Department of Dermatology, University of Nevada School of Medicine,
Las Vegas, Nevada, U. S.A.
Due to consistent marketing influences promoting multiple products that claim “removal of fine lines, wrinkles, and age spots,” consumer demand for products that provide a “fresh look and a more youthful appearance,” television and written advertising media campaigns promoting individual product lines, and the myriad of products available for the consumer to choose from, it is not surprising that patients are confused about which products to use for their skin and how to use them. Despite the high level of confusing “white noise” created by media and advertising promotions, optimal skin care is not rocket science! Based on a few basic principles and knowledge of appropriate product formulation, the dermatologist or designated skin care professional is trained to match a sound skin care regimen with the needs of the individual patient.
Prior to product selection, skin type characteristics, history of previous skin sensitivities or allergies, presence of underlying skin disorders, current skin care regimen, and medication history need to be evaluated. A thorough understanding of skin care product formulations and their differentiating features affords the clinician greater knowledge, confidence, and flexibility when recommending products and designing a skin care regimen for patients.
Unfortunately, the value of basic skin care practices such as cleansing and moisturizer use as a component of the management of dermatologic disorders has taken a back seat due to the strong emphasis on management with pharmacologic agents. Greater attention to basic skin care products and procedures, and maintenance of epidermal barrier function, may provide additive therapeutic benefit for patients. The following chapter emphasizes the core significance of maintaining epidermal barrier integrity. The basic fundamentals of optimal skin care, gentle cleansing and moisturization, and their intimate correlation with product formulation and selection are discussed.