The Influence of Use Bb Cream (Blemish Balm Cream) on the

Incidence and the Clinical Severity of Acne Vulgaris in Student of

SMK Negeri 4 Surakarta

F. E. Saputra

, Flora Ramona Sigit Prakoeswa

, C. R. S. Prakoeswa

Faculty of Medicine Muhammadiyah University of Surakarta

Department of Dermatology and Venereology Muhammadiyah University of Surakarta-PKU Muhammadiyah Hospital,

Surakarta

Department of Dermatology and Venereology-Faculty of Medicine, UniversitasAirlangga- DrSoetomo General Hiospital,

Surabaya

Keywords: Acne Vulgaris, BB Cream, Cosmetics.

Abstract: Acne vulgaris (AV) can be caused by several factors, one of them cosmetics. BB Cream is currently in

demand by women because of its function that can replace some types of cosmetics in one product.

However, most of women don’t know that the ingredients of the BB Cream can cause acne vulgaris and

aggravate acne vulgaris lesions.This research uses analytic observational method with cross sectional

design.Hypothesis test using chi square bivariate analysis with expected count. Based on 61 respondents

suffering from AV, there were 42 respondents using BB Cream (68.9%), most of respondents using BB

Cream 36 respondents (59.0%) routinely use BB Cream. Result of statistical analysis got value (p = 0,000).

In hypothesis test between the use of BB Cream to the severity of acne vulgaris obtained value (p = 0,045).

Conclusions, there is a relationship between the use of BB Cream (Blemish Balm Cream) on the incidence

and also the severity of clinical acne vulgaris.

1 INTRODUCTION

Acne vulgaris can be caused by several factors, one

of them cosmetics. BB Cream is currently in demand

by women because of its function that can replace

some types of cosmetics in one product. However,

most of women do not know what the ingredients in

the BB Cream can cause acne vulgaris and

aggravates acne vulgaris lesions. The aim of this is

aims to know the relationship between the use of BB

Cream on the incidence and severity of clinical acne

vulgaris in students SMK Negeri 4 Surakarta.

2 METHODS

This research uses analytic observational method

with cross sectional design. The number of subject

calculated using a single proportion formula

according to the type of research design used.

n = Zα

P(1 - P)

(1)

(2)

= 1,96

0,8 (1

–

0,2) (3)

0,1

(4)

= 61,47 rounded to 61 (5)

Number of research respondents 61 students.

Hypothesis test using chi square bivariate analysis

with expected count.

3 RESULTS

Based on 61 respondents suffering from acne

vulgaris, there were 42 respondents using BB Cream

(68.9%), most of respondents using BB Cream 36

respondents (59.0%) routinely use BB Cream.

Result of statistical analysis got value (p = 0,000). In

hypothesis test between the use of BB Cream to the

severity of acne vulgaris obtained value (p = 0,045).

Saputra, F., Prakoeswa, F. and Prakoeswa, C.

The Inﬂuence of Use Bb Cream (Blemish Balm Cream) on the Incidence and the Clinical Severity of Acne Vulgaris in Student of SMK Negeri 4 Surakarta.

DOI: 10.5220/0008155902910294

In Proceedings of the 23rd Regional Conference of Dermatology (RCD 2018), pages 291-294

ISBN: 978-989-758-494-7

291

Table 1: Cross Tabulation Of BB Cream Use With Routinity Of Using BB Cream.

Routinity

Total p No Yes

BB Cream No

Expected Count

7.8 11.2 19.0 0,00

% of Total 100.0% 0.0% 100.0%

Yes ExpectedCount 17.2 24.8 42.0

% of Total 14.3% 85.7% 100.0%

Total

Expected Count

25.0 36.0 61.0

% of Total 41.0% 59.0% 100.0%

Figure 1: Distribution Of Routinity Use OfBB Cream(References: Primary data).

Figure 2: Distribution Of Clinical Severity Of Acne Vulgaris(References: Primary data).

RCD 2018 - The 23rd Regional Conference of Dermatology 2018

292

Table 2: Cross Tabulation Of BB Cream Use With Clinical Severity Of AcneVulgaris (References: Primary data).

Acne Vul

aris Total

Mil

Moderate Severe

BB Cream Yes Expected

Count

33.7 4.8 3.4 42.0 0,045

% within 71.4% 16.7% 11.9% 100.0%

No Expected

Count

15.3 2.2 1.6 19.0

% within 100.0% 0.0% 0.0% 100.0%

Total Expected

Count

49.0 7.0 5.0 61.0

% within 80.3% 11.5% 8.2% 100.0%

4 DISCUSSION

From 61 respondents who meet inclusion criteria

there are 42 respondents who use BB Cream and 19

respondents who do not use BB Cream. There are 36

(59.0%) of respondents admitted to routinely use BB

Cream while 25 (41.0%) claimed not routinely use

BB Cream.After chi square test between the use of

BB cream with routinity of using BB Cream

obtained p value of 0.000 or p <0.005, it can be

concluded that there is a significant relationship

between the use of BB Cream with the routinity of

using BB Cream on SMK Negeri 4 Surakarta

students. With the result of chi square test as above,

it can be concluded that there is correlation between

the use of BB Cream to acne vulgaris incidence

because respondents who meet inclusion criteria and

use BB Cream routine in using BB Cream. One

factor that plays a role in acne vulgaris is blockage

of the sebaceous glands. If the BB cream is used

continuously, the oil element found in BB Cream

will further obstructthe pores of the skin so it can be

one of the triggers of acne vulgaris (Fatimah, 2017).

