Objectives: By exploring the extent and social pressures associated with illicit skin lightening cream use in South Africa, common to many countries across Africa, Asia and India, dermatologists and aesthetic physicians will be better able to identify the psychology and common sequelae often experienced in those abusing these substances.
Introduction: The preference for lighter skin tones are varied, however a significant pressure is exerted via the effects of colourism, with its perceived positive social outcomes afforded by lighter skin tones. Skin lightener use is a global phenomenon, with Africa representing a high prevalence.
Materials / method: Published literature regarding the social views of skin lightening, extent of skin lightening topical cream use, and common skin lightening compounds in South Africa are reviewed.
Results: Various social as well as clinical scenarios are highlighted to display the degree of unscheduled substance use in patients in Africa. Common compounds contained in these illicit creams are identified (mercurials, hydroquinones and potent topical steroids) and the complications associated with their chronic use emphasised.
Conclusion: Despite the risk of various complications, the use of illicit skin lightening creams in South Africa and many developing countries is common, spurred on by complex social pressures. Dermatologists and aesthetic physicians may be sought out in this quest for lighter skin, and are thus reminded to be vigilant for the revealing sequelae of topical lightener abuse.
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