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 A New Classification For A New Area
of Cosmetology

by Luc Dewandre, M.D.
 ancient attaché F.O.Ancien attaché F.O. de Rothschild Paris
Medicine Esthetiques, Paris, Miami

A.KLIGMAN has invented the word cosmeceutical. This American neologism has been translated in French by the word "cosmeceutique".It should be used only as an adjective, but this word is often used incorrectly as a substantive and gather a new class of cosmetics products. Those cosmeceuticals products as their pharmaceuticals cousins are claiming for a real and demonstrated activity at least in the field of skin ageing mark's improvement.
The Greek etymology should make us prefer an other terminology which make the distinction between two classes of cosmetic products; the "isocosmetic" products which are maintaining the appearance and the ameinocosmetic products which allow to improve it.

At the dawn of the third millenary, the cosmetology has reached a decisive step. Indeed, the science of the appearance has extensively evolved in the recent years. Some new products has appeared and some of them has got a real efficacy within the derm level. They have broken the sacred line which was supposed to limit the field of activity of the cosmetic products. Those new products not only allow to maintain or to protect the skin, they are also actually treating the acquired aesthetic imperfections, pigmentations, permanent erythema, superficial and even deep wrinkles.

Are they by the way drugs? We do not think so as they are not treating diseases or organic dysfunctions. Meanwhile, they have created a new class of cosmetic products which are really improving and among other troubles the marks of skin ageing.
Better than to speak about cosmeceutics, a word without etymological logic and in spite of this neologism has been created by the unquestionable leader of that new discipline, Albert Kligman, we would prefer to suggest to make a distinction between two categories of cosmetic products :
· the "isocosmetic" products (maintenance products) working in the epidermis and gathering cleansing, moisturizing, nutritive, sun protective and free radicals protective products.
· the "ameinocosmetic" products (which produces improvement) working in the epidermis as well as directly or indirectly in the dermis : retinoids, alpha hydroxyacids, depigmenting and anti erythema agents.

The etymological logic of the new term we suggest is the following. Amnion is a old Greek word which means better. It is the comparative of agates = good.
Isocosmetic would be, if it becomes accepted, an adjective which would mean of equal appearance or beauty.
Ameinocosmetic would mean of a better appearance.
Of course, this distinction must be qualified : a good maintenance with moisturizing and nutritive products will allow to improve the aspect of the skin but at a lesser level than the ameinocosmetic products listed here up.
By the way, the ancestor of ameinocosmetology, second neologism suggested here, is finery cosmetology, the good old make-up.
The emergence of the ameinocosmetic products has been a real revolution. Those products allow to prepare, to maintain or even if you get enough time, and at a lesser level to take the place of more aggressive and quicker skin rejuvenation techniques as mechanical, chemical or physical (laser) peelings. 
Those products correct the esthetic defects of the skin, not the skin diseases and has created a new class of cosmetic products and opened a new, scientific, effective and resolutely modern area of the cosmetology at the dawn of the 21rst century.
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