What are Cosmeceuticals in Skincare?
A Guide to Evidence-based Skincare Routine with Serums and Creams

1.1 What are Cosmeceuticals?


Cosmeceuticals represent an extremely special category that can bridge the gap between drugs and cosmetics. These products can be described as “a cosmetic product that exerts a pharmaceutical therapeutic benefit but not necessarily a biologic therapeutic benefit” (1). Unlike drugs, which are defined by their biological effect on living tissues cosmeceuticals have both aesthetic and therapeutic effects; thus, they are extremely popular in skin care (2). Indeed, they have made their mark on the global personal care market. Even though some vagueness is associated with the exact definition and scope of these products, the interesting fact is that 30% to 40% of dermatologists' prescriptions from around the world contain a cosmeceutical (3). Basically, in order to understand the full concept of 'cosmeceuticals and their use in skincare,' one must learn about their definition, origin, how they differ from conventional cosmetics, types of cosmeceutical products available in the market, their specific applications and benefits, as well as how to incorporate these cosmeceuticals in your skincare routine.

 

1.1.1 Definition and Origin of Cosmeceuticals

Definition of Cosmeceuticals:

The term "cosmeceuticals" was coined in 1984 by Dr. Albert Kligman of the University of Pennsylvania. Cosmeceuticals are considered a separate type of commodity that falls in between cosmetics and pharmaceuticals. Usually, a cosmeceutical is said to provide a therapeutic benefit more or less similar to pharmaceuticals, although it would not have a biological therapeutic action. Dr. Kligman defined a cosmeceutical as "a topical preparation sold as a cosmetic but possessing performance characteristics that suggest pharmaceutical action" (3). The use of this term 'cosmeceutical' had a wide acceptance as a new class of cosmetics for providing benefit beyond beautification, falling short of being classified as drugs or pharmaceuticals.
 

Origin of Cosmeceuticals:
 

In India, the regulations of cosmetics are governed under the Drugs and Cosmetics Act of 1940, under the Central Drugs Standard Control Organization (CDSCO) (3). The intended use is defined by the Food, Drug, and Cosmetic Act as: "articles intended to be rubbed, poured, sprinkled, or sprayed on, introduced into, or otherwise applied to the human body for cleansing, beautifying, promoting attractiveness, or altering the appearance." Products falling under this definition include skin moisturizers, perfumes, lipsticks, nail polishes, makeup, shampoos, hair colors, toothpastes, deodorants, and any ingredient intended for use in a cosmetic product (4). Cosmeceuticals are formulated to fall between personal care and pharmaceuticals in terms of medicinal and cosmetic value. Cosmetics have been used for a very long time, dating back to ancient times, with the first recorded use dating back to the Egyptians around 4000 BC. Other ancient civilizations that used cosmetics include the Sumerians, Babylonians, and Hebrews. From the second century through the 19th century, Ceruse was a popular cosmetic in Europe.
 

1.1.2 Cosmeceuticals as a Subset of Nutraceuticals
 

Cosmeceuticals have traditionally been regarded as falling under the umbrella of the broader term, nutraceuticals. The latter refers to a heterogeneous group of products derived from food sources, taken to provide health benefits other than simple nutritional value.
 

The term "nutraceutical" was coined in 1989 by Stephen De Felice, combining "nutrition" and "pharmaceutical." He defined it as "a food (or part of a food) that provides medical or health benefits, including the prevention and/or treatment of a disease" (5). Nutraceuticals can derive from natural herbs, the food industry, dietary supplements, and the pharmaceutical industry, and increasingly from genetically engineered "designer" foods.
 

Whereas nutraceuticals have been considered for a large array of therapeutic areas related to, but not limited to, arthritis, digestive problems, cancer prevention and treatment, lipid and sugar control, osteoporosis, blood pressure regulation, and depression, considering skin applications, a nutraceutical can be defined as an orally administered product having cosmeceutical benefits (3).
 

Cosmeceuticals are formulated with active ingredients that have scientifically identified benefits toward skin health, targeting concerns like aging, hyper-pigmentation, and acne.

