Foot Scrub Item# FF005
Natural Foot Care : foot cream, foot mask, foot scrub, foot spray, foot soakWholesale & Drop Shipping Welcome Foot Care - Home Spa Treatments Treat your feet. Each product has been created to be included in our total foot care system. Try a at-home foot spa treatment. Some products are so new, we do not even have images for them yet! -- Herbal Foot Soak with Epsom Salts Item# FF002 There is no better way to treat your feet after a long day (maybe except a great foot massage), than to treat them to a soothing foot soak with herbs and Epsom salts. As a home foot spa treatment, a foot soak is the first step in our foot spa treatment. Fill a large bowl or pot with hot water add some of our herbal soak, and enjoy! Comes in a 8 oz jar. $9.90 $13.40 -- Exfoliating and Cleansing Foot Scrub Item# FF005 Cleanse and exfoliate your feet with our foot scrub. Wet your feet (or even better, start with a herbal soak as above) scoop out some of our foot scrub, mix with a bit of water, and begin to massage into your feet. Our foot scrub includes natural abrasives such as walnut hulls, lemon and orange peel with herbs and essential oils. Rinse well and moisturize, or continue with your home foot spa treatment. Comes in a 8 oz jar. $9.90 $13.40 -- Herbal Foot Mask Item# FF003 Pamper your feet with a weekly, semi-monthly, foot mask. To use: wash your feet (or continue with your home foot spa after the exfoliating treatment), pat dry and apply our foot mask to your feet. Our foot mask also includes natural abrasives so be sure to massage the foot mask into your feet while applying. Leave mask on your feet for 10 - 20 minutes, and rinse off. Comes in a 4 oz tube. $9.90 $13.40 -- Herbal Deodorizing Foot Spray Item# FF001 Our herbal foot spray includes a selection of natural essential oils chosen just for your feet. Spray your feet when they need a little freshness, or a pick me up. Our spray includes essential oils of peppermint, lavender, tea tree and sage. As a part of your at home foot spa treatment, after your foot mask, apply a couple of sprays to your feet, and allow to dry for a couple of seconds naturally before moisturizing. Comes in a long lasting 100 ml / 3.4 oz bottle. $13.70 $18.50 -- Herbal Foot Cream Item# FF004 An important step to soft feet is not to forget to apply moisturizer to your feet after a bath / shower, or a long day. Our herbal foot cream is a thick cream loaded with herbs and essential oils chosen just for your feet. Peppermint essential oil is famous for it's cooling and tingling effect, along with lavender, sage and tea tree. Your final foot care home spa treatment is to apply moisturizer. Comes in a 4 oz bottle. $9.90 $13.40 View Shopping Cart -- | Products | Soap | Bath Products | Foot Care | Massage | Kids | Skin Care | Accessories | Hair Care | | Home Spa | Spritzer | Gift Boxes | Drop Shipping | Order Tracking | Wholesale | Shipping Info | Contact | Sun tan lotion that | Sun Tan Lotion | Sun Tan Lotion Sponsored | Sun Tan Lotion Tanning | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | sun tan lotion, tan | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion Sponsored | Sun Tan Lotion Cheap | Bady CareCONNECT - Yolanda Adams, Songs From The Heart Browse Genres Artists Titles Albums Labels ALL MUSIC Home / Yolanda Adams / Songs From The Heart Songs From The Heart Yolanda Adams (Inspirational) $9.99 Release Date: 10/05/2004 Label: Verity ©1998 Zomba Recording Corporation (p) 1998 Zomba Recording Corporation Tell a friend about this album! 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/inspirational.html Songs From The Heart http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html Y Y Yolanda Adams N N 1 52:05 (C) 1998 Zomba Recording Corporation (P) 1998 Zomba Recording Corporation 10 012414312327 N Verity Verity http://musicstore-imgs.connect.com/products/500/000/000/000/010/003/521/500000000000010003521_60x60.jpg http://musicstore-imgs.connect.com/products/500/000/000/000/010/003/521/500000000000010003521_130x130.jpg http://musicstore-imgs.connect.com/products/500/000/000/000/010/003/521/500000000000010003521_130x130.jpg 10/05/2004 9.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003521','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003521','btn_buynow500000000000010003521','500000000000010003521') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003521','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003521','btn_buynow500000000000010003521','500000000000010003521') http://musicstore.connect.com/mb_us/TellFriendAlbum.flow Album -- Yolanda Adams' Songs From the Heart is a mediocre effort with a few high points. Adams and her producers frequently put style over substance, drowning out her vocals, especially on the opening number, "Only Believe." Adams is clearly at her best when the arrangements are full-out gospel, as in "Is Your All on the Altar?," or smooth and jazz-tinged, as in "Jesus Medley." When Adams' voice is put first, the album succeeds, but sadly that's a rare occurrence. ~ Melinda Hill, All Music Guide Track Title Time Artist Album Price 1. Only Believe 4:30 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Only Believe http://musicstore.connect.com/album/500/000/000/000/010/003/273/500000000000010003273.