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Cosmetics are products people use to cleanse or change the look of the face or body.
Cosmetic products include:
Unlike drugs, which are used to treat or prevent disease in the body, cosmetics do not change or affect the body's structure or functions.
Fragrances and preservatives are the main ingredients in cosmetics. Fragrances are the most common cause of skin problems. More than 5,000 different kinds are used in products. Products marked “fragrance-free” or “without perfume” means that no fragrances have been added to make the product smell good.
Preservatives in cosmetics are the second most common cause of skin problems. They prevent bacteria and fungus from growing in the product and protect products from damage caused by air or light. But preservatives can also cause the skin to become irritated and infected. Some examples of preservatives are:
The ingredients below cannot be used, or their use is limited, in cosmetics. They may cause cancer or other serious health problems.
A cosmetic maker can sell products without FDA approval. FDA does not review or approve cosmetics, or their ingredients, before they are sold to the public. But FDA urges cosmetic makers to do whatever tests are needed to prove their products are safe. Cosmetics makers must put a warning statement on the front labels of products that have not been safety testing, which reads, "WARNING — The safety of this product has not been determined."
FDA does require safety testing for color additives used in cosmetics. Cosmetics may only contain approved and certified colors. You'll find FD&C, D&C, or external D&C listed on cosmetic labels.
A cosmetic maker also does not have to report product injuries. FDA collects this information on a voluntary basis only. Cosmetic makers that want to be a part of this program send reports to the FDA.
Product recalls are voluntary actions taken by cosmetic makers too. FDA cannot require cosmetics recalls. But FDA does monitor cosmetic makers that do a recall. FDA must first prove in court that a cosmetic product is a danger or somehow breaks the law before it can be taken off the market.
Yes, for the most part. Serious problems from cosmetics are rare. But sometimes problems can happen.
The most common injury from cosmetics is from scratching the eye with a mascara wand. Eye infections can result if the scratches go untreated. These infections can lead to ulcers on the cornea (clear covering of the eye), loss of lashes, or even blindness. To play it safe, never try to apply mascara while riding in a car, bus, train, or plane.
Sharing make-up can also lead to serious problems. Cosmetic brushes and sponges pick up bacteria from the skin. And if you moisten brushes with saliva, the problem can be worse. Washing your hands before using make-up will help prevent this problem.
Sleeping while wearing eye make-up can cause problems too. If mascara flakes into your eyes while you sleep, you might wake up with itching, bloodshot eyes, infections, or eye scratches. So be sure to remove all make-up before going to bed.
Cosmetic products that come in aerosol containers also can be a hazard. For example, it is dangerous to use aerosol hairspray near heat, fire, or while smoking. Until hairspray is fully dry, it can catch on fire and cause serious burns. Fires related to hairsprays have caused injuries and death. Aerosol sprays or powders also can cause lung damage if they are deeply inhaled into the lungs.
Some products can be both cosmetics and drugs. This may happen when a product has two uses. For example, a shampoo is a cosmetic because it's used to clean the hair. But, an anti-dandruff treatment is a drug because it's used to treat dandruff. So an antidandruff shampoo is both a cosmetic and a drug. Other examples are:
These products must meet the standards for both cosmetics (color additives) and drugs.
Some cosmetic makers use the term “cosmeceutical” to refer to products that have drug-like benefits. FDA does not recognize this term. A product can be a drug, a cosmetic, or a combination of both. But the term "cosmeceutical" has no meaning under the law.
While drugs are reviewed and approved by FDA, FDA does not approve cosmetics. If a product acts like a drug, FDA must approve it as a drug.
You may not be able to use eye make-up, such as mascara, eyeliner, and eye shadow for as long as other products. This is because of the risk of eye infection. Some experts recommend replacing mascara three months after purchase. If mascara becomes dry, throw it away. Don't add water or, even worse, saliva to moisten it. That will bring bacteria into the product.
You may also need to watch certain "all natural" products that contain substances taken from plants. These products may be more at risk for bacteria. Since these products contain no preservatives or have non-traditional ones, your risk of infection may be greater.
If you don't store these products as directed, they may expire before the expiration date. For example, cosmetics stored in high heat may go bad faster than the expiration date. On the other hand, products stored the way they should be can be safely used until they expire.