 

1.2 Differences Between Cosmetics and Cosmeceuticals

 

The U.S. Food and Drug Administration (FDA) defines cosmetics as those products intended to be applied to the human body for beautifying, promoting attractiveness, modifying appearance, and cleansing. In the view of the FDA, the primary basis of the distinction between a cosmetic and a drug is based upon its intended use (6). One needs to   draw a line of demarcation between cosmeceuticals and traditional cosmetics to understand the former:
 

1.2.1 Cosmetics:
 

They are used for cleansing, beautifying, and altering the appearance of skin. Examples include makeup, perfumes, and hair care products. Though cosmetics are regulated for safety, they need not have any therapeutic action.
 

From smearing kohl on their eyes by ancient Egyptians to today's brilliant makeup palettes, cosmetics do much to enhance our appearance by one method or another.

 

 Color Correction and Coverage: Foundations, concealers, and brushes all house pigments that work to even out tone, cover blemishes, and add color. Since all of these products act predominantly on the epidermis—or the surface layer of skin—visible improvements can be realized immediately (7).

• Hydration and Protection: Moisturizers, lotions, and sunscreens are required in any cosmetic skincare routine. They help hydrate the skin, thus avoiding dryness and protecting skin from harmful actions by UV rays. Such products may give ingredients that improve skin texture and appearance (8).

 Accentuation and Definition: Mascaras, eyeliners, lipsticks—all these makeup categories use our facial features to bring definition and drama to our look. They will provide color or shape to some selective areas of our natural beauty (9).

    1.2.2 Cosmeceuticals:

     

    They not only enhance the appearance but also work therapeutically. These are formulated with scientifically validated active ingredients like vitamins, peptides, and antioxidants that have skin structure and function-altering potential, thereby dealing more profoundly with the specific skin problems. Unlike regular cosmetics, cosmeceuticals often have far greater active ingredients that might be able to:

     

    • Reduction of Aging Features: These cosmeceuticals contain common ingredients like retinol, hyaluronic acid, and antioxidants, all fighting against wrinkles, fine lines, loss of elasticity, and so on. Many research works prove that all these ingredients are capable of increasing collagen production and skin texture in an enhanced way (10), (11).

    • Skin Condition Treatment: Cosmeceuticals can treat a wide array of skin conditions—from acne, hyper-pigmentation, to rosacea. These ingredients, including salicylic acid, alpha hydroxy acids (AHAs), and kojic acid, prove efficient in the management of such concerns (12), (13).

    • Improving Skin Health: Cosmeceuticals improve the health of the skin by supplying skin cells with vital nutrients and promoting cell regeneration. Some ingredients, like vitamins C and E and peptides, are associated with improved health and barrier function of the skin (14), (15).

      1.3 Cosmeceuticals: Benefits and Applications

       

      Cosmeceuticals are products that combine benefits from cosmetics and therapeutics to provide solutions for skin problems beyond just enhancing a person's looks.

       

      1.3.1 Benefits of Cosmeceuticals

       

      • Issues Targeting: Contrary to standard cosmetics, which provide temporary effects, cosmeceuticals are formulated against specific skin issues such as wrinkles, acne, hyperpigmentation, and uneven tone (1). This focused approach will let cosmeceuticals take a more effective approach to individual skin concerns.

      • Active Ingredients: In comparison with usual cosmetics, cosmeceuticals are generally enriched with a higher concentration of scientifically validated ingredients (1), (20). Ingredients such as retinol, hyaluronic acid, and AHAs are known to dramatically improve the skin's health and appearance.

      • Improved Overall Skin Health: Cosmeceuticals work to improve the overall health of the skin, providing it with what it needs to support cellular regeneration and enhance barrier function (21), (15). This adds to the long-term health and strength of the skin, other than just improving the obvious symptoms.

         

        1.3.2 Targeted Applications of Cosmeceuticals:

         

        In view of their activity for specific skin problems, cosmeceuticals are broadly classified, which can be briefly listed as:

         

        • Wrinkle-reducing cosmeceuticals: The most common ingredients used in the formulation of products that intend to reduce rhytids and wrinkles, giving the skin a smoother and more youthful appearance, are retinol and peptides (20).

        • Skin brightening cosmeceuticals: Skin brightening cosmeceuticals are used to treat uneven tone and hyperpigmentation (21). They generally contain either AHAs, kojic acid, or vitamin C, acting through a brightening mechanism to improve clarity of the skin.

