{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T03:00:43Z","timestamp":1781319643207,"version":"3.54.1"},"reference-count":72,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Integrated skincare (ISC) combines dermocosmetics with medical aesthetic procedures to improve outcomes. However, guidance on selecting appropriate active ingredients across different procedure types and phases remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To provide international guidance on appropriate ISC actives for use with aesthetic procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a simplified Delphi study, 14 experts evaluated 44 actives for use across four procedure categories (ablative energy\u2010based, non\u2010ablative energy\u2010based, non\u2010energy\u2010based procedures with or without skin barrier disruption) at four time points (pretreatment, peri\u2010treatment, aftercare, and follow\u2010up \u2265\u20091\u2009week post\u2010procedure). The panelists also ranked their top five preferred actives for each procedure category and time point.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ceramides, cholesterol, hyaluronic acid, niacinamide, and peptides were deemed appropriate across all procedure categories and all time points. Azelaic acid, benzoyl peroxide, cysteamine, glycolic acid, hydroquinone, lactic acid, retinoids, and salicylic acid were identified as unsuitable for use on treatment day. Ceramides and hyaluronic acid were highly ranked for pre\u2010treatment, peri\u2010treatment and aftercare, while retinoids and ferulic acid were highly ranked for pretreatment and followup. Vitamin C was ranked in the top 5 across all procedure categories and time points, except at pretreatment for non\u2010energy\u2010based without skin barrier damage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Safety and tolerability are primary considerations when selecting ISC actives. Ingredients with higher irritation potential, such as retinoids and acids, should be avoided during the healing phase (on treatment day and during short\u2010term aftercare) due to risk of irritation, as well as post\u2010inflammatory hyperpigmentation in skin of color.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70880","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:09:33Z","timestamp":1778047773000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["International Expert Consensus on Integrated Skincare Active Ingredients for Pretreatment and Posttreatment Use With Medical Aesthetic Procedures to Enhance Skin Benefits"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3031-1390","authenticated-orcid":false,"given":"Peter","family":"Bjerring","sequence":"first","affiliation":[{"name":"Department of Dermatology Aalborg University Hospital  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9803-7415","authenticated-orcid":false,"given":"Zoe D.","family":"Draelos","sequence":"additional","affiliation":[{"name":"Dermatology Consulting Services, PLLC  High Point North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina G.","family":"Fabi","sequence":"additional","affiliation":[{"name":"Cosmetic Laser Dermatology, San Diego University of California San Diego Medical Center  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4089-9690","authenticated-orcid":false,"given":"Greg J.","family":"Goodman","sequence":"additional","affiliation":[{"name":"Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwun Cheung","family":"Hau","sequence":"additional","affiliation":[{"name":"Perfect Skin Surgery Centre  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7313-4815","authenticated-orcid":false,"given":"Ariel","family":"Haus","sequence":"additional","affiliation":[{"name":"Dr Haus Dermatology  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-8520","authenticated-orcid":false,"given":"Izolda","family":"Heydenrych","sequence":"additional","affiliation":[{"name":"Cape Town Cosmetic Dermatology Centre, Century City  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0047-5941","authenticated-orcid":false,"given":"Jihee","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Yongin Severance Hospital Yonsei University College of Medicine  Yongin South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5164-6970","authenticated-orcid":false,"given":"Liang\u2010Chen","family":"Lin","sequence":"additional","affiliation":[{"name":"Bri. 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