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PubMed2004

Estimated exposure to phthalates in cosmetics and risk assessment.

Some phthalates such as di(2-ethylhexyl) phthalate (DEHP) and dibutyl phthalate (DBP) and their metabolites are suspected of producing teratogenic or endocrine-disrupting effects. To predict possible human exposure to phthalates in cosmetics, the levels of DEHP, diethyl phthalate (DEP), DBP, and butylbenzyl phthalate (BBP) were determined by high-performance liquid chromatography (HPLC) in 102 branded hair sprays, perfumes, deodorants, and nail polishes. DBP was detected in 19 of the 21 nail polishes and in 11 of the 42 perfumes, and DEP was detected in 24 of the 42 perfumes and 2 of the 8 deodorants. Median exposure levels to phthalates in cosmetics by dermal absorption were estimated to be 0.0006 g/kg body weight (bw)/d for DEHP, 0.6 g/kg bw/d for DEP, and 0.103 g/kg bw/d for DBP. Furthermore, if phthalates in cosmetics were assumed to be absorbed exclusively via 100% inhalation, the median daily exposure levels to phthalates in cosmetics were estimated to be 0.026 g/kg bw/d for DEHP, 81.471 g/kg bw/d for DEP, and 22.917 g/kg bw/d for DBP, which are far lower than the regulation levels set buy the Scientific Committee on Toxicity, Ecotoxicity, and the Environment (CSTEE) (37 g/kg bw/d, DEHP), Agency for Toxic Substances and Disease Registry (ATSDR) (7000 g/kg bw/d, DEP), and International Programme on Chemical Safety (IPCS) (66 g/kg bw/d, DBP), respectively. Based on these data, hazard indices (HI, daily exposure level/regulation level) were calculated to be 0.0007 for DEHP, 0.012 for DEP, and 0.347 for DBP. These data suggest that estimated exposure to-phthalates in the cosmetics mentioned are relatively small. However, total exposure levels from several sources may be greater and require further investigation.

Absorption↗
PubMed2002

Epidemiological investigation of local complications after cosmetic breast implant surgery in Denmark.

Concern has been raised recently regarding the absence of information on the occurrence and severity of local complications after cosmetic breast implantation. The authors evaluated the occurrence of local complications in a large epidemiological retrospective cohort study of women with cosmetic breast implants in Denmark. All women with breast implants were identified from the files of two private clinics of plastic surgery in Denmark. Information on implant characteristics, surgical procedure, as well as short- and long-term complications was obtained through medical record review. Patient characteristics were obtained through a self-administered questionnaire. A total of 754 women (1,572 implants) had at least one cosmetic implantation performed at the study clinics. Average age at implantation was 32 years. Implant types included silicone double lumen with textured surface, 31.2%; silicone single lumen with textured surface, 27.8%; silicone single lumen with smooth surface, 24.5%; silicone double lumen with smooth surface, 0.8%; and other or missing information, 15.7%. Average implant size was 247 ml (range, 110-630 ml). Placement was submuscular for 91.3% of implants, subglandular for 2.6%, and 6.1% had no available information. Overall, 77.8% of implantations were not followed by complications, 17.8% were followed by one complication, 3.6% were followed by two complications, and 0.8% were followed by three or more complications. In 94.6% of implantations, no additional hospitalizations were recorded as a result of complications. Forty-seven of 57 explantations/reimplantations were secondary to postoperative complications. General complications such as hematoma and infection were rare, occurring in 2.3% and 2.0% of implantations respectively. Capsular contracture remains the most common complication, occurring in 11.4% of implantations. In this investigation, among the first epidemiological studies of local complications, the authors found cosmetic breast implant surgery to be associated with a low frequency of normal surgical complications such as infection, hematoma, and wound dehiscence. Most complications were mild and did not lead to additional hospitalization. The complication that led most frequently to the need for additional surgery/hospitalization was capsular contracture. Kjøller K, Hölmich LR, Jacobsen PH, Friis S, Fryzek J, McLaughlin JK, Lipworth L, Henriksen TF, Jørgensen S, Bittmann S, Olsen JH. Epidemiological investigation of local complications after cosmetic breast implant surgery in Denmark.

Adult↗
PubMed1999

Cosmetic enhancement associated with surgery for obstructive sleep apnea.

