414 JOURNAL OF COSMETIC SCIENCE
possible. However, these designations are trademarked and must be licensed so that they
are used properly to prevent corruption of the system.
SKIN CARE ROUTINES TO TREAT SKIN TYPES
The skin typing system is much more intricate than it seems on the surface. AI has been
a giant leap forward in the ability to process this categorical information to quickly and
correctly provide the best dermatologist-recommended skin care advice. There are many
skin conditions and preferences to consider when developing a custom routine that goes
beyond the 16-skin type designations. For example, of the 16-skin types, 8 of them are
sensitive skin types that can have any combination of the 4 sensitive subtypes. This gives
a total of 136 different combinations of skin concerns that should be addressed with a
skin care routine. The degree of dryness and oiliness is also taken into consideration based
on the skin type quiz score, as is the presence of skin diseases such as eczema, seborrheic
dermatitis, allergic contact dermatitis, rosacea, and psoriasis. It takes more than 40,000
regimen combinations to treat all the varied skin needs. Each skin routine must have
ingredients that treat the underlying conditions, work well with other ingredients in
the routine, and do not contain ingredients that will worsen any of the underlying skin
conditions.
PRODUCT APPROVAL
Over the past 20 years, beginning at the University of Miami in 2004, thousands of products
of different formulations were tested directly on patients’ skin with the BST collected
in the dataset. Products that performed well for a particular skin type were tagged as
effective meanwhile, those that caused concerns, worsened skin, or did not have the desired
effect were labeled as not effective. Several dermatologists at the University of Miami
were involved in collecting these data over the years. Once thousands of products from
multiple brands had been studied, the products were compared to find similarities in the
effective and not effective products. This facilitated identification of which combinations
of ingredients, formula types, and product characteristics worked best on each skin type.
The first group of products that matched each BST were revealed in the book The Skin
Type Solution.25
In the following decade, dermatologists continued evaluating the products and combining
them together to determine which combinations of products were effective and did not
cause side effects on the 16-skin types and 4 sensitive subtypes. When side effects were
seen, they reported this information back, and the algorithms were adjusted. The 10 years
of testing by 100 dermatologists who used the system, in addition to another 100 doctors
and medical providers, were an invaluable part of the development of the algorithms.
Patterns emerged that led to more criteria that the products needed to meet to be able to
display a corresponding skin type octagon.
One criterion that was added later, which was not immediately apparent, was that the
brand’s marketing material for the product also was required to match the skin type.
For example, some products that claimed to be for dry skin would injure the skin barrier
in testing and were more appropriate for oily skin types. However, when these were
recommended to patients with oily skin, they would become confused when the product
415 AI-Guided Skin Care
packaging talked about how the product was indicated for dry skin. Several companies
changed their packaging and product positioning based on this feedback to be consistent
with the BSTS.
PERSONALIZED SKIN CARE AND SUSTAINABILITY
In addition to receiving skin type octagon designations, each product is labeled
with characteristics such as being pregnancy safe, being allergen free, pH, texture,
comedogenicity, spreadability, absorption, greasiness, after-feel, and fragrance. This detailed
product labeling allows further customization based on consumer or patient preferences.
Additionally, products are tagged with sustainability attributes such as being vegan, being
gluten free, being marine-safe, having recycled packaging, and being cruelty-free. This
emphasis on sustainable ingredients and packaging aligns with the growing demand for
environmentally friendly personal care products and allows consumers to create a custom
skin care routine with sustainable products without compromising efficacy.
CUSTOM SKIN CARE ROUTINES
Once the products that were effective for each skin type were identified, the next step was
to test combinations of products from one or more brands into a skin care routine based on
skin type. This involved careful selection of products for each step of the routine, because
the chemical characteristics of products change when combined together. Ingredients, pH,
and other attributes greatly impact the efficacy of the skin care routine by changing the
chemical components, solubility, skin penetration, and efficacy of other products. This
resulted in development of more than 40,000 regimen templates. These templates are
populated by products that meet the criteria of the specific step in the skin care routine. From
2004 to 2015, this was done manually and was very time consuming, which limited the
number of products that could be used in the STS system. In 2015, software was developed
that allowed for even more levels of customization. The STS Regimen Management System
(RMS) software was developed based on the knowledge gained from these decades of
testing combinations of products from various skincare brands on dermatology patients
of different skin types around the world. Now the RMS is licensed by dermatologists and
other medical providers to provide customized skin care routines in their medical practices
and to refill the products for their patients online.
LEVELS OF CUSTOMIZATION
There are two layers of customization in the STS System used for e-commerce and in
office skin care retail. The first layer of customization is chosen by the doctor or medical
provider. They are given categories of products that meet the required specifications, and
they choose which products from 60+ brands they want to populate the skin care routine.
This allows skin care routine customization at the medical provider level—doctors in one
office can prescribe their favorite skin care products, while medical providers in another
office may have different product choices based on their preferences and experience.