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/273/500000000000010003273_048_CLIP.oms Only Believe http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 4:30 (P) 1998 Zomba Recording Corporation 1 012414312327 USVE29830175 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003273','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003273','btn_buynow500000000000010003273','500000000000010003273') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003273','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003273','btn_buynow500000000000010003273','500000000000010003273') Track -- 2. Is Your All On The Altar? 5:44 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Is Your All On The Altar? http://musicstore.connect.com/album/500/000/000/000/010/003/274/500000000000010003274.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/274/500000000000010003274_048_CLIP.oms Is Your All On The Altar? http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 5:44 (P) 1998 Zomba Recording Corporation 2 012414312327 USVE29830176 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003274','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003274','btn_buynow500000000000010003274','500000000000010003274') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003274','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003274','btn_buynow500000000000010003274','500000000000010003274') Track -- 3. Still I Rise 5:35 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Still I Rise http://musicstore.connect.com/album/500/000/000/000/010/003/275/500000000000010003275.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/275/500000000000010003275_048_CLIP.oms Still I Rise http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 5:35 (P) 1998 Zomba Recording Corporation 3 012414312327 USVE29830177 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003275','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003275','btn_buynow500000000000010003275','500000000000010003275') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003275','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003275','btn_buynow500000000000010003275','500000000000010003275') Track -- 4. Never Alone 3:24 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Never Alone http://musicstore.connect.com/album/500/000/000/000/010/003/276/500000000000010003276.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/276/500000000000010003276_048_CLIP.oms Never Alone http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 3:24 (P) 1998 Zomba Recording Corporation 4 012414312327 USVE29830178 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003276','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003276','btn_buynow500000000000010003276','500000000000010003276') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003276','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003276','btn_buynow500000000000010003276','500000000000010003276') Track -- 5. Jesus Medley 8:37 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Jesus Medley http://musicstore.connect.com/album/500/000/000/000/010/003/277/500000000000010003277.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/277/500000000000010003277_048_CLIP.oms Jesus Medley http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 8:37 (P) 1998 Zomba Recording Corporation 5 012414312327 USVE29830179 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003277','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003277','btn_buynow500000000000010003277','500000000000010003277') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003277','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003277','btn_buynow500000000000010003277','500000000000010003277') Track -- 6. God Will Take Care Of You 4:10 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html God Will Take Care Of You http://musicstore.connect.com/album/500/000/000/000/010/003/278/500000000000010003278.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/278/500000000000010003278_048_CLIP.oms God Will Take Care Of You http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 4:10 (P) 1998 Zomba Recording Corporation 6 012414312327 USVE29830180 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003278','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003278','btn_buynow500000000000010003278','500000000000010003278') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003278','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003278','btn_buynow500000000000010003278','500000000000010003278') Track -- 7. Lord I Want To Be A Christian 5:09 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Lord I Want To Be A Christian http://musicstore.connect.com/album/500/000/000/000/010/003/279/500000000000010003279.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/279/500000000000010003279_048_CLIP.oms Lord I Want To Be A Christian http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 5:09 (P) 1998 Zomba Recording Corporation 7 012414312327 USVE29830181 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003279','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003279','btn_buynow500000000000010003279','500000000000010003279') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003279','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003279','btn_buynow500000000000010003279','500000000000010003279') Track -- 8. Know Him 5:15 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Know Him http://musicstore.connect.com/album/500/000/000/000/010/003/280/500000000000010003280.