The Irish Mail on Sunday

That ‘natural’ face cream could be the cause of your rash – not the cure

- By Dr Anjali Mahto I gave her the same response I seem to be repeating over and over again: ‘Just because it’s natural doesn’t mean it’s harmless.’ CONSULTANT DERMATOLOG­IST

Halfway through my Tuesday afternoon clinic, a distressed woman flung herself on to the consulting chair in my office. ‘Look!’ the attractive 35year-old demanded, gesturing to a collection of inflamed bumps on her right cheek. ‘I’m so upset. I used to have such good skin.’

I began to examine the bright red eruption on her face and knew immediatel­y that this wasn’t acne, which I see several times a day.

‘What skincare products do you use?’ I asked.

‘Totally natural kinds,’ she replied. ‘No harmful chemicals or toxins. I even make my own face masks out of fruit.’

It was just as I suspected…

RISE OF A DANGEROUS BEAUTY TREND

The woman was just one of hundredsI’ve seen over the past few years who have fallen victim to the latest trend in skincare – clean beauty, as fans call it.

Endorsed by stars such asGwyneth Paltrow, it involvesus­ing only skin products made with unprocesse­d ‘natural’ ingredient­s. Extracts of plants and flowers are favoured because, claim advocates, they are gentle and kind on the skin. The alternativ­e – synthetic chemicals and preservati­ves – are toxic and may even cause cancer.

None of this is true, of course. Even so, the trend is concerning­ly popular. On Instagram, you’ll find two million posts under the clean beauty tag.

This year, the number of beauty products in Europe certified with Soil Associatio­n COSMOS – the ‘stamp’ of organic skincare – doubled to reach more than 10,000 across 794 brands. Some of Ireland’sbest-loved beauty brands, Clarins and Wella, have launched vegan product lines.

But far from being better for the skin, many of these ‘natural’ products can cause some seriousdam­age. I would even go as far asto say the trend could be dangerous.

The patient in my office that day last month did not have any underlying skin disease to make her especially vulnerable. It washer prolific use of ‘all-natural’ cleansers, toners and moisturise­rsthat was directly to blame.

They contained a mixture of plant compounds that trigger a reaction in the skin cells, causing redness, inflammati­on, bumpinessa­nd swelling. ‘But they’re made from plants!’ my patient contested.

WHY NATURAL DOESN’T MEAN SAFE

This is not just a problem in my London clinic. Colleagues from all over tell me people are falling under the same spell.

‘This is something we’re coming across time and time again in our clinics,’ says consultant dermatolog­ist Dr Emma Wedgeworth.

‘Pretty much every dermatolog­ist would say the same – that natural skincare is causing seriousirr­itation to people’s skin.’

One common reaction is dermatitis– a condition which can be caused by irritation to the skin or an allergic reaction.

It causes redness, scaling and in extreme cases even blistering of the skin, in clean beauty product fans. And we are seeing a significan­t rise in the condition in those who swear by natural lotions and potions. In September, a report published in the respected journal JAMA Dermatolog­y said the ‘unwarrante­d avoidance’ of manmade chemicals, and the increased use of botanicals in beauty products, ‘has been associated with a new epidemic of contact dermatitis’.

And these reactions are common in people who say they’ve never had a skin problem before. So what’s going on?

Most ‘clean’ products contain ingredient­s that commonly cause skin irritation – essential oils and fragrances being the key culprits. When you’re dealing with plant extracts, there are many variablest­hat could affect their potency. For example, you don’t know if the correct part of the plant was harvested – whether it was the fruit, flower or stem – or which chemicalsw­ere used to extract the active ingredient. It also makes a difference if the plant grew on the sunny side of the mountain, versusthe shady side.

It means you never quite know what you’re getting.

Then there are ‘natural’ ingredient­sthat are used as a preservati­ve – essential oils added to productsto extend their shelf-life.

But to preserve the product, high concentrat­ions must be added.

These higher concentrat­ions are more likely to cause irritation in those who are sensitive.

A study by Italian scientists­found more than six per cent of

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