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The "lipstick effect" may drive cosmetic procedures during crises. However, self-administered treatments, fueled by e-commerce and misinformation, led to patient complications and injuries.

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Area of Science:

  • Dermatology
  • Consumer Psychology
  • Public Health

Background:

  • Consumer spending often shifts during crises, with a noted increase in spending on less expensive luxury goods, termed the "lipstick effect."
  • The COVID-19 pandemic saw increased e-commerce sales in beauty and personal care, alongside the suspension of in-person cosmetic services.
  • This created an environment where consumers turned to at-home cosmetic procedures.

Purpose of the Study:

  • To present cases of complications arising from self-administered cosmetic procedures during the COVID-19 pandemic.
  • To discuss the role of e-commerce, social media, and misinformation in promoting these risky behaviors.
  • To emphasize the need for patient education to prevent harm from self-administered cosmetic procedures.

Main Methods:

  • Retrospective case series of patients presenting with complications from home-administered cosmetic procedures.
  • Cases were managed via telemedicine at the Department of Dermatology, Boston Medical Center in May 2020.
  • Analysis of contributing factors including social media influence and product accessibility.

Main Results:

  • Three cases of complications from self-administered cosmetic procedures are detailed.
  • Complications included issues from a home-administered platelet-rich plasma injection, self-administered injectable fillers, and trichloroacetic acid chemical peels.
  • These procedures were performed using products obtained from unregulated e-commerce sources.

Conclusions:

  • The combination of social media, misinformation, and accessible products encourages dangerous self-administered cosmetic procedures.
  • Lack of accountability exacerbates the risks associated with these practices.
  • Patient education is crucial to mitigate harm and promote safe cosmetic practices.