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Products that deserve extra caution include: Skin-lightening or whitening products Brightening creams and anti-dark spot formulas Permanent hair dyes, especially those containing para-phenylenediamine, or PPD Fragrance-heavy cosmetics and after-sun products Rubber, adhesive, and occupational chemical exposures Unregulated imported creams with unclear ingredient lists Products that cause burning, itching, redness, or peeling but are still used repeatedly because beauty is pain, which is a terrible dermatology policy Hydroquinone and related compounds deserve special attention

Zhang G, et al