Continuous use of cosmetics over a long period of

time can also cause acne which mainly consists of

closed comedo and some papules or pustules lesions

on the cheeks and chin (Kabau, 2012).

Theoretically, cosmetics can cause acne vulgaris

when it contains two comedogenic ingredients such

as lanolin, butyl stearate, lauryl alcohol, petrolatum

found in cosmetics as basic powder, moisturizer,

sunscreen cream. BB Cream is a unity of several

types of cosmetics (Andriana, 2014).

Forty nine respondents who suffered from mild

AV and did not use BB Cream had an expected

count of 15.3 or 100.0%, while those using BB

Cream had an expected count of 33.7 or 71.4%, 7

respondents who suffered from moderate AV and

did not use BB Cream had an expected count of 2.2

or 0.0%, while respondents who suffered from

moderate AV and using BB Cream had an expect

count of 4.8 or 16.7%, in 5 respondents who

suffered from severe AV did not use BB Cream had

an expected count of 1.6 or 0%, while those using

BB Cream had an expected count 3.4 or 11.9%

higher risk of severe AV. Based on Kolmogorov-

Smirnov analysis between the use of BB Cream with

clinical severity of AV obtained p value of 0.045 or

p <0.05, it can be concluded that there is a

relationship between the use of BB Cream on the

severity of AV clinical severity of SMK Negeri 4

Surakarta.

Acne vulgaris will get worse when using

cosmetics excessively and continuously because of

the ingredients in cosmetics such as lanolin, butyl

stearate, lauryl alcohol, petrolatum and oleic acid are

comedogenik and tend to increase the severity of

acne vulgaris (Kabau, 2012). This is supported by

the theory expressed by Fultonthat cosmetic

ingredients containing comedogenic substances can

cause irritation and aggravate acne lesions (Fulton,

1989). Comedogenic materials are one of them is

Ascorbyl glucoside, Nylon-12, Isononyl

isononanoate, and on BB Cream there are some of

these comedogenic materials. Other studies were

also demonstrated by Draelos in 6 respondents who

had acne on the back treated with comedogenic

material for 48 hours on Monday and Wednesday,

The Inﬂuence of Use Bb Cream (Blemish Balm Cream) on the Incidence and the Clinical Severity of Acne Vulgaris in Student of SMK

Negeri 4 Surakarta

293

72 hours on Friday and repeated for up to 4 weeks

(Draelos, 2006). After 4 weeks the enlargement of

the biopsy diameter of the specimen was taken,

previously 16cm to 51cm. In addition to ingredients

that contain elements of oil and preservatives that

can cause the occurrence of AV, BB Cream also

contains fragrance ingredients such as Perfume,

Linalool, Limonene, Caffeine, Geraniol, Citral. Such

substances can cause irritation, allergic reactions that

may increase the risk of acne or aggravate acne

lesions (Baldecchi, 2012).

5 CONCLUSION

There is a relationship between the use of BB Cream

(Blemish Balm Cream) on the incidence and severity

of clinical acne vulgaris.

In the next research need to do counseling about

BB Cream, proper selection of BB Cream and how

to use a good BB Cream to minimize the occurrence

of acne vulgaris and relapse.

ACKNOWLEDGEMENT

On this occasion the authors convey a sincere

gratitude to Prof. DR. Dr. E.M. Sutrisna, M.Kes, as

Dean of Medical Faculty, University of

Muhammadiyah Surakarta and Dr. Flora Ramona S.

P., Sp.K.K. as a mentor who has guided, provided

critiques and suggestions in this study. The authors

also say many thanks to all those who have helped

the author to completing this study.

REFERENCES

Andriana, R., Effendi, A., Berawi, K.N.. 2014. Hubungan

antara Penggunaan Kosmetik Wajah terhadap

Kejadian Akne Vulgaris pada Mahasiswi Fakultas

Kedokteran Universitas Lampung. Medical Journal of

Lampung University, 3(1), pp 1-8.

Baldecchi, T., et al. 2012. From BB to CC Creeams

Innovative Formulation of Multitasking Care.

International Journal for Applied Science, 138 (9), pp

1-7.

Draelos, Z. and Dinardo, J. 2006. A Re-evaluation of

Comedogenicity Concept Journal of the American

Academy of Dermatology. Journal of the American

Academy of Dermatology., 54(3), pp.507-512.

Fatimah, R. and Tjiptaningrum, M. 2017. Hubungan

Pemakaian BB Cream terhadap Keparahan Klinis

Akne Vulgaris pada Mahasiswi Angkatan 2013

Fakultas Kedokteran Universitas Lampung. Medical

Journal of Lampung University, 6 (3).

Fulton, J. (1989). Comedogenicity and Irritancy of

Commonly Used ingredients in Skin Care Products.

40, pp.321-333.

Kabau, S. (2012). Hubungan Antara Pemakaian Jenis

Kosmetik dengan Kejadian Akne Vulgaris. Jurnal

Media Medika Muda, 43(4), pp.32-36.

RCD 2018 - The 23rd Regional Conference of Dermatology 2018

294