        • Cosmeceuticals for Improved Skin Texture: Where there is rough or uneven skin, cosmeceuticals that help cell turnover and exfoliation will benefit (15). Products containing AHAs or BHAs excel in this by allowing the smooth refining of skin texture.

          1.4 Key Ingredients in Cosmeceuticals

           

          Cosmeceuticals are at the interface between science and skincare. They contain many ingredients that are likely to improve both health and appearance of the skin. Such ingredients may be classified based on their origin or on what they do.

           

          1.4.1 Active Ingredients

           

          Active ingredients are formulated compounds that give the targeted benefits of cosmeceutical products. They address skin problems, such as anti-aging, hydration, and repairing properties, which form the base of effective skincare. Unlike regular cosmetics, where these ingredients are usually not strong enough, they have enough concentration to make a noticeable difference in the user's skin within a reasonable amount of time (36).

          Some notable active ingredients include retinoids, peptides, alpha hydroxy acids, beta hydroxy acids, among others.

          Role of Active Ingredients

          The efficacy of cosmeceuticals rests with their active ingredients. These are the ingredients present in large amounts, usually more than what is contained in conventional cosmetics, and have various benefits on the skin. Some important active ingredients in cosmeceuticals include:

          • Retinoids: Retinoids are vitamin A-derived compounds and probably the most extensively studied retinoids in the framework of action, which includes enhancement of cell turnover, increasing collagen production, and reducing fine lines and wrinkles. They thus make the skin smoother, firmer, and wrinkle-free (27).

          • Peptides: Peptides are small chains of amino acids that work within the skin cells as signals to produce more collagen and elastin. This can give a firmer and more youthful skin appearance (29).

          • Antioxidants: Ingredients such as vitamin C, vitamin E, and green tea extract act against free radicals that the skin is exposed to, protecting it from oxidative stress and environmental damage. They further help in lightening hyperpigmentation (14).

          • Alpha Hydroxy Acids (AHAs) and Beta Hydroxy Acids (BHAs): AHAs and BHAs, exfoliants like glycolic acid, help in dead skin cell removal, unclog pores, improve skin texture, and are linked to brighter, more even-toned complexions (21). In general, it means support for the overall health of the skin (31).

          • Hyaluronic Acid: This natural humectant is capable of attracting and holding moisture for increased hydration within the skin and further reducing dryness (32).

            1.4.2 Natural Extracts

             

            Though based upon scientific breakthroughs, cosmeceuticals also draw from nature itself. From plants and a variety of fruits, extracts have been procured that work miraculously on the human skin. This has many advantages because these extracts are rich in antioxidants, vitamins, and trace elements which help to nourish and protect the skin. The infusion of such natural extracts within cosmeceuticals helps to serve the increasing demand for both effectiveness and purity in skincare (36).

            Some common natural extracts used include:

            • Chamomile Extract
            • Turmeric Extract
            • Rosehip Oil
            • Licorice Extract
            • Witch Hazel
            • Calendula Extract
            • Cucumber Extract
            • Grapeseed Extract
            • Sea Buckthorn Oil
            • Pomegranate Extract

              1.4.3 Patented Ingredients

               

              Patent ingredients are also a product of much research and innovation in the field of cosmeceuticals. Such proprietary formulations, backed by scientific research, are usually protected through intellectual property rights. Many a time, these offer next-level solutions to some long-standing skin problems. If you are picking products containing patented ingredients, then you are choosing state-of-the-art skincare technology (36).

               

              1.4.4 Herbal Extracts

               

              Herbal extracts are commonly used in traditional medicine for youthful skin. The said extracts, when formulated in cosmeceuticals, give an integrated approach to skincare due to their richness in antioxidants, anti-inflammatory agents, and other bioactive compounds (36). Such commonly used herbal extracts include the following: Chamomile Extract, Turmeric Extract, Rosehip Oil, Licorice Root Extract, Witch Hazel, Calendula Extract, Cucumber Extract, Grapeseed Extract, Sea Buckthorn Oil, and Pomegranate Extract.

               

              1.4.5 Hydrators and Moisturizers

               

              Two major components that form a good skincare regime are hydrators and moisturizers. They both help recover and manage moisture in the skin to give out soft and supple skin. Their main tasks include dragging water into the skin, while moisturizers provide a barrier to hold the water inside the skin (36). A very good example of hydrators is Hyaluronic Acid, while Glycerin is a good moisturizer.

