Dermatological Adverse Effects Associated withSocial Media–Influenced Skincare Practices: A Hospital-Based Cross-Sectional Study

Background: The rapid growth of social media platforms has significantly influenced public skincare practices, often promoting unverified trends and non-evidence-based recommendations. Influencers and online content frequently endorse products and procedures without dermatological supervision, potentially leading to misuse and adverse cutaneous reactions. Despite increasing popularity of these trends, limited hospital-based data exist regarding their dermatological consequences in the Indian population. The study aimed to assess the prevalence and pattern of dermatological adverse effects associated with social media–driven skincare practices. Material and Methods: This hospital-based cross-sectional study was conducted over a period of twelve months in the Department of Dermatology at a tertiary care teaching hospital. A total of 55 patients presenting with recent-onset dermatological complaints and reporting use of skincare practices influenced by social media were included after obtaining informed consent. A structured questionnaire was administered to collect data regarding demographic details, type and duration of social media exposure, skincare trends followed, products used, source of recommendation, and awareness regarding potential risks. Clinical examination was performed. Adverse effects were also noted. Data were analyzed using descriptive and inferential statistics. Associations between variables were assessed using appropriate statistical tests, with p < 0.05 considered statistically significant. Results: Among 55 participants, the majority were females (n=42, 76.4%), predominantly in the 18–30-year age group (n=29, 52.7%). Instagram and YouTube were the most commonly reported platforms influencing skincare choices. The most frequently followed trends included DIY home remedies (n=21, 38.2%), unsupervised use of active ingredients such as retinoids or exfoliating acids (n=18, 32.7%), and topical steroid-containing fairness creams (n=9, 16.4%). The common dermatological adverse effects observed was acneiform eruptions (n=17, 30.9%). A statistically significant association was noted between unsupervised use of active ingredients and occurrence of irritant dermatitis (p<0.05). Conclusion: Social media–influenced skincare practices are associated with a considerable burden of dermatological adverse effects, particularly among young adults. Inadequate knowledge and unsupervised use of active ingredients contribute significantly to these reactions. Strengthening public awareness and encouraging dermatological consultation are essential to prevent avoidable skin damage.

Keywords: Acneiform eruptions, Contact dermatitis, Dermatological adverse effects, Skincare trends, Social media.