OBJECTIVE: To document the capacity of surgery for obstructive sleep apnea (OSA) to incorporate techniques that incidentally improve the cosmetic features of the patients. STUDY DESIGN: Retrospective analysis of surgical outcomes at an academic practice. METHODS: Moderate to severe OSA usually requires multilevel pharyngeal surgery, including tongue base surgery. The surgical procedures, including hyoid myotomy and mandibular osteotomy with tongue advancement, afford the opportunity to address cosmetic deficits, such as microgenia and excessive submental skin and fat. Outcomes achieved using these procedures over a 4-year period were analyzed. RESULTS: Of 428 consecutive patients presenting for evaluation of sleep-related breathing disorders, 212 were deemed surgical candidates. Ninety-seven of these had office-based procedures for snoring, upper airway resistance syndrome, or mild OSA. The remaining 115 had formal surgical procedures done, and 68 of these had multilevel pharyngeal surgery. Of these, 12 had defined cosmetic deficiencies that were addressed at the time of the sleep apnea surgery. There were 7 men and 5 women, with a mean age of 48.2 years. The group was moderately obese (mean BMI = 31.8) and had moderate to severe OSA (mean RDI = 37.0, mean LSAT = 78%). Cosmetic deficits identified included turkey gobbler deformity (n = 8), microgenia (n = 6), excessive submental fat (n = 2), and nasal deformity (n = 1); several patients had more than one addressable problem. All patients achieved an improved postoperative appearance. Representative photographs are presented. CONCLUSIONS: A surgical approach to the management of sleep apnea affords an opportunity to also address cosmetic deficiencies, including excessive submental skin and fat, microgenia, and nasal deformities.

Cosmetic Techniques↗
PubMed1998

Psychological investigations in cosmetic surgery: a look back and a look ahead.

This article reviews the history of psychological investigations of cosmetic surgery patients. These studies have been designed to address two fundamental questions: (1) Are there "patient types" or forms of psychopathology that serve as contraindications to cosmetic surgery? and (2) What is the likelihood of psychological change following cosmetic surgery? This review suggests that the research has not fully answered these questions. In response, we propose a new direction for psychological investigation, focusing on issues of body image in cosmetic surgery patients. We discuss the relationship between body image and cosmetic surgery and pose several relevant questions for future research.

Body Image↗
PubMed2002

The role of preoperative antibiotic prophylaxis in cosmetic surgery.

An estimated 2.7 million cosmetic procedures were performed in the United States in 1998, yet the role of preoperative antibiotic prophylaxis for cosmetic surgery is not clearly defined. Routine antibiotic prophylaxis for cosmetic procedures was discontinued by the senior author at the authors' institution in an effort to reduce use and cost in June of 1999. Subsequently, a cluster of four Staphylococcus aureus postoperative surgical site infections were identified. A case-control study to identify risk factors for surgical site infections in these patients was performed. All patients who underwent cosmetic surgical procedures by the senior author during June of 1999 and did not develop a surgical site infection were selected as control patients. Four case patients and 12 control patients were included in the study. The significant risk factors associated with surgical site infections were the mean duration of procedure (5 hours versus 2 hours; p = 0.02), general anesthesia (p = 0.004), and placement of a Blake drain (p = 0.004). No common source of infection was identified by review and observation of surgical technique. Pulse-field gel analysis of the S. aureus isolates from the four case patients and the nares of surgical personnel revealed no common strain. After the reinstitution of preoperative antibiotic prophylaxis with cefazolin for procedures anticipated to last 3 hours or longer, no additional surgical site infections were identified through December of 1999 (four of 29 versus none of 104; p = 0.002). It was concluded that targeted antibiotic prophylaxis for cosmetic surgery with cefazolin may be useful in reducing surgical site infections attributable to S. aureus.

Aged↗
PubMed1977

United States cosmetic ingredient labeling.

United States federal regulations require ingredient listing on cosmetics labeled after November 30, 1976. Standardized ingredient nomenclature from a reference text will be utilized to minimize confusion which might arise if various synonyms for chemical names were used. This new information on cosmetics labeling will assist physicians in the diagnosis of cosmetic-related dermatoses. It should facilitate the patch testing procedure by enabling the dermatologist to focus attention on suspect ingredients early in the evaluation. Once the identify of offending ingredients in a cosmetic has been determined for a particular patient, the individual will have the opportunity to avoid those ingredients and related ingredients in future purchases of cosmetics.

Cosmetics↗
PubMed1991

Euxyl K 400: a new sensitizer in cosmetics.