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/280/500000000000010003280_048_CLIP.oms Know Him http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 5:15 (P) 1998 Zomba Recording Corporation 8 012414312327 USVE29830182 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003280','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003280','btn_buynow500000000000010003280','500000000000010003280') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003280','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003280','btn_buynow500000000000010003280','500000000000010003280') Track -- 9. Come To Me 4:52 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html Come To Me http://musicstore.connect.com/album/500/000/000/000/010/003/281/500000000000010003281.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/281/500000000000010003281_048_CLIP.oms Come To Me http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 4:52 (P) 1998 Zomba Recording Corporation 9 012414312327 USVE29830183 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003281','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003281','btn_buynow500000000000010003281','500000000000010003281') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003281','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003281','btn_buynow500000000000010003281','500000000000010003281') Track -- 10. His Presence Is Here 4:49 Yolanda Adams Songs From The Heart $0.99 1043144 Yolanda Adams http://musicstore.connect.com/artist/104/314/4/1043144.html Performer 394 Inspirational http://musicstore.connect.com/genre/404.html His Presence Is Here http://musicstore.connect.com/album/500/000/000/000/010/003/282/500000000000010003282.html Y Y Yolanda Adams N N http://musicstore-imgs.connect.com/products//500/000/000/000/010/003/282/500000000000010003282_048_CLIP.oms His Presence Is Here http://musicstore.connect.com/album/500/000/000/000/010/003/521/500000000000010003521.html 4:49 (P) 1998 Zomba Recording Corporation 10 012414312327 USVE29830184 N Verity Verity 10/05/2004 0.99 javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003282','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003282','btn_buynow500000000000010003282','500000000000010003282') javascript:getUrl('http://musicstore.connect.com/mb_us/AddContentForExpressCheckout.action?flow=Static&origin=StaticPage&node=BuyNow&selectedExternalKey=500000000000010003282','http://musicstore.connect.com/mb_us/AddContentToCart.action?flow=Static&origin=StaticPage&selectedExternalKey=500000000000010003282','btn_buynow500000000000010003282','500000000000010003282') Track -- Yolanda Adams Arranger Yolanda Adams Vocals Yolanda Adams Vocals (Background) Yolanda Adams Main Performer Percy Bady Guitar Percy Bady Arranger Percy Bady Keyboards Percy Bady Producer Percy Bady Engineer Percy Bady Mixing Donald Hayes Saxophone Steve Huff Percussion Glenn Meadows Mastering Alvin Speights Mixing Sharay Reed Bass (Upright) Craig Bauer Engineer Neil Gustafson Engineer Neil Gustafson Assistant Engineer Scott Steiner Engineer Maurice Fitz... Bass Paul Wright ... Executive Producer Jackie Murphy Art Direction Jackie Murphy Design Gregory Curtis Arranger Gregory Curtis Vocals (Background) Gregory Curtis Multi Instruments Gregory Curtis Producer Mark Simmons Drums Edward Draine Engineer Dylan Vaughan Mixing Assistant Jerry Christy Engineer Reisig Photography Taylor Photography Richard Gibbs Organ (Hammond) Pray Andrae Crouch (Verity) $9.99 Bebe Winans & Cece-... Bebe Winans & Cece (Verity) | | | | | | VIEW CART | | | | | | | | | | Sun Tan Lotion Sponsored | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion | Sun Tan Lotion Cheap | Sun Tan Lotion Cheap | Sun Tan Lotion | SUN TAN LOTION SPF15 | SUN TAN LOTION SPF8 | Sun Tan Lotion | Sun Tan Lotion Cheap | Sun Tan Lotion Cheap | Sun Tan Lotion Cheap | Sun Tan Lotion Cheap | Sun Tan Lotion Cheap | Microdermabrasion Microdermabrasion is a | microdermabrasion : Acne adult | Microdermabrasion Moisturizers Pore Cleansers | Facial Skin CareFDA Consumer: Alpha Hydroxy Acids for Skin Care: SmoothSailing or Rough Seas? U. S. Food and Drug Administration FDA Consumer March - April 1998; Revised May 1999 Alpha Hydroxy Acids for Skin Care Smooth Sailing or Rough Seas? by Paula Kurtzweil Baby boomers and others who once sought the sun's rays with little thought of skin damage are now paying the price--billions of dollars annually for cosmetics containing alpha hydroxy acids (AHAs). Derived from fruit and milk sugars and served up in creams and lotions, AHAs attract customers with their supposed ability to reduce wrinkles, spots, and other signs of aging, sun-damaged skin. Some scientific evidence suggests they may work. But are these products safe? Since 1989, the Food and Drug Administration has received more than 100 reports of adverse reactions in people using AHA products. Their complaints included severe redness, swelling (especially in the area of the eyes), burning, blistering, bleeding, rash, itching, and skin discoloration. FDA believes reactions from AHAs are probably even more widespread. Past experience suggests that for every adverse reaction report the agency receives, the manufacturer receives 50 to 100. "This would translate into approximately 10,000 adverse reactions being received for AHA-containing products," says John Bailey, Ph.D., acting director of FDA's Office of Cosmetics and Colors. Also, their relative newness (they've been widely available only since about 1992) means that their long-term effects are unknown. An