#1 Dermatologist Recommended: A Clinician’s Guide to Self-Tanning
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Keywords
general dermatology, cosmetics, tanning, melanoma/ prevention and control, skin neoplasms/ preventions and control
Abstract
Skin tanning is an evolving area of focus for dermatologists. For hundreds of years, fair skin was socially preferred. That is until Coco Chanel returned from the French Riviera in 1923 sporting a sun-tan. Since then, tanned skin has become a booming industry. As the perception of tanning evolved, so did the methods to attain it. Today, skin tanning is achieved by: outdoor UV tanning, indoor UV tanning, spray-tanning, or cosmetic self-tanning products. Dermatologists counsel against UV tanning, as UV exposure is correlated with increased risks of both melanoma and non-melanoma skin cancers. The question that remains to be investigated is the skin safety of self-tanning products. In this review, 20 products were chosen from five major U.S. retailers (Walmart, CVS, Sephora, Ulta, and Amazon). The product ingredients were then analyzed for skin safety. The resulting data suggests that there is no major difference in the number of ingredients that have been deemed safe by the major U.S. cosmetic regulatory bodies among the products, and that cosmetic products are likely getting safer every year. Therefore, clinicians should focus on application counseling and reiterate FDA guidelines by discouraging spray- tanning and tanning pills.
References
2. Braunberger TL, Nahhas AF, Katz LM, Sadrieh N, Lim HW. Dihydroxyacetone: A Review. J Drugs Dermatol. 2018;17(4):387-391.
3. Sunless Tanners & Bronzers. U.S. Food and Drug Administration. Published August 24, 2020. Accessed November 6, 2021. https://www.fda.gov/cosmetics/cosmetic-products/sunless-tanners-bronzers
4. US Department of Health and Human Services. Cancer. Healthy People 2020 Website . Published 2015. Accessed January 8, 2022. http://www.healthypeople.gov/2020/topics-objectives/topic/cancer/objectives?topicId=5
5. Fisher DE, James WD. Indoor Tanning — Science, Behavior, and Policy. New England Journal of Medicine. 2010;363(10):901-903. doi:10.1056/NEJMp1005999
6. Daniel CL, Gassman NR, Fernandez AM, Bae S, Tan MCB. Intentional tanning behaviors among undergraduates on the United States’ Gulf Coast. BMC Public Health. 2018;18(1):441. doi:10.1186/s12889-018-5345-5
7. el Ghissassi F, Baan R, Straif K, et al. A review of human carcinogens—Part D: radiation. Lancet Oncol. 2009;10(8):751-752. doi:10.1016/S1470-2045(09)70213-X
8. Statista. U.S.: frequency of tanning 2011-2020 . Statista . Published 2020. Accessed January 8, 2022. https://www.statista.com/statistics/287038/frequency-of-tanning-in-the-us-trend/
9. Guy GP, Berkowitz Z, Holman DM, Hartman AM. Recent Changes in the Prevalence of and Factors Associated With Frequency of Indoor Tanning Among US Adults. JAMA Dermatol. 2015;151(11):1256. doi:10.1001/jamadermatol.2015.1568
10. About the Cosmetic Ingredient Review. Cosmetic Ingredient Review. Published 2016. Accessed January 9, 2022. https://www.cir-safety.org/about
11. Voluntary Cosmetic Registration Program. U.S. Food and Drug Administration. Published August 24, 2020. Accessed January 9, 2022. https://www.fda.gov/cosmetics/voluntary-cosmetic-registration-program#benefits
12. Fiume MM, Bergfeld WF, Belsito D v., et al. Safety Assessment of PCA (2-Pyrrolidone-5-Carboxylic Acid) and Its Salts as Used in Cosmetics. Int J Toxicol. 2019;38(2_suppl):5S-11S. doi:10.1177/1091581819856568
13. Learn the language of skin care labels. American Academy of Dermatology Association. Published March 3, 2017. Accessed January 9, 2022. https://www.aad.org/news/product-labels
14. Cosmetic Ingredient Names. U.S. Food and Drug Administration. Published August 24, 2020. Accessed December 12, 2021. https://www.fda.gov/cosmetics/cosmetics-labeling/cosmetic-ingredient-names
15. U.S Food and Drug Administration. Color Additive Status List . Published December 15, 2015. Accessed September 17, 2021. https://www.fda.gov/industry/color-additive-inventories/color-additive-status-list
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Janice Wilson, University of Texas Medical Branch at Galveston Department of Dermatology
Assistant Professor of Dermatology