{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T18:28:49Z","timestamp":1783103329004,"version":"3.54.6"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Skincare products and cosmetic procedures are used as an adjunct or complementary to conventional drug therapy for acne vulgaris (AV).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the use of skincare products and the frequency of cosmetic procedures in AV treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 1,755 patients with AV completed the survey prepared by the researchers and the Cardiff Acne Disability Index (CADI) questionnaire. The clinical findings and the Food and Drug Administration (FDA) severity scores were recorded by the dermatologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For AV, 66.7% of the patients stated that they used skincare products and 26.7% had undergone cosmetic procedures. The use of skincare products was statistically significantly higher in women (female: 74.5%, male: 57.7%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001); older people (users: 22\u00a0\u00b1\u00a07.6years, non\u2010users: 21.2\u00a0\u00b1\u00a05.7\u00a0years, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001);\u00a0patients with a higher CADI score (users: 7\u00a0\u00b1\u00a03.7, non\u2010users: 6.9\u00a0\u00b1\u00a04.3, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.010); FDA severity score 2 and 3 (FDA\u20101: 58.1%; FDA\u20102: 72.4%, FDA\u20103: 73%, FDA\u20104: 67%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001); long\u2010term disease (users: 57\u00a0\u00b1\u00a043\u00a0months; non\u2010users: 47.7\u00a0\u00b1\u00a042.3\u00a0months, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001); facial involvement (present: 70.2%, absent: 51.4%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.017); high income levels (users: 73.5%; non\u2010users: 26.5%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.001); and graduate or post\u2010graduate degrees (undergraduate\u2264%62.8, graduate\u2265%76.8, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001). The rate of cosmetic procedures was higher in those with higher CADI scores (users: 7.8\u00a0\u00b1\u00a03.8; non\u2010users: 7.1\u00a0\u00b1\u00a03.96, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001); older patients (users: 22.7\u00a0\u00b1\u00a010.7\u00a0years; non\u2010users: 21.3\u00a0\u00b1\u00a05\u00a0years, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001); high school (25.6%); and graduate (28.9%) education (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.043), those with lower disease severity (FDA\u20101: 31.1%; FDA\u20102: 28.5%, FDA\u20103: 27.1%, FDA\u20104: 20.4%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.022); smokers (smokers: 32.5%; non\u2010smokers: 25.5%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.020), and those with AV in the family (present: 29.8%; absent: 24.2%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.009). The patients most frequently used cleansers (85.2%) as cosmetic products, and most commonly underwent skincare treatment (71%) as an interventional procedure. They mostly learned about such products and methods from the Internet, and 33.3% of the participants had undergone procedures performed by non\u2010physicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The patients generally choose skincare products as a result of their Internet search and sometimes have these procedures performed by non\u2010physicians. Dermatologists should be aware of this situation and inform their patients about appropriate products and procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.14439","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T20:10:36Z","timestamp":1631650236000},"page":"2566-2576","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Rates of skincare product and cosmetic procedure use in patients with acne vulgaris and the effective factors: A multicenter study with 1,755 patients"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4347-3134","authenticated-orcid":false,"given":"Melek","family":"Aslan Kay\u0131ran","sequence":"first","affiliation":[{"name":"Department of Dermatology Istanbul Medeniyet University G\u00f6ztepe Prof. Dr. S\u00fcleyman Yal\u00e7\u0131n City Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ay\u015fe Serap","family":"Karada\u011f","sequence":"additional","affiliation":[{"name":"Department of Dermatology Memorial Ata\u015fehir Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6k\u00e7en","family":"Alyama\u00e7","sequence":"additional","affiliation":[{"name":"Department of Dermatology Private Medicana Bursa Hospital Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beng\u00fc","family":"\u00c7evirgen Cemil","sequence":"additional","affiliation":[{"name":"Department of Dermatology Health Sciences University D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Training and Research Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00fcriye Deniz","family":"Demirseren","sequence":"additional","affiliation":[{"name":"Department of Dermatology Health Sciences University Ankara City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhanize","family":"Ta\u015f Demircan","sequence":"additional","affiliation":[{"name":"Department of Dermatology Adana Seyhan State Hospital Adana Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Aksoy","sequence":"additional","affiliation":[{"name":"Department of Dermatology Istanbul Medeniyet University G\u00f6ztepe Prof. Dr. S\u00fcleyman Yal\u00e7\u0131n City Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3560-849X","authenticated-orcid":false,"given":"Sevilay","family":"K\u0131l\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Dermatology \u00c7anakkale 18 Mart University \u00c7anakkale Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asude","family":"Kara Polat","sequence":"additional","affiliation":[{"name":"Department of Dermatological and Venereal Diseases Health Sciences University \u0130stanbul Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esma","family":"\u0130nan