Euxyl K 400 is a preservative for cosmetics and toiletries containing 2 active ingredients, 1,2-dibromo-2,4-dicyanobutan and 2-phenoxyethanol. 2057 consecutive patients with contact dermatitis were patch tested with Euxyl K 400 2.5% pet. and ethanol. A positive patch test occurred in 24 patients (1.2%). The source of sensitization was traced in 8 patients to their cosmetics. Both leave-on and rinse-off products were responsible. Further patch tests with Euxyl K 400 0.5% pet. and phenoxyethanol 5% pet. were performed in 11 patients. A positive patch test to phenoxyethanol was detected in 1 of them. Only 3 patients showed a mild reaction to Euxyl K 400 0.5%. A provocative use test with a lotion preserved with Euxyl K 400 0.1% was positive in 5 of these 11 patients. Patients with Euxyl K 400 sensitivity showed a high prevalence of positive patch tests to other common ingredients of cosmetics. Since the use of Euxyl K 400 in cosmetic products is rapidly increasing, it should be included in the patch test series for patients with suspected cosmetic allergy.

Adolescent↗
PubMed2002

Allergic contact dermatitis from cosmetics. Retrospective analysis of 819 patch-tested patients.

BACKGROUND: Cosmetics have been used since the oldest known civilisations, and nowadays almost everybody resorts to beauty products. OBJECTIVE: Considering the increasing incidence of contact dermatitis, the aim of the study is to determine the impact of allergy to cosmetics. METHODS: From January 1998 to December 1999, 819 patients were subjected to epicutaneous tests for suspicion of allergic contact dermatitis (ACD). The results were analysed retrospectively in the total population and in that of children under 16: the interest has been focused on cosmetics. RESULTS: 297 patients (36.3%) with ACD to 1 or more cosmetic ingredients have been detected. 34 (48.6%) out of 70 children patch tested showed an ACD: cosmetics represented the first cause. CONCLUSION: For two decades, the incidence of ACD has been rising; two main reasons can be put forward: a rising product consumption and a more exhaustive allergen research in patch testing.

Adolescent↗
PubMed2000

Possible contaminant origins of the red cosmetics decorating ancient burial sites in Japan.

Marker elements were estimated from the red cosmetics collected from different ancient burials and mine ruins in three separate districts of Japan. Element levels were displayed in reference to the relative amount to sulfur (RA/S), by which the cosmetics were divided into five types: I--a low Hg/S with a low Fe/S; II--both moderate Hg/S and Fe/S; III--a moderate Hg/S with a high Fe/S; III 2--a high Hg/S with a moderate Fe/S; IV--a high Hg/S with a high Fe/S. The cosmetics can be further characterized by referring to other contaminants such as Zn, Cu, and Mn. These combined analyses with contaminant metals were capable of characterizing the origins of the cosmetics; it is useful to compare them to each other. The cosmetics were identified as being due to several groups of contaminants from ancient mines in Japan, and also with this system analysis of the markers it is possible to identify them from neighboring countries.

Archaeology↗
PubMed1992

Photoprotective effects of sunscreens in cosmetics on sunburn and Langerhans cell photodamage.

It has become common practice to add sunscreening agents of variable potency to cosmetics to protect against the adverse effects of ultraviolet (UV) radiation exposure. The purpose of this study was to determine whether cosmetic preparations containing sunscreening agents protected against the adverse effects of acute UV radiation exposure and, if so, to identify the components responsible for the photoprotective effects. Pretreatment of skin with one such cosmetic product provided complete protection against UV-induced erythema, sunburn cell formation and Langerhans cell damage in volunteers, skin types II and III, whose skin was exposed to a 1.5 minimal erythema dose daily for 4 consecutive days. When individual components of the cosmetic preparation were analyzed for their photoprotective activities, it was found that both the cinnamate and benzophenone sunscreen combination and an extract of baker's yeast present in the preparation had photoprotective properties. These studies indicate that incorporation of photoprotective agents into cosmetic preparations provides a beneficial function and should therefore be encouraged.

Adolescent↗
PubMed2005

Corrective cosmetics are effective for women with facial pigmentary disorders.

