# Dermocosmetics in Acne Vulgaris: South African Consensus Recommendations With a Focus on Skin of Color

## TL;DR

This paper provides South African guidelines for using dermocosmetics in acne treatment, focusing on skin of color to improve outcomes and reduce side effects.

## Contribution

The paper introduces region-specific, evidence-based recommendations for dermocosmetic use in acne management tailored to South African patients, particularly those with skin of color.

## Key findings

- Dermocosmetics support skin barrier repair and reduce irritation from conventional acne treatments.
- They help manage acne-induced hyperpigmentation in skin of color.
- Recommendations include using dermocosmetics as adjunctive therapy, monotherapy for mild acne, and maintenance therapy.

## Abstract

Acne vulgaris is one of the most common dermatological disorders worldwide, affecting both adolescents and adults. It frequently leads to significant psychosocial and physical sequelae, including acne‐induced hyperpigmentation and scarring. Beyond pharmaceutical therapies, dermocosmetics—topical formulations enriched with active ingredients in cosmetically elegant vehicles—have emerged as essential partners in acne management. They optimize clinical outcomes by supporting skin barrier repair, reducing irritation associated with conventional treatments, and targeting key pathogenic pathways in acne. However, no region‐specific guidance exists to inform the effective use of dermocosmetics in South African patients, particularly those with skin of color.

To develop expert consensus recommendations for the use of dermocosmetics in acne vulgaris management within the South African context.

This consensus was developed through structured expert meetings and a targeted literature review of current international and local evidence. The panel synthesized clinical experience and research findings to identify key principles for selecting and integrating dermocosmetics into acne treatment regimens.

The consensus highlights the multifaceted role of dermocosmetics in addressing core acne pathogenic factors, supporting epidermal barrier function, mitigating treatment‐related adverse effects, and managing acne‐induced hyperpigmentation in skin of color. Practical recommendations are provided for their use as adjunctive therapy, monotherapy in mild cases, and maintenance therapy to sustain remission.

This South African consensus provides a practical, evidence‐informed framework for incorporating dermocosmetics into acne management, with particular attention to the needs of patients with skin of color. Adoption of these recommendations may enhance treatment outcomes, adherence, and patient satisfaction across diverse skin types.