In the early 20th century, cosmetics and skin care treatments were made at home from fruits, herbs, and vegetables. A century later, manufacturers and consumers are returning to the notion that natural is healthier, and the holistic approach to skin care is in demand. A 47.3% increase in the demand for alternative remedies occurred between 1990 and 1997, and an estimated 60% of doctors recommend alternative therapies; 47% use alternative therapies themselves (30).
The search for alternatives to hydroquinone led to the discovery of a wide variety of natural depigmenting agents that are now available commercially and are found in cosmetics and in various skin lightening agents sold over the counter.
In addition to their lightening effects, these products can have antiseptic, antioxidant, and moisturizing properties. In many cases, synthetic ingredients are added to enhance results. However, there is a rising tide of patients demanding that all components of skin care products and cosmetics be natural, including preservatives. The challenge is to find naturally derived preservatives that interact with advanced formulations for today’s skin care demands. Manufacturers are using all-natural preservatives, such as essential oils, herbs, and fruit extracts that when processed can be 75 to 100 times more potent that their original source.
The research and development departments of cosmeceutical skin companies continually search for new avenues in the treatment of skin pigmentation, new ingredients, and alternate delivery systems.
The use of botanicals should be considered in patients with hypersensitivity to multiple prescription products, patients with contraindications to the use of laser or pulse light therapies, and patients seeking alternative therapies without invasive procedures.