Visible facial lesions are a common and burdensome skin problem. This study examines the impact of corrective cosmetics in women with severe facial pigmentary disorders. Enrollment consisted of 73 women with one or more of the following conditions: acne, dermatosis papulosis, hypopigmentation, lentigines, melasma, rosacea, vascular proliferations, or other facial scars. The corrective cosmetic (Dermablend) was applied at the initial visit, at which time instructions and a supply of product were provided. Assessments were conducted at baseline, 2-week, 4-week, and 3-month follow-up visits on 63 patients using the Skindex-16. The corrective cosmetic was well tolerated. There was improvement in Skindex-16 scores after application of the corrective cosmetic, which continued at each follow-up visit and after adjustment for baseline confounders using multiple regression analyses. At 3 months, there was a 30% improvement in Skindex-16 score (P < .001). The corrective cosmetic was well tolerated and represents a valuable option that dermatologists can offer to patients with these conditions.

Adult↗
PubMed2005

[Determination of vitamins D2, vitamin D3 in cosmetics by high performance liquid chromatography].

OBJECTIVE: A high performance liquid chromatography method was used to detect vitamins D2 and vitamin D3, which is useful to know the use of vitamins D2 and vitamin D3 in cosmetics, prohibit the influx of cosmetics containing vitamins D2 and vitamin D3 to cosmetic market, safeguard the health of consumers. METHODS: A high performance liquid chromatography method was established for determination of vitamins D2 and vitamin D3 in cosmetics. The separation condition was optimized by trying different type of columns and mobile phases. RESULTS: The experiment goes on a Alltima C18 column (250 mm x 4.6 mm I. D., 5 microm)using methanol-acetonitrile (90: 10) as mobile phase at a flow rate of 1.0 ml/min, with the column temperature 25 degrees C and detection wave 265nm. The liner range is from 0.5 mg/L to 100 mg/L with good relationship. The detection limit of vitamin D2 is 0. 12 mg/L, the precision is less than 3.8% and recovery varies from 94.2% to 101.4%, while the detection limit of vitamin D3 is 0.06 mg/L, the precision is less than 3.5% and recovery varies from 91.6% to 97.2%. CONCLUSION: The method is simple, precise and accurate, which is suitable for the determination of vitamins D2 and vitamin D3 in cosmetics.

Cholecalciferol↗
PubMed2006

[Contact allergy to preservatives contained in cosmetics].

BACKGROUND: The aim of this study was to assay the type of allergy to preservatives contained in cosmetics and to assess the usefulness of the composition of allergens included in a standard series for the diagnosis of occupational contact allergy used to date. MATERIALS AND METHODS: The frequency of contact allergy to the standard series of preservatives (thimerosal, Euxyl K 400, formaldehyde, Kathon CG, Quaternium 15, parabens) was assayed in a group of 1937 subsequent patients referred to the Nofer Institute of Occupational Medicine in L6di and examined in the years 2000-2005. The frequency and type of allergy to preservatives of a cosmetic series in a group of 113 patients with poor tolerance of cosmetics were also investigated. RESULTS: Allergy to thimerosal was found in 11.8% of patients tested with a standard series; to formaldehyde in 4.9%; and to Euxyl K 400 in 3.7%. Quaternium and parabens were less allergenic (0.8 and 0.3%, respectively). In the group of 113 patients subjected to patch test with a cosmetic series, allergy, i.e. at least one positive patch test, was observed in 49 (43.4%) patients. Of the 27 preservatives contained in cosmetics, 16 induced positive reaction to chemical compounds. Euxyl K 400 proved to be the basic allergenic preservative of this series, and induced allergy in 21 (18.6%) patients, whereas 17.7% of patients reacted to thimerosal. Only allergy to thimerosal applied to 8 persons, and 7 of them showed inflammatory lesions only on the face. Less allergic biocides were cocamidopropyl betaine (7.1%), Kathon CG (7.1%), Bronopol (5.3%), Germall II (4.4%), triethanolamine (3.5%), Germall 115 (2.6%), DMDM hydantoin (2.6%), Grotan BK (1.8%), sodium-2-pyridinethiol-1-oxide (1.8%), clioquinol (0.9%), Quaternium 15 (0.9%), and dimethylaminopropylamine (0.9%). CONCLUSIONS: The results of our study confirmed observations of other authors that allergy to preservatives present in numerous industrial products, especially Euxyl K 400, is still a growing problem. Like many other researchers, we are of the opinion that this allergen should be included in a standard series for the diagnosis of all patients with suspected allergic dermatitis, including that of occupational origin.

Adult↗
PubMed1991

The cosmetic ingredient review self-regulatory safety program.