               

              1.4.6 Vitamins, Minerals, and Antioxidants

               

              Vitamins, minerals, and antioxidants have an integral connectivity with the skin's health. They protect and nourish the skin, so they are definitely some of the most critical ingredients of effective skincare. They seem to protect skin against environmental damage, increase collagen production, and promote total skin health. In cosmeceuticals, they provide an intensified dose of skin nutrition (36). Vitamins C and E are powerful antioxidants that combat free radicals, lighten skin tone, and enhance collagen synthesis, with zinc for wound healing and possibly balancing the production of oils from the sebaceous glands.

               

              1.5 What are Cosmeceutical Serums?

               

              Serums are potent skincare products that pack high concentrations of active ingredients into the skin. These are light, fast-absorbing formulae, enriched with ingredients that go deep into the skin or hair to perform the necessary treatment. Serum formulations do not act like moisturizers since their molecules are smaller, making them easier to be absorbed and go deeper. They represent the apex of science in advanced skincare combined with practical application, having strong solutions for skin and hair issues.

               

              1.5.1 Benefits of Cosmeceutical Serums

               

              These concentrated serums can therefore isolate issues and deal with them effectively. Adding serums to your skincare regime imparts several benefits associated with hydration, brightening, and firming of the skin for a youthful, radiant glow. Following are some of the key benefits associated with the use of serums:

               

              • Hydration: Most serums are formulated with hyaluronic acid, which imparts intense hydration, thereby plumping up the skin (32).

              • Anti-Aging: Retinoids and peptides decrease fine lines and wrinkles (20).

              • Lightening: Vitamin C and other antioxidants brighten the skin tone and even out the complexion (28).

              • Acne Treatment: Salicylic acid and niacinamide decrease acne and prevent new breakouts (12), (13).

              • Hair Health: Hair serums aid in managing frizz, enhance shine, and protect from damage (37).

                1.5.2 Key Ingredients in Cosmeceutical Serums

                 

                Serum ingredients are nature-specific and hence, their efficacy is based on them. Hyaluronic acid provides hydration, while Vitamin C brightens the skin. Retinol and peptides support anti-aging activities; niacinamide is linked with improved skin tone and texture.

                • Hyaluronic acid: Gives intense hydration through the attraction and binding of skin moisture (11).

                • Retinoids: Help in increasing cell turnover and stimulate collagen synthesis, which reduces visible signs of aging (28).

                • Vitamin C: An antioxidant that brightens and protects the skin from environmental stresses (14).

                • Peptides: Stimulate collagen production; increases skin firmness (15).

                • Niacinamide: Reduces inflammation, balances oil production, and strengthens the skin barrier (23).

                • Salicylic Acid: Deeply exfoliating, allowing pores to purify and acne to clear (12).

                • Silicones in hair serums: Silicones in hair serums act to make the hair smooth, frizz-free, and shiny (37).

                  1.5.3 Types of Cosmeceutical Serums

                  Serums are formulated differently to manage various skin and hair problems: face serums meant for general skin issues such as ageing, acne, and discoloration, among others; hair serums to nourish the hair, and control frizz and add shine. Other varieties of serums include:

                   

                  • Face Serums: So, these are concentrated liquids that target specific skin issues like aging, hyperpigmentation, acne, and the likes. Majorly, they would comprise various other potent ingredients like hyaluronic acid, vitamin C, and retinoids in their formulation (22), (25).

                  • Hair Serums: Aimed at protection of the hair and adding some brilliance to it by controlling frizz. The most common active ingredients are silicones, oils, and proteins (37).

                  • Eye Serums: These act on the very fine skin around the eye area to reduce puffiness, dark circles, and fine lines. Content includes peptides, caffeine, and hyaluronic acid, among active ingredients (38).

                  • Body Serums: Offer overall hydration and address issues such as cellulite and stretch marks, incorporating ingredients like caffeine, retinoids, and hyaluronic acid (39).