Hypoallergenic (hy-po-al-ler-gen-ic) cosmetics are products that makers claim cause fewer allergic reactions than other products. Women with sensitive skin, and even those with "normal" skin, may think these products will be gentler. But there are no federal standards for using the term hypoallergenic. The term can mean whatever a company wants it to mean. Cosmetic makers do not have to prove their claims to the FDA.
Some products that have “natural” ingredients can cause allergic reactions. If you have an allergy to certain plants or animals, you could have an allergic reaction to cosmetics with those things in them. For example, lanolin from sheep wool is found in many lotions. But it's a common cause of allergies too.
Some skin and hair care products can cause acne. To help prevent and control acne flare-ups, take good care of your skin. For example, use a mild soap or cleanser to gently wash your face twice a day. Choose “non-comedogenic” make-up and hair care products. This means that they don't close up the pores.
FDA is looking into the safety of tattoos and permanent make-up since they are now more popular. The inks, or dyes, used for tattoos are color additives. Right now, no color additives have been approved for tattoos, including those used in permanent make-up.
You should be aware of these risks of tattoos and permanent make-up:
Alpha hydroxy acids (AHAs) come from fruit and milk sugars. They are found in many creams and lotions. Many people buy products with AHAs, because they claim to reduce wrinkles, spots, sun-damaged skin, and other signs of aging. Some studies suggest they may work.
But are these products safe? FDA has received reports of reactions in people using AHA products. Their complaints include:
AHAs may also increase your skin's risk of sunburn.
To find out if a product contains an AHA, look on the list of ingredients. By law, all cosmetics have ingredients on their outer label. AHAs may be called other names, like glycolic acid and lactic acid.
If you want to use AHA products, follow these safety tips:
The first two have to be on the label. The third is one is by choice. You can call or write the maker to find about a product's AHA and pH levels.
The decision to change your hair color may be a hard one. Some studies have linked hair dyes with a higher risk of certain cancers, while other studies have not found this link. Most hair dyes also don't have to go through safety testing that other cosmetic color additives do before hitting store shelves. Women are often on their own trying to figure out whether hair dyes are safe.
When hair dyes first came out, the main ingredient in coal-tar hair dye caused allergic reactions in some people. Most hair dyes are now made from petroleum sources. But FDA still considers them to be coal-tar dyes. This is because they have some of the same compounds found in these older dyes.
Cosmetic makers have stopped using things known to cause cancer in animals. For example, 4-methoxy-m-phenylenediamine (4MMPD) or 4-methoxy-m-phenylenediamine sulfate (4MMPD sulfate) are no longer used. But chemicals made almost the same way have replaced some of the cancer-causing compounds. Some experts feel that these newer ingredients aren't very different from the things they're replacing.
Experts suggest that you may reduce your risk of cancer by using less hair dye over time. You may also reduce you risk by not dyeing your hair until it starts to gray.
You should follow these safety tips when dyeing your hair:
Lead acetate is used as a color additive in "progressive" hair dye products. These products are put on over a period of time to produce a gradual coloring effect. You can safely use these products if you follow the directions carefully. This warning statement must appear on the product labels of lead acetate hair dyes:
"Caution: Contains lead acetate. For external use only. Keep this product out of children's reach. Do not use on cut or abraded scalp. If skin irritation develops, discontinue use. Do not use to color mustaches, eyelashes, eyebrows, or hair on parts of the body other than the scalp. Do not get in eyes. Follow instructions carefully and wash hands thoroughly after use."
We don't know much about the safety of hair dyes during pregnancy. It's likely that when you apply hair dye, only a small amount is absorbed into your system. So very little chemicals, if any, would be able to get to your baby. In the few animal and human studies that have been done, no changes were seen in the developing baby. Talk with your doctor if you have questions or concerns.
For more information about cosmetics and your health, call womenshealth.gov at 800-994-9662 (TDD: 888-220-5446) or contact the following organizations:
Cosmetics and your health fact sheet was reviewed by:
Dr. Sandra I. Read
Department of Dermatology
Georgetown University, Washington, DC
Content last updated: July 16, 2012.
Resources last updated: September 25, 2013.