Abstract

Disorders of skin hyperpigmentation have an appreciable impact on quality of life, carrying social and cultural importance that influences widespread consumer demand for cosmetic lightening products. We sought to investigate product factors that may influence consumer preference when choosing an over-the-counter cream for skin-lightening purposes. The keyword “lightening cream” was searched in the "Beauty and Personal Care category" of online retailer Amazon.com. The top fifth percentile of products was determined by filtering the search results for a minimum of four out of five stars from customer reviews, and then further filtered by products with over 100 reviews. Number of reviews, rating, price per unit, vehicle, application instructions, ingredients, and review attributes were evaluated. Over 2,900 products were catalogued as “lightening cream” on Amazon.com. There were 40 products rated >4 stars and >100 reviews, constituting the top 1.34% of entries. Tocopheryl was present in 58% of the top 40 products, ascorbic acid in 40%, and niacinamide in 20%. Notably, 22.5% of the top 40 products contained no known skin-lightening ingredient. There was a moderate positive correlation (R2=0.378) between price and consumer rating, with kojic acid being the most expensive per ounce ($24.89) and salicylic acid being the most highly rated (4.54 stars; $15.00/oz). This study provides insight on the factors influencing the choice, preferences, and satisfaction of consumer that sought Amazon for the purchase of lightening products.

Highlights

  • Disorders of skin hyperpigmentation have an appreciable impact on quality of life, carrying social and cultural importance that influences widespread consumer demand for cosmetic lightening products

  • Skin hyperpigmentation disorders have an appreciable impact on quality of life, carrying social and cultural importance that influences widespread consumer demand for cosmetic lightening products [1]

  • Patients are often unsatisfied by their results when using these products. This could be due to the weaker composition of OTC products since higher percentages of certain ingredients like HQ need a prescription and/or FDA regulation along with physician supervision

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Summary

Introduction

Skin hyperpigmentation disorders have an appreciable impact on quality of life, carrying social and cultural importance that influences widespread consumer demand for cosmetic lightening products [1]. Skin bleaching is an ancient process that can be traced back to 200 Before Common Era (BCE) [2]. From this historical time, skin lightening continues to be a common practice. Skin lightening continues to be a common practice Today, this can be achieved with soaps, over-the-counter (OTC) and prescription creams, pills, injections, and an assortment of cosmetic procedures. We sought to investigate product factors that may influence consumer preference when choosing an OTC cream for skin-lightening purposes

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