The CIR's 13-year history of cosmetic-ingredient safety review appears to have successfully accomplished its goal of reviewing in a scientific manner the safety of cosmetic chemical ingredients. The method of prioritization has allowed for the identification of the most frequently used and the most biologically active chemicals. To date, 310 cosmetic ingredients have been reviewed, and 33 ingredients are under current review. Although CIR does not have a safety-evaluation report available for every cosmetic ingredient in use, it has proved that CIR is a system of documentation, review, and analysis that can be used to address any safety problem that may exist with any cosmetic ingredient.

Cosmetics↗
PubMed1989

[Compatibility of cosmetics and toiletries].

In West Germany, cosmetics and toiletries are covered by the law on foodstuff and commodities. The German Cosmetic Ordinance--an adoption of the EEC directive on cosmetics--lists 384 forbidden substances and 65 substances restricted in use. Colorants, preservatives and UV filters are registered in positive lists. The German Public Health Office and the EEC Scientific Committee for Cosmetology have laid down a code of standards regarding the toxicologic and dermatologic/allergologic testing of cosmetics and the raw materials they contain. Full declaration of the components, which is still voluntary in Germany, is based on the customary method practiced in the USA. Intolerance reactions caused by cosmetics or toiletries vary between 1% and 4% of all the complaints recently published.

Cosmetics↗
PubMed1988

Requirements in cosmetics for black skin.

As large, well-funded cosmetics houses are taking more interest in the needs of black consumers, so should the dermatologist. The dermatologist should be able to discuss intelligently with patients those products that are intended for black skin and hair. Patients also appreciate a referral to a hair stylist or cosmetologist that the doctor is familiar with. As outlined in this article, the most common cosmetics problems encountered by black consumers include the lack of selection of appropriate shades of cosmetics; greasy and irritating "black" make-up; irritant or allergic reactions to fragrance and other cosmetic ingredients; acne from "oil-free" products; and a shortage of effective products to treat "ashiness." It is hoped that this review will help the reader understand what black patients may expect from their skin and hair cosmetics.

Black People↗
PubMed1982

[Hygienic evaluation of the content of heavy metals (lead and copper) in cosmetic products].

Heavy metals /lead and copper/ content was studied in various cosmetic articles: creams and cleansing milk, shampoos, hair dyes, eye shadows, rouge, lipsticks, powders, fond de teint, tooth pastes. The method flame atom-absorption spectrometry with chelation and extraction was used for their determination. The subacute dermal toxicity on albino rats was studied with working doses: lead--1,10 and 100 mg/kg, and copper--5,50 and 500 mg/kg. The content of lead and copper was established to be low in the majority of the cosmetic articles studied /lead--to 2.08 mg/kg, copper--to 6,28 mg/kg/and only in some of the articles of decorative cosmetic, it is considerably higher /lead--to 41,1 mg/kg, copper--to 138,6 mg/kg. That is due to the inadequate purification of the initial raw materials or to the presence of copper-containing dyes in the composition of the respective cosmetic article. As a result from the toxicological and pathoanatomical studies the small doses /lead 1 mg/kg and copper 5 mg/kg are defined as ineffective, and the high doses--with a light biological effect. The maximum allowable concentration of lead is proposed to be--10 mg/kg, and copper--50 mg/kg as side /technical/ pollutants in the production of cosmetic articles.

Animals↗
PubMed1993

[Contact sensitivity to cosmetics in an unselected Danish population. The Glostrup Allergy Study, Denmark].

The study evaluated sensitization to cosmetic ingredients in an unselected population. A questionnaire and ready-to-apply patch tests (TRUE-Test) were mailed to 793 subjects, aged 15 to 69 years, and 567 (71.5 p. 100) were patch tested. The tests were read two days after application. The frequency of sensitization to the cosmetic ingredients in the TRUE-Test varied from 0.0 p. 100 to 1.1 p. 100. Sensitization to one or more substances was diagnosed in 3.2 p. 100 of the males and in 4.2 p. 100 of the females. Old age was associated with an insignificantly higher probability of sensitization (p = 0.06). When adjusted for sex and age, the probability of sensitization was increased by a factor 2.3 among those reporting a history of cosmetic-related skin symptoms as compared to those who did not (p = 0.08). Among males, current daily use of cosmetics was less probable among older than among younger men, and independently of this less probable among those sensitized than among those not sensitized (p < 0.0001 and p = 0.02, respectively). Contact sensitization to cosmetic ingredients was relatively frequent in the general population. Sex was not an important risk factor to sensitization, whereas old age was associated with an insignificantly increased risk of sensitization.

Adolescent↗