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Medical-Grade Skincare Questions Answered
Dr. Carlo Honrado, MD, FACS
Double board-certified facial plastic & reconstructive surgeon
Medical-Grade Skincare Questions, Answered
What does FDA say about cosmetics and skincare claims?
Products intended to cleanse or beautify, such as skin moisturizers, are generally regulated as cosmetics by FDA (U.S. Food and Drug Administration).
The law does not require FDA approval of cosmetic labeling before cosmetic products go on the market, and FDA does not have a list of approved or accepted cosmetic claims (U.S. Food and Drug Administration).
FDA monitors cosmetics on the market and can take action against companies that break the laws it enforces (U.S. Food and Drug Administration).
Cosmetic products and their ingredients are not subject to FDA premarket approval, except color additives other than coal tar hair dyes (U.S. Food and Drug Administration).
Cosmetic companies have a legal responsibility for the safety of their products and ingredients (U.S. Food and Drug Administration).
When can a skincare product be considered a drug?
Generally, drugs must receive FDA premarket approval or, for nonprescription drugs, conform to monographs for their category (U.S. Food and Drug Administration).
If a product is marketed with claims to treat or prevent disease or affect the structure or function of the body, including the skin, it is a drug according to the law (U.S. Food and Drug Administration).
FDA regulates cosmetic labeling claims, while the Federal Trade Commission regulates advertising claims (U.S. Food and Drug Administration).
What are retinoids and retinol?
Retinoids refers to an array of vitamin A-based products used on skin (American Academy of Dermatology).
Retinol is a type of retinoid that is routinely used to improve uneven skin tone, pigmentation, and texture (American Academy of Dermatology).
This retinoid spurs faster turnover of surface skin cells, boosts collagen, improves skin tone, and reduces fine lines and wrinkles (American Academy of Dermatology).
A type of retinoid was approved by the U.S. Food and Drug Administration for use as a topical acne treatment in 1971 (American Academy of Dermatology).
For acne treatment, adapalene comes in prescription and over-the-counter formulations, while tretinoin, tazarotene, and trifarotene are prescription topical formulations for acne (American Academy of Dermatology).
A skin product containing retinoids is a good option for someone with mild acne, mild pigmentation irregularities, or mild fine lines and wrinkles (American Academy of Dermatology).
What safety questions are common with retinoids?
People who have skin allergies or dryness are probably not good candidates for products containing a retinoid (American Academy of Dermatology).
With skin of color, irritation can trigger dark marks known as hyperpigmentation (American Academy of Dermatology).
Starting slowly and using moisturizer will help mitigate the possibility of irritation triggering hyperpigmentation in skin of color (American Academy of Dermatology).
If people do not start retinoids slowly, they can end up irritating their skin (American Academy of Dermatology).
All procedures should be discussed with a qualified physician.
How is acne evaluated before skincare treatment?
Effective acne treatment begins with an accurate diagnosis, and a dermatologist can diagnose acne by looking at the breakouts (American Academy of Dermatology).
When examining skin for acne, a dermatologist will notice the types of acne and where the breakouts appear (American Academy of Dermatology).
Different types of acne often require different treatment (American Academy of Dermatology).
A skin infection called folliculitis can also be mistaken for acne (American Academy of Dermatology).
A dermatologist may include a medical procedure in an acne treatment plan and perform it during an office visit (American Academy of Dermatology).
It takes at least 6 to 8 weeks before a person starts to see fewer breakouts with acne treatment (American Academy of Dermatology).
What sunscreen questions matter in a skincare routine?
FDA believes the risk of not using sunscreen is much greater than any potential risk posed by sunscreen ingredients (U.S. Food and Drug Administration).
FDA requested additional data to address questions of effectiveness and safety for sunscreen sprays arising from differences in the manner of application (U.S. Food and Drug Administration).
Key questions to ask during a skincare consultation
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What product claims are cosmetic claims, and what product claims may make a product a drug under the law (U.S. Food and Drug Administration; U.S. Food and Drug Administration)?
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Which retinoid category is being discussed: retinol, adapalene, tretinoin, tazarotene, or trifarotene (American Academy of Dermatology)?
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Is acne evaluation needed to distinguish acne type, breakout location, or folliculitis (American Academy of Dermatology)?
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How can retinoids be started slowly while using moisturizer to help mitigate irritation-related hyperpigmentation in skin of color (American Academy of Dermatology)?
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What sunscreen format is being discussed, including sprays that FDA has requested additional effectiveness and safety data for because of application differences (U.S. Food and Drug Administration)?
FAQ
Are skincare moisturizers usually cosmetics?
Products intended to cleanse or beautify, such as skin moisturizers, are generally regulated as cosmetics by FDA (U.S. Food and Drug Administration). Cosmetic products and their ingredients are not subject to FDA premarket approval, except color additives other than coal tar hair dyes (U.S. Food and Drug Administration).
Does FDA approve cosmetic skincare claims before products go on the market?
The law does not require FDA approval of cosmetic labeling before cosmetic products go on the market, and FDA does not have a list of approved or accepted cosmetic claims (U.S. Food and Drug Administration). FDA monitors cosmetics on the market and can take action against companies that break the laws it enforces (U.S. Food and Drug Administration).
What is retinol?
Retinol is a type of retinoid that is routinely used to improve uneven skin tone, pigmentation, and texture (American Academy of Dermatology). Retinoids refers to an array of vitamin A-based products used on skin (American Academy of Dermatology).
Can retinoids irritate skin?
If people do not start retinoids slowly, they can end up irritating their skin (American Academy of Dermatology). With skin of color, irritation can trigger dark marks known as hyperpigmentation (American Academy of Dermatology).
How long can acne treatment take to show fewer breakouts?
It takes at least 6 to 8 weeks before a person starts to see fewer breakouts with acne treatment (American Academy of Dermatology). Different types of acne often require different treatment (American Academy of Dermatology).
This article was produced by Mentis Intelligence for educational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. Individual results vary. All procedures should be discussed with a qualified physician. For a consultation with Dr. Carlo Honrado MD, FACS, contact (310) 286-0043 or visit drhonrado.com/contact. Content generated by AI (Mentis Intelligence) per California AB 3030 disclosure requirement.
To discuss skincare questions with Dr. Carlo Honrado MD, FACS - Beverly Hills & Century City CA, visit drhonrado.com/contact.
Sources
- American Academy of Dermatology: Retinoid or retinol?
- American Academy of Dermatology: Acne: Diagnosis and treatment
- U.S. Food and Drug Administration: Cosmetics Safety Q&A: Personal Care Products | FDA
- U.S. Food and Drug Administration: Questions and Answers: FDA announces new requirements for over-the-counter (OTC) sunscreen products marketed in the U.S. | FDA
- U.S. Food and Drug Administration: Cosmetics Labeling Claims | FDA
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AI SystemGoverned VerificationMentis Intelligence is the AI-powered editorial system of Dr. Carlo Honrado's practice. It researches, drafts, and formats public educational content using governed source and claim verification. Physician review is stated only when a corresponding review record exists.
All content published on drhonrado.com is for educational purposes only and does not constitute medical advice. Please consult Dr. Honrado directly for a personalized evaluation.
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