Acne and cosmetics: A cross-sectional, web-based questionnaire survey of the views and opinions of Italian dermatologists on the use of camouflage cosmetics in female patients

BACKGROUND: Unsatisfactory response rates are not rarely observed in the management of acne and seem largely related to poor adherence to treatment. As more specifically regards management of the disease in female patients, available literature provides contradictory indications regarding permissibility of using cosmetics. In this study we aimed to narrow our investigation on the habits of non-academic dermatologists specifically with regards to allowing/not-allowing their female patients to use camouflage cosmetics. METHODS: A Web-based survey was carried out by sending an e-mail containing a brief, aim-oriented questionnaire to a random, nationwide sample of 1508 Italian colleagues. Basic demographic data (sex, age and seniority of specialization), and tick box and open responses to the questionnaire underwent statistical analyses, as appropriate. RESULTS: The response rate was 32.9% (N.=334), this meaning 7.6% of the entire (N.=4390) Italy-based dermatologist population. The outcome between pros-and-cons standpoints was substantially split in half, in that less more than half of interviewees felt "very" or "rather" important to prohibit the use of camouflage cosmetics to their patients and only allowed the use of make-up sporadically, i.e. on "special" occasions. CONCLUSIONS: Camouflage cosmetics in acne patients should not be a sort of taboo for each dermatologist needing to deal with it individually in his/her day-by-day clinical practice. On the other hand, what appears to be still missing is future third-party research on the actual feasibility of cosmetics, and of camouflage products in particular. Large scale, possibly split-face controlled evaluations would be in this view a gold standard to confide in.