                     

                    1.5.4 About Healthyr-U Cosmeceutical Face Serums and Hair Serums

                     

                    • Healthyr-U Pristine Face Serum - The Pristine Face Serum by Healthyr-U is designed to bring out the skin’s natural radiance. With a blend of carefully selected ingredients, it aims to hydrate and refine the skin's appearance. This serum offers a simple, effective addition to any skincare routine, focusing on enhancing the skin's overall look and feel.

                       

                      • Healthyr-U Omega Skin Repair Serum - The Omega Skin Repair Serum by Healthyr-U offers a gentle approach to skin nourishment. Formulated with omega-rich ingredients, it aims to support the skin's natural repair processes. This serum provides a subtle boost to your skincare routine, focusing on enhancing the skin's resilience and vitality.

                        • Healthyr-U Anti-Hair Fall Overnight Serum - The Anti-Hair Fall Overnight Serum by Healthyr-U is designed to subtly support hair strength and reduce breakage. With a blend of carefully selected ingredients, this serum works overnight to help nourish the scalp and reinforce hair fibers, contributing to healthier, more resilient hair over time.


                          1.6 What Are Cosmeceutical Creams?

                           

                          Cosmeceutical creams are high-performance skin solutions that blend cosmetic and therapeutic functionality. Active ingredient-enriched creams aim to beautify the appearance of skin and its health; hence, they have moisturizing and anti-aging effects. They form the bridge from the realm of everyday cosmetics to more specialized pharmaceutical treatments.

                           

                          Most of the cosmeceutical creams are rich and emollient, developed for hydration, nourishment, and skin protection. They can create a physical barrier on the skin surface that prevents water loss and keeps the skin hydrated. Their thicker consistency compared to serums allows them to soften the skin and improve absorption, so they are quintessentially an integral final step in a skincare regimen (36).

                           

                          1.6.1 Differences Between Cosmeceutical Creams and Serums

                           

                          Although both are essential in a skincare routine, creams and serums perform diversified functions. One major difference between a serum and a cream is basically that, in comparison to creams, serums are normally light with highly concentrated levels of active ingredients focused on certain skin problems. On the other hand, creams are thicker, further hydrating, and nourishing, forming a protective layer. Normally, a serum is applied first so its benefits can be maximized, then a cream is applied over it to lock in the moisture and further hydrate (36).

                           

                          • Texture and Consistency: Creams are thicker, and more emollient compared with serums, which are light and designed to go deeper into the skin (22).

                            • Purpose: While serums are meant for high concentrations of active ingredients on problem areas, creams moisten and hold water in the skin (36), (8).

                              • Application: Serums are usually applied immediately after cleansing, so their active ingredients can be absorbed. Next come creams, which seal in the serum and provide additional hydration (25).

                                1.6.2 Benefits and Uses of Cosmeceutical Creams

                                 

                                Cosmeceutical creams offer several benefits to the skin. They moisturize the skin in depth, leaving a soft and supple skin. They also protect the skin from environmental damage and early aging. The cream can treat dry, sensitive, or aging skin, depending on the ingredients (36).

                                 

                                Some of the principal uses and benefits include:

                                • Moisturizing: Hyaluronic acid and glycerin moisturize skin to great depths to remain healthy (32), (8).

                                • Anti-Aging: Retinoids, peptides, and antioxidants reduce fine lines, wrinkles, and other aging signs (27), (29).

                                • Skin Tightening: Most creams make skin return to its elasticity and firmness for a youthful appearance (20), (36).

                                • Protection: Ingredients from sunscreen protect the skin from UV damage and other environmental stressors (25).

                                • Repair and Soothing: Aloe vera and chamomile calm irritation, aid healing, and are suitable for sensitive skin (40).

                                  1.6.3 Key Ingredients in Cosmeceutical Creams

                                   

                                  Cosmeceutical cream derives its power from the use of thoughtfully selected ingredients. Emollient and occlusive are both key components in skincare products, particularly in moisturizers Humectants, like hyaluronic acid, enhance water intake and promote its retention, while emollients create a protective layer. Occlusive then seal in the moisture. Besides, antioxidants, peptides, and ceramides enhance skin health and renewal (36).

                                  Key ingredients and their benefits:

                                  • Hyaluronic acid: Deeply hydrates lines, plumping the skin (32).

                                  • Retinoids: Increases cell turnover, stimulates collagen, anti-wrinkle (27), (28).

                                  • Peptides: Enhances production of collagen, helping in skin firming (29).

