Challenges is what is covered by insurance and what is patient pay-
although people undedstand that dematogical procedure can likely be classified as cosmetic and fall directly to patient it is always the hope as many skin conditions although may apear cosmetic in nature in essence truly havr a medical componet, should be treated by a HCP, and thus should be reimbursed accordingly.

Skin care market can be devided into (i) Female skin care & (ii) Male skin care. Although women embrace skin care as a part of general health, this concept has not gained wide male acceptance. There are many physiologic differences between male and female skin, with less of a need for moisturization and photoprotection in men. Therefore, male, and female skin care products require different products attributes. In addition, the product attributes requirement is also different for different kinds of skin types. The product attributes vary from format to format, e.g. cream over gel or vice versa. The major attributes consumers talk about in skin care products are (i) Easy to apply/use/spread, (ii) Easy to use on hair-bearing skin, (iii) comfortable to use under makeup and/or cosmetics, (iv) suitable for use on multiple body areas, (v) Stain free, (vi) Soothing, (vii) Did not dry the skin, (viii) Disappeared quickly, (ix) comfortable to wear under clothes, and was not greasy or shiny on skin. The product is suitable for sensitive skins i.e. it should not irritate skin. And finally, the product should provide desired benefits.

The properties of vehicle formulations may influence drug delivery, efficacy, and tolerance profiles of topical medications. Patient preferences vary, and the importance of certain aesthetic attributes depend on the disease state, the site of application, and the length and extent of treatment, among other factors. Formulations that offer aesthetic advantages over traditional vehicles may improve patients' willingness to apply therapy as directed and therefore may affect the outcome of treatment. These vehicles come in different formats such as gels, creams, lotions, and foams; some ingredients are common to many vehicles, while some vehicles contain unique ingredients designed to optimize skin penetration and delivery of the active drug to its target. Vehicles can also influence tolerability, which is always a concern in patients with skin sensitivity, and compliance. Ideally, the vehicle of any skin care product should enhance drug delivery, be nonirritating and be easy to use. Ingredients that help repair barrier function are also desirable. Therefore, the vehicle used in any skin care formulations influence the delivery of active ingredient, skin barrier repair, tolerability, and compliance.

The entire skin care range of products can be classified into two major group, 
(i) Cosmetics & (ii) OTC
Different regulatory principles govern each category.