Y\u00fcksel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Dermatology F\u0131rat University Elaz\u0131\u011f Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6knur","family":"Kalkan","sequence":"additional","affiliation":[{"name":"Department of Dermatology Health Sciences University Ankara City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sema","family":"Elib\u00fcy\u00fck Aksa\u00e7","sequence":"additional","affiliation":[{"name":"Department of Dermatology Mersin City Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9665-015X","authenticated-orcid":false,"given":"\u00d6mer","family":"Kutlu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Dermatology U\u015fak University U\u015fak Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9809-2497","authenticated-orcid":false,"given":"S\u00fcmeyye","family":"Alt\u0131nta\u015f Kak\u015fi","sequence":"additional","affiliation":[{"name":"Department of Dermatology Istanbul Medeniyet University G\u00f6ztepe Prof. Dr. S\u00fcleyman Yal\u00e7\u0131n City Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysun","family":"\u015eikar Akt\u00fcrk","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Dermatology Kocaeli University Kocaeli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tu\u011fba","family":"\u00d6zk\u00f6k Akbulut","sequence":"additional","affiliation":[{"name":"Department of Dermatological and Venereal Diseases Health Sciences University Haseki Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sezgi","family":"Sar\u0131kaya Solak","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Dermatology Trakya University Edirne Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130lteri\u015f","family":"O\u011fuz Topal","sequence":"additional","affiliation":[{"name":"Department of Dermatological and Venereal Diseases Health Sciences University Prof. Dr. Cemil Ta\u015f\u00e7\u0131o\u011flu Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serkan","family":"Yaz\u0131c\u0131","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Dermatology Uluda\u011f University Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0203-272X","authenticated-orcid":false,"given":"Hatice","family":"Kaya \u00d6zden","sequence":"additional","affiliation":[{"name":"Department of Dermatology Kocaeli Derince Training and Research Hospital Kocaeli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmut Can","family":"Koska","sequence":"additional","affiliation":[{"name":"Department of Dermatology Artvin State Hospital Artvin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tu\u011fba Kevser","family":"Uzun\u00e7akmak","sequence":"additional","affiliation":[{"name":"Cerrahpa\u015fa Faculty of Medicine Department of Dermatology \u0130stanbul University\u2010Cerrahpa\u015fa Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arzu","family":"Ataseven","sequence":"additional","affiliation":[{"name":"Meram Medical Faculty Department of Dermatology Necmettin Erbakan University Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beg\u00fcm","family":"I\u015f\u0131k","sequence":"additional","affiliation":[{"name":"Meram Medical Faculty Department of Dermatology Necmettin Erbakan University Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erkan","family":"Alpsoy","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Dermatology Akdeniz University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.5114\/ada.2020.100492"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13743"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.12431"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2007.03462.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.14441"},{"key":"e_1_2_9_7_1","first-page":"19","volume-title":"Management, knowledge and learning international conference","author":"\u0141opaciuk A","year":"2013"},{"key":"e_1_2_9_8_1","unstructured":"ASDSsurvey on dermatologic procedures: report of 2018 procedures. Updated August 2019. Accessed June 22 2021.http:\/\/www.asds.net\/portals\/0\/PDF\/procedures\u2010survey\u2010results\u2010presentation\u20102018.pdf"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.14436"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1992.tb02521.x"},{"key":"e_1_2_9_11_1","first-page":"25","article-title":"Validity and reliability of Cardiff Acne Disability Index in Turkish acne patients","volume":"44","author":"Ats\u00fc N","year":"2010","journal-title":"Turkderm"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1972.01620150029011"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000350936"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1982.01650230031022"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2006.00174.x"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.95450"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13853"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14040"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13132"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1997.d01-1144.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.14287"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2005.04.001"},{"key":"e_1_2_9_23_1","first-page":"19","article-title":"A combination approach to treating acne scars in all skin types: carbolic chemical reconstruction of skin scars, blunt bi\u2010level cannula subcision, and microneedling\u2013a case series","volume":"13","author":"Rullan PP","year":"2020","journal-title":"J Clin Aesthet Dermatol"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.14439","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.14439","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.14439","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T22:30:11Z","timestamp":1692829811000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.14439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,14]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/jocd.14439"],"URL":"https:\/\/doi.org\/10.1111\/jocd.14439","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,14]]},"assertion":[{"value":"2021-06-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}