industry-sponsored study found that people who use AHA products have greater sensitivity to sun, raising the specter of greater risk of photoaging and skin cancer. "There are many unanswered questions in front of us," Bailey says. "AHAs are unlike anything else ever introduced onto the cosmetic market on such a wide scale. They are not your traditional cosmetics." In spring 1997, the National Toxicology Program of the National Institute of Environmental Science accepted FDA's proposal to study AHA safety. While FDA awaits the results, expected by the year 2000, the agency is cautioning consumers to take extra care with AHA products: for example, avoiding the sun when possible, otherwise using adequate sun protection, and reporting adverse reactions immediately to doctors or FDA directly. "These are very, very popular products," Bailey says. "Very little about the process restricts their sale. And it's a somewhat alarming idea to put acids on the skin. It raises obvious safety questions." AHAs Are Everywhere AHA cosmetics are believed to have derived from the "chemical peels" that dermatologists and plastic surgeons have used for years. The peels, typically trichloroacetic acid, phenol, resorcinol, and salicylic acid, help remove undesirable signs of skin aging, such as discoloration, roughness and wrinkling. The chemicals cause the skin to lose its outer layer, or peel off, revealing a fresher-looking layer of skin. Known as chemical exfoliation, the procedure is done in doctors' offices so that doctors can control the process and prevent deep skin burns from the highly acidic solutions. Cosmetic manufacturers began to market similar but milder versions of these chemical peels containing AHAs for salon and at-home use around 1989. They quickly caught on, and by 1992, mass marketing had begun. Today, says Lisa Berger, a cosmetic sales manager for a Hecht Co. department store in Washington, D.C., "every [cosmetic company] has AHA products. There used to be only three product lines; now there are 20." The AHAs used most often in cosmetics are glycolic acid and lactic acid, although there are others, and many are used in combination. Increasingly, says Zoe Draelos, M.D., a dermatologist in High Point, N.C., manufacturers are using poly-AHAs, which have larger molecules, and ingredients such as salicylic acid. According to Draelos, who consults for several large U.S. cosmetic companies, these products may produce less skin irritation. Typically, AHA products sold to consumers have an AHA concentration of 10 percent or less. The concentration of AHA products used by trained cosmetologists may run between 20 and 30 percent, while those used by doctors can range from 50 to 70 percent. Though sold to consumers mainly in face and body creams and lotions, AHAs also can be found to a lesser degree in other cosmetics, such as shampoos and cuticle softeners. Available everywhere, from discount pharmacies to fine department stores, the products typically range in price from a few dollars to as much as $60 a bottle. Product Status Some in the cosmetic industry have suggested that AHA products are more than simple cosmetics, coining the term "cosmeceutical" to describe them instead. Under the 1938 Federal Food, Drug, and Cosmetic Act, cosmetics are defined as "articles intended to be rubbed, poured, sprinkled, or sprayed on, introduced into, or otherwise applied to the human body or any part thereof for cleansing, beautifying, promoting attractiveness, or altering the appearance." Drugs are defined as products intended for treating or preventing disease and affecting the structure or any function of the body. They are subject to premarket review and approval; cosmetics are not. "The term 'cosmeceutical' is not recognized by law," Bailey says. "These products, depending on their intended use, would be regulated either as cosmetics, drugs, or both as cosmetics and drugs." FDA has a particular concern about AHAs because, unlike traditional cosmetics, AHAs seem capable of penetrating the skin barrier. In reviewing the limited data on AHAs, FDA concluded in a 1996 report that certain formulations of AHA products can affect the skin in a manner similar to that of chemical peels--that is, increasing cell turnover rate and decreasing the thickness of the outer skin. The effect depends on the product's pH level (a measure of its acidity), the AHA concentration, and the AHA vehicle cream, as well as how the product is used (for example, frequency of use and where on the skin it is applied). Sun Sensitivity An additional concern arose as FDA prepared its 1996 report on AHA safety: Some people who had reported adverse reactions cited increased sun sensitivity. In addition, one industry-sponsored study found that participants whose skin was exposed to 4 percent glycolic acid twice daily for 12 weeks developed minimal skin redness with 13 percent less ultraviolet (UV) radiation exposure than normal. Three participants developed minimal redness with 50 percent less UV exposure than normal. Another study that looked at the effects of glycolic acid on production of sunburn cells (markers for UV-induced skin damage) found that people who received the AHA product in the presence of UV radiation experienced twice the cell damage in areas where the AHA had been applied than those who were treated with the non-AHA product. FDA's concern is that people who are sensitive to sunlight may be particularly susceptible