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- HEALTH, Page 83Fountain of Youth in a Jar
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- Cosmetics firms are touting new types of skin creams to ward
- off aging and cellulite, but so far the evidence is scant
-
- By ANASTASIA TOUFEXIS -- Reported by Sally B. Donnelly/Los
- Angeles and Kathryn Jackson Fallon/New York
-
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- In the fantasy world of cosmetics, hope and hype have
- always been the rulers, and truth the rude beggar at the gate.
- Americans have long recognized that fact -- and dismissed it.
- "Oh, I know it probably doesn't do everything they say it does,"
- admits Evelyn, a San Diego secretary, while purchasing some skin
- cream at a Nordstrom counter. "But it makes my skin look and
- feel better, so I'll keep buying it."
-
- These days, however, manufacturers are going to greater
- lengths to exploit consumers' unwary nature. Critics charge that
- cosmetics promotion has moved beyond the bounds of puffery and
- into the realm of unsubstantiated medical claims. "Where is the
- evidence?" asks dermatologist John Reeves of San Francisco.
- "It's time for cosmetics manufacturers to put up or shut up."
-
- The growing debate centers mainly on the pricey potions,
- lotions, creams and gels that promise to thwart the wrinkly
- ravages of aging and smooth the pockets of fat, dubbed cellulite
- by cosmetologists, that dimple many women's hips and thighs.
- Thanks to the aging of the baby boomers, U.S. sales of skin-care
- products have surged more than 50% since 1985, to $3.7 billion
- a year. That makes them the fastest-growing segment of the
- toiletries and cosmetics industry, which rakes in almost $24
- billion annually.
-
- The cosmetics firms are trying to capitalize on
- preliminary scientific research suggesting that certain vitamins
- and other chemicals may improve skin appearance. Some seem to
- counteract the bad effects of substances called free radicals,
- which are produced regularly by the body's metabolism. These
- highly volatile substances -- oxygen ions are one example --
- react with cell membranes, and over time the radicals may play
- a role in various ailments and the aging process itself. There
- is evidence that at least one radical-fighting skin cream, a
- vitamin-A derivative called Retin-A, stimulates skin-cell
- production, but it is sold only by prescription. Another
- prescription product, Lac-Hydrin, contains 12% lactic acid, one
- of a class of compounds called alpha-hydroxy acids. These
- chemicals seem to help combat dry skin.
-
- But researchers are a long way from putting the Fountain
- of Youth in a jar, and there is no rigorous scientific evidence
- to support the sweeping claims made by the manufacturers of
- scores of cosmetics sold over the counter. They contain some of
- the same ingredients as prescription drugs, but in much lower
- concentrations.
-
- Elizabeth Arden boasts that its Ceramide Time Complex
- Capsules contain various ingredients, including retinyl
- palmitate, and vitamins E and F, that together "fix, replenish
- or repair the barrier function of the skin." Shisheido touts
- Bio-Performance as a "super-revitalizer" that awakens the
- "skin's youthful balance." Avon is pushing three different
- antiaging treatments: BioAdvance (with vitamin A), Collagen
- Booster (vitamin C) and a new product to be introduced next
- year, Aneu (alpha-hydroxy acids). As for cellulite nostrums,
- Arden promotes its gel and moisturizer by citing clinical tests
- "from a renowned university in France." Lancome says its gel can
- provide "relief" from cellulite in two to four weeks. And
- Clarins contends that consumers can slim down and firm up with
- the help of its concentrated anticellulite gel.
-
- Medical specialists are leery of the aggressive marketing.
- Advertisements, they complain, frequently imply that the
- treatments alter body physiology. If that is true, then the
- products should be reclassified as drugs by the Food and Drug
- Administration and thus be subject to the same rigorous -- and
- costly -- testing for efficacy required of all medications.
- Doctors are skeptical of the evidence that cosmetics firms
- currently offer in support of their claims, including before and
- after pictures and clinical reports. Albert Kligman, a professor
- emeritus of dermatology at the University of Pennsylvania, says
- he has never seen an industry research paper that was
- "believable."
-
- Manufacturers insist that their promotional materials
- suggest only that use of the products will improve a person's
- appearance. "We can claim that the product helps to promote
- younger-looking skin," says Mari Chihaya of Shiseido, "but we
- cannot say it is younger skin because that becomes a drug
- claim." Other companies are bolder in their assertions. Alex
- Znaiden, director of product development at Avon, says, "Our eye
- gel contains materials that, as they go into the skin, are able
- to influence the cellular environment and cause changes to
- occur." Not everyone is happy to hear that. Says Alice Longley,
- an industry analyst with the Donaldson, Lufkin and Jenrette
- investment firm: "It's pretty frightening if there are products
- out there that change the body and haven't gone through that
- rigorous testing process."
-
- Critics hope that the FDA and the Federal Trade
- Commission, which oversees advertising, will do more to curb the
- cosmetics industry's excesses. Since 1987, the FDA has sent
- complaints to 50 cosmetics companies over specific claims, and
- in response most firms have changed these pitches. In 1989 the
- FTC cited Revlon for unsubstantiated advertising promises for
- an anticellulite treatment, by then taken off the market by the
- company. But new products and promotions are being launched all
- the time. Consumers should take most of the claims with a grain
- of salt, or at least a dollop of blusher.
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