
  20. Skin care management of gastrointestinal fistulas JL Dearlove - Surgical Clinics of North America, 1996 - Elsevier* Peristomal skin care: an overview of available products P Black - Br J Nurs, 2007 - silesse.com
  21. Nix D, Ermer-Seltun J (2004). "A review of perineal skin care protocols and skin barrier product use". Ostomy Wound Manage. 50 (12): 59–67. PMID 15632457.
  22. Flanagan M. Wound Healing and Skin Integrity: Principles and Practice. John Wiley & Sons, 2013. ISBN 9780470659779
  23. Herst PM (2014). "Protecting the radiation-damaged skin from friction: a mini review". J Med Radiat Sci. 61 (2): 119–25. doi:10.1002/jmrs.46. PMC 4175840. PMID 26229646.CS1 maint: uses authors parameter (link)
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  26. Aistars J (Aug 2006). "The validity of skin care protocols followed by women with breast cancer receiving external radiation". Clin J Oncol Nurs. 10 (4): 487–92. doi:10.1188/06.CJON.487-492. PMID 16927902.
  27. Bolderston A, Lloyd NS, Wong RK, Holden L, Robb-Blenderman L (2006). "The prevention and management of acute skin reactions related to radiation therapy: a systematic review and practice guideline". Support Care Cancer. 14 (8): 802–17. doi:10.1007/s00520-006-0063-4. PMID 16758176.
  28. Kumar S, Juresic E, Barton M, Shafiq J (Jun 2010). "Management of skin toxicity during radiation therapy: a review of the evidence". J Med Imaging Radiat Oncol. 54 (3): 264–79. doi:10.1111/j.1754-9485.2010.02170.x. PMID 20598015.
  29. Trueman E (2015). "Management of radiotherapy-induced skin reactions". Int J Palliat Nurs. 21 (4): 187–92. doi:10.12968/ijpn.2015.21.4.187. PMID 25901591.CS1 maint: uses authors parameter (link)
  30. Califano R, Tariq N, Compton S, et al. (2015). "Expert Consensus on the Management of Adverse Events from EGFR Tyrosine Kinase Inhibitors in the UK". Drugs. 75 (12): 1335–48. doi:10.1007/s40265-015-0434-6. PMC 4532717. PMID 26187773.
  31. Thatcher N, Nicolson M, Groves RW, et al. (2009). "Expert consensus on the management of erlotinib-associated cutaneous toxicity in the U.K.". Oncologist. 14 (8): 840–7. doi:10.1634/theoncologist.2009-0055. PMID 19679688.
  32. Kiyohara Y, Yamazaki N, Kishi A (2013). "Erlotinib-related skin toxicities: treatment strategies in patients with metastatic non-small cell lung cancer". J. Am. Acad. Dermatol. 69 (3): 463–72. doi:10.1016/j.jaad.2013.02.025. PMID 23602600.
  33. http://www.allergan.com/assets/pdf/botox_cosmetic_pi.pdf
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