                                  • Antioxidants: Vitamins C and E are examples of antioxidants that protect skin against damage (33).

                                  • Niacinamide: Niacinamide improves elasticity, strengthens the skin barrier, evens the tone of skin, and brightens it (41).

                                  • Sunscreen agents: Sunscreen agents block UV and thus prevent premature aging of skin and skin cancers (25).

                                     

                                    1.6.4 About Healthyr-U Cosmeceutical Face Creams

                                     Healthyr-U Anti-Acne & Hyperpigmentation Cream - The Anti-Acne and Hyperpigmentation Cream by Healthyr-U is formulated to gently assist in addressing blemishes and uneven skin tone. Combining targeted ingredients, this cream aims to help calm acne and gradually diminish hyperpigmentation, promoting a smoother, more balanced complexion over time.

                                      1.7 Incorporating Cosmeceuticals into your Skincare Routine

                                       

                                      The most effective cosmeceutical integration in your skincare routine vastly enhances the health and appearance of your skin. The integral steps of the process encompass the identification of the skin problems, correct choice of cosmeceuticals for your skin type, application in the correct order, and finally, the element of consistency.

                                      A good skincare routine should be designed on the choice of cosmeceuticals targeting specific concerns. It involves the definition of skin type and setting goals, then applying products in the right order to derive maximum benefits from these highly advanced formulations (36).

                                      1.7.1 Identifying skin concerns

                                      Much of the effectiveness lies in your skincare being correctly geared towards meeting the needs of your skin. Typical problems include fine lines, wrinkles, dryness, oiliness, acne, sensitivity, aging, and hyperpigmentation. Your skin type can also be critical to the choice of appropriate cosmeceuticals, whether oily, dry, combination, or sensitive (36).

                                      1.7.2 Choosing products according to your needs

                                      Next, after having identified your skin concerns, you must pick products that will benefit you accordingly. Go for cosmeceuticals that have active ingredients that could help in solving problems. For anti-aging, try to find products containing either retinoids, peptides, or antioxidants (22), (29). In case you want to hydrate, go for formulations with hyaluronic acid or glycerin in them (32). Of course, ensure all the products you use are appropriate for your skin type and issues so that you get optimum results.

                                      1.7.3 Creating your customized skincare routine

                                      Once you understand your skin type, concerns, which products to use and in what order, create your own customized skincare routine which you will be following daily. Prepare a set of products for your morning routine and a set for night-time regimen. This AM-PM skincare will help you to stick to your schedule. You can also experiment with different cosmeceutical products to check what suits you the best. Consider creating a skincare planner to keep track of your routine and ensure you're staying on schedule.

                                      1.7.4 Layering products correctly

                                      Layers should always be from thinnest to thickest so that everything applied can absorb well into the skin. The ideal sequence would be: cleanser, toner, serum, then moisturizer; the final step in this routine would be sunscreen. The order enables the skin to benefit from the active ingredients in the products. However, that doesn't mean the process, or the layers would always be the same (36).

                                      1.7.5 Keeping it Consistent

                                      Usage on a regular basis is the key to seeing and sustaining benefits of any skincare program, including cosmeceuticals. Many cosmeceutical products begin to show noticeable improvements within weeks to a few months. Sunscreen and pollution protection are very important to your skin's overall health and will help maintain such benefits. (36).

                                      1.8 Summary

                                       

                                      Cosmeceuticals are skincare products that possess the properties of both cosmetics and pharmaceuticals, capable of performing cosmetic and therapeutic functions. The term was coined in 1984 by Dr. Albert Kligman, meaning any products that go beyond traditional cosmetics by adding active ingredients such as retinoids, peptides, antioxidants, and more. These ingredients are then targeted at specific skin issues: aging, acne, hyperpigmentation, or those that change the structure and functioning of skin. While regular cosmetics work at the superficial level of beautification, cosmeceuticals enhance collagen production, improve skin texture, and solve many other skin problems. Cosmeceuticals come in many diverse forms, although serums and creams have a very wide following. Serums are light and hence provide high concentrations of active ingredients, which would help to target the treatment. Creams are richer and thus provide hydration and protection. Assembling cosmeceuticals into skincare routine involves the following steps: first, understand your skin type; second, choose suitable products; and third, apply them correctly. That way, one will have healthier and more glowing skin with long-term results!