The medical provider or doctor uses the RMS infrastructure to build the optimal skin
care routine for their patient and have the option to add prescription medications into
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Extracted Text (may have errors)

414 JOURNAL OF COSMETIC SCIENCE
possible. However, these designations are trademarked and must be licensed so that they
are used properly to prevent corruption of the system.
SKIN CARE ROUTINES TO TREAT SKIN TYPES
The skin typing system is much more intricate than it seems on the surface. AI has been
a giant leap forward in the ability to process this categorical information to quickly and
correctly provide the best dermatologist-recommended skin care advice. There are many
skin conditions and preferences to consider when developing a custom routine that goes
beyond the 16-skin type designations. For example, of the 16-skin types, 8 of them are
sensitive skin types that can have any combination of the 4 sensitive subtypes. This gives
a total of 136 different combinations of skin concerns that should be addressed with a
skin care routine. The degree of dryness and oiliness is also taken into consideration based
on the skin type quiz score, as is the presence of skin diseases such as eczema, seborrheic
dermatitis, allergic contact dermatitis, rosacea, and psoriasis. It takes more than 40,000
regimen combinations to treat all the varied skin needs. Each skin routine must have
ingredients that treat the underlying conditions, work well with other ingredients in
the routine, and do not contain ingredients that will worsen any of the underlying skin
conditions.
PRODUCT APPROVAL
Over the past 20 years, beginning at the University of Miami in 2004, thousands of products
of different formulations were tested directly on patients’ skin with the BST collected
in the dataset. Products that performed well for a particular skin type were tagged as
effective meanwhile, those that caused concerns, worsened skin, or did not have the desired
effect were labeled as not effective. Several dermatologists at the University of Miami
were involved in collecting these data over the years. Once thousands of products from
multiple brands had been studied, the products were compared to find similarities in the
effective and not effective products. This facilitated identification of which combinations
of ingredients, formula types, and product characteristics worked best on each skin type.
The first group of products that matched each BST were revealed in the book The Skin
Type Solution.25
In the following decade, dermatologists continued evaluating the products and combining
them together to determine which combinations of products were effective and did not
cause side effects on the 16-skin types and 4 sensitive subtypes. When side effects were
seen, they reported this information back, and the algorithms were adjusted. The 10 years
of testing by 100 dermatologists who used the system, in addition to another 100 doctors
and medical providers, were an invaluable part of the development of the algorithms.
Patterns emerged that led to more criteria that the products needed to meet to be able to
display a corresponding skin type octagon.
One criterion that was added later, which was not immediately apparent, was that the
brand’s marketing material for the product also was required to match the skin type.
For example, some products that claimed to be for dry skin would injure the skin barrier
in testing and were more appropriate for oily skin types. However, when these were
recommended to patients with oily skin, they would become confused when the product
415 AI-Guided Skin Care
packaging talked about how the product was indicated for dry skin. Several companies
changed their packaging and product positioning based on this feedback to be consistent
with the BSTS.
PERSONALIZED SKIN CARE AND SUSTAINABILITY
In addition to receiving skin type octagon designations, each product is labeled
with characteristics such as being pregnancy safe, being allergen free, pH, texture,
comedogenicity, spreadability, absorption, greasiness, after-feel, and fragrance. This detailed
product labeling allows further customization based on consumer or patient preferences.
Additionally, products are tagged with sustainability attributes such as being vegan, being
gluten free, being marine-safe, having recycled packaging, and being cruelty-free. This
emphasis on sustainable ingredients and packaging aligns with the growing demand for
environmentally friendly personal care products and allows consumers to create a custom
skin care routine with sustainable products without compromising efficacy.
CUSTOM SKIN CARE ROUTINES
Once the products that were effective for each skin type were identified, the next step was
to test combinations of products from one or more brands into a skin care routine based on
skin type. This involved careful selection of products for each step of the routine, because
the chemical characteristics of products change when combined together. Ingredients, pH,
and other attributes greatly impact the efficacy of the skin care routine by changing the
chemical components, solubility, skin penetration, and efficacy of other products. This
resulted in development of more than 40,000 regimen templates. These templates are
populated by products that meet the criteria of the specific step in the skin care routine. From
2004 to 2015, this was done manually and was very time consuming, which limited the
number of products that could be used in the STS system. In 2015, software was developed
that allowed for even more levels of customization. The STS Regimen Management System
(RMS) software was developed based on the knowledge gained from these decades of
testing combinations of products from various skincare brands on dermatology patients
of different skin types around the world. Now the RMS is licensed by dermatologists and
other medical providers to provide customized skin care routines in their medical practices
and to refill the products for their patients online.
LEVELS OF CUSTOMIZATION
There are two layers of customization in the STS System used for e-commerce and in
office skin care retail. The first layer of customization is chosen by the doctor or medical
provider. They are given categories of products that meet the required specifications, and
they choose which products from 60+ brands they want to populate the skin care routine.
This allows skin care routine customization at the medical provider level—doctors in one
office can prescribe their favorite skin care products, while medical providers in another
office may have different product choices based on their preferences and experience.
The medical provider or doctor uses the RMS infrastructure to build the optimal skin
care routine for their patient and have the option to add prescription medications into

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