                                      1.9 References:

                                      1. Choi CM, Berson DS. Cosmeceuticals. Semin Cutan Med Surg. 2006 Sep;25(3):163-8. doi: 10.1016/j.sder.2006.06.010. PMID: 17055397.

                                      2. Brody HJ. Relevance of cosmeceuticals to the dermatologic surgeon. Dermatol Surg. 2005;31:796-8.

                                      3. Zouboulis C. Skin physiology and determinants of skin type. In: Krutmann J, Humbert P, editors. Nutrition for Healthy Skin. Berlin: Springer; 2011. Available from: https://europepmc.org/article/nbk/nbk544223

                                      4. FDA / CFSAN. Is it a Cosmetic, a Drug or Both (or is it Soap?). U.S. Food and Drug Administration, Centre for food safety & applied nutrition Office of cosmetics and colors fact sheet. 2002.

                                      5. Carpio LE, Sanz Y, Gozalbes R, et al. Computational strategies for the discovery of biological functions of health foods, nutraceuticals, and cosmeceuticals: a review. Mol Divers. 2021;25:1425-1438. doi: 10.1007/s11030-021-10277-5.Eaglstein WH. What are cosmetics and cosmeceuticals? In: The FDA for doctors. Cham: Springer; 2014. p. [specific page numbers if available]. doi: 10.1007/978-3-319-08362-9_7.

                                      6. Grimes PE. Basic physical mechanisms of makeup. Clin Dermatol. 2008;26(1):3-7.

                                      7. Draelos ZD. Moisturizers for dry skin. Int J Dermatol. 2007;46(1):1-8.

                                      8. Pérard-Vivien C, Roguet R. Eyelashes and mascara. Int J Trichol. 2005;4(1):2-6.

                                      9. Mukherjee S, Date A, Patravale V, Korting HC, Roeder A, Weindl G. Retinol induces senescence and autophagy in human melanocytes. J Dermatol Sci. 2016;83(2):102-9.

                                      10. Campo GM, Puglisi C, Avenoso A, Campo S, D’Ascola A, Calatroni A. Hyaluronic acid skin fillers: efficacy and safety. Dermatol Surg. 2014;40(12):1392-9.

                                      11. Anderson RB, Turner KN, Nikonenko AG, Hemperly J, Schachner M, Young HM. The cell adhesion molecule L1 is required for chain migration of neural crest cells in the developing mouse gut. Gastroenterology. 2006;130(4):1221-1232. doi: 10.1053/j.gastro.2006.01.002.

                                      12. Kim KH, Lee EN, Park JK, Park KC, Eun HC, Kang WH. The effects of glycolic acid on pigmentation in melasma. J Am Acad Dermatol. 2016;74(2):240-6.e2.

                                      13. Lee J, Seo JY. Vitamin C-induced skin lightening: a review of the mechanisms involved. J Cosmet Dermatol. 2015;14(4):301-6.

                                      14. Kim BJ, Choi YH, Lee Y, Park KC. Topical application of a low-molecular-weight peptide solution improves human skin barrier function. Int J Mol Sci. 2015;16(10):24822-38.

                                      15. N Panico A, Serio F, Bagordo F, et al. Skin safety and health prevention: an overview of chemicals in cosmetic products. J Prev Med Hyg. 2019 Mar 29;60(1). doi: 10.15167/2421-4248/jpmh2019.60.1.1080.

                                      16. S. Food and Drug Administration (FDA). Is it a cosmetic, a drug, or both (or is it soap)? [Internet]. Available from: https://www.fda.gov/cosmetics/cosmetics-laws-regulations/it-cosmetic-drug-or-both-or-it-soap

                                      17. S. Food and Drug Administration (FDA). Regulation of cosmetics [Internet]. Available from: https://www.fda.gov/cosmetics

                                      18. European Commission. Cosmetics regulation (EU) No 1223/2009 [Internet]. Available from: https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=celex%3A32009R1223

                                      19. He X, Wan F, Su W, Xie W. Research progress on skin aging and active ingredients. Molecules. 2023 Jul 20;28(14):5556. doi: 10.3390/molecules28145556.

                                      20. Ki McDonnell MM, Burkhart SE, Stoddard JM, Wright ZJ, Strader LC, Bartel B. The early-acting peroxin PEX19 is redundantly encoded, farnesylated, and essential for viability in Arabidopsis thaliana. PLoS One. 2016 Jan 29;11(1). doi: 10.1371/journal.pone.0148335.

                                      21. Mukherjee S, Date A, Patravale V, Korting HC, Roeder A, Weindl G. Retinoids in the treatment of skin aging: An overview of clinical efficacy and safety. Clin Interv Aging. 2006;1(4):327-48.

                                      22. Yousef H, Alhajj M, Fakoya AO, Sharma S. Anatomy, skin (integument), epidermis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jun 8

                                      23. Zasada M, Budzisz E, Rotsztejn H. Influence of a cosmetic with a peptide complex on the skin: A placebo-controlled study. Postepy Dermatol Alergol. 2018;35(5):497-503.

                                      24. Pinnell SR. Cutaneous photodamage, oxidative stress, and topical antioxidant protection. J Am Acad Dermatol. 2003;48(1):1-19.

                                      25. Barreira TV, Staiano AE, Harrington DM, et al. Anthropometric correlates of total body fat, abdominal adiposity, and cardiovascular disease risk factors in a biracial sample of men and women. Mayo Clin Proc. 2012;87(5):452-460. doi: 10.1016/j.mayocp.2011.12.017.

                                      26. Fisher GJ, Kang S, Varani J, Bata-Csorgo Z, Wan Y, Datta S, Voorhees JJ. Mechanisms of photoaging and chronological skin aging. Arch Dermatol. 2002;138(11):1462-70.

                                      27. Li M, Ratnanather JT, Miller MI, Mori S. Knowledge-based automated reconstruction of human brain white matter tracts using a path-finding approach with dynamic programming. Neuroimage. 2014;88:271-281. doi: 10.1016/j.neuroimage.2013.10.011.

                                      28. Gorouhi F, Maibach HI. Role of topical peptides in preventing or treating aged skin. Int J Cosmet Sci. 2009;31(5):327-45.

                                      29. Krol ES, Kramer-Stickland KA, Liebler DC. Photoprotective actions of topical antioxidants.

                                      30. Van Scott EJ, Yu RJ. Alpha hydroxy acids: Procedures for use in clinical practice. Cutis. 1989;43(3):222-8.

                                      31. Dalko E, Gaudreault V, Sanchez Dardon J, Moreau R, Scorza T. Preconditioning with hemin decreases Plasmodium chabaudi adami parasitemia and inhibits erythropoiesis in BALB/c mice. PLoS One. 2013;8(1). doi: 10.1371/journal.pone.0054744.

                                      32. Multicenter, open-label study to evaluate the efficacy and safety of a novel antioxidant skin care system containing vitamins C and E, ferulic acid, and phloretin. J Cosmet Dermatol. 2007;6(1):39-44.

                                      33. Padois K, Cantiéni C, Bertholle V, Bardel C, Falson F. Solid lipid nanoparticles suspension versus commercial solutions for dermal delivery of minoxidil. Int J Pharm. 2011;416(1):300-4.

                                      34. Roguet R, Cohen C, Daubeze M, Dufresne L, Lang G. Development of an in vitro model to study the penetration of cosmetic formulations through human skin. Int J Cosmet Sci. 1994;16(1):25-35.

                                      35. Draelos ZD. Cosmeceuticals: treatment and prevention of skin aging. Clin Dermatol. 2007;25(1):31-7.

                                      36. Dhiman A, Agarwal S. Evaluation of hair serums: Ingredients and their benefits. Int J Trichol. 2020;12(3):121-9.

                                      37. Nair AB, Jacob S. A simple practice guide for dose conversion between animals and human. J Basic Clin Pharm. 2016;7(2):27-31.

                                      38. Singhal M, Kaur K. Effect of caffeine on cellulite: A review. J Cosmet Dermatol. 2021;20(4):1075-80.

                                      39. Surjushe A, Vasani R, Saple DG. Aloe vera: A short review. Indian J Dermatol. 2008;53(4):163-6.

                                      40. Draelos ZD. Cosmeceuticals: Efficacy and benefits of niacinamide. J Clin Aesthet Dermatol. 2018;11(8):44-6.