to UV rays, which can damage the skin and, over a long period, can cause skin cancer. In 1997, the Cosmetic Ingredient Review Panel--the cosmetic industry's self-regulatory body for reviewing and addressing safety of cosmetic ingredients--concluded that the AHA's glycolic acid and lactic acid and their related chemical compounds are safe for use in products intended for consumer use when: the AHA concentration is 10 percent or less the final product has a pH of 3.5 or greater (lower numbers indicate greater acidity) the final product is formulated in such a way that it protects the skin from increased sun sensitivity or its package directions tell consumers to use sunscreen products. For AHA products used by trained cosmetologists, the Cosmetic Ingredient Review Panel concluded that formulations of glycolic acid and lactic acid at concentrations of 30 percent or less and a pH of 3.0 or greater intended for only "brief" use at one time followed by thorough rinsing and daily use of sun protection are safe. The panel's conclusions actually serve as guidelines for cosmetic manufacturers, Bailey says. "This means that each manufacturer of an AHA product should conduct appropriate testing on their products to measure whether or not the product increases the sensitivity of the user to UV radiation and, if so, should add sun protection to their product and warn consumers to take extra steps to protect themselves at all times." Meanwhile, FDA continues to study AHA safety. Later this year, scientists with the National Toxicology Program and FDA will use hairless mice to study the effect of AHAs on the risk of cancer associated with sunlight and UV radiation. The study will run for about three years. Depending on the outcome of FDA's investigation, Bailey says, the agency may or may not take action against AHA products. "The absence of action by FDA to date doesn't mean that there won't be any in the future." Use with Care Considering the questionable safety status, FDA and dermatologists advise consumers who use AHA products to follow these precautions: Always protect your skin before going out during the day. Use a sunscreen product with an SPF (Sun Protection Factor) of at least 15. Wear a hat with a brim of at least 4 inches (about 10 centimeters). Cover up with lightweight, loose-fitting, long-sleeved shirts and pants. Buy products with adequate label information: for example, a list of ingredients to see which AHA or other chemical acids are in the product; the name and address of the manufacturer or distributor, which can serve as the contact if a problem or question arises; and a statement about the product's AHA concentration and pH level. The first two pieces of information are mandatory; the third is optional. Consumers can call or write the manufacturer, however, to get information about a product's AHA concentration and pH level. Buy only products that comply with the Cosmetic Ingredient Review Panel's 1997 recommendations--that is, products with an AHA concentration of 10 percent or less and a pH of 3.5 or greater. Do a skin-sensitivity test on a patch of skin if you are a first-time user of any AHA product or are using a different brand or a product with a different concentration or pH than you are used to. Stop using the product immediately if you experience adverse reactions. Signs of adverse reactions include stinging, redness, itching, burning, pain, and bleeding or change in sun sensitivity. Even mild irritation is a sign that the product is causing damage, FDA's Bailey says, despite what the manufacturer may indicate on the product label. "Cosmetics shouldn't sting or cause irritation," he says. If you have an adverse reaction, see a dermatologist. A dermatologist can tell you whether an adverse reaction is from the product or is an indication of an underlying disease, such as skin cancer. Dermatologists also can recommend appropriate skin-care products, and they will report your case, keeping your name confidential, to FDA's adverse reaction monitoring program. You also can report your adverse reaction yourself to FDA. Reports can be made to local FDA offices, listed in the Blue Pages of the phone book or to FDA's1ffice of Consumer Affairs at 1-800-532-4440 . + Have the label and any other packaging information on hand. Be prepared to give the name of the product, the name and address of the manufacturer or distributor, and any identifiable product code numbers. Also be prepared to state where and when you bought the product, if you can remember, and whether you saw a doctor. "We'd like to know about it even if it's only a mild reaction," Bailey says. Bailey adds that these precautions are important until AHAs' safety is better known. "We are told that AHAs are here to stay," he says. "But they are not reviewed for safety before they are put on the market. And we don't have enough information to say that they are safe." Paula Kurtzweil is a member of FDA's public affairs staff. Ingredient Terms Here are some ingredient terms that indicate a cosmetic contains alpha or beta hydroxy acids. Alpha hydroxy acids: glycolic acid lactic acid glycolic acid + ammonium glycolate alpha-hydroxyethanoic acid + ammonium alpha-hydroxyethanoate alpha-hydroxyoctanoic acid alpha-hydroxycaprylic acid hydroxycaprylic acid mixed fruit acid triple fruit acid tri-alpha hydroxy fruit acids sugar cane extract alpha hydroxy and botanical complex L-alpha hydroxy acid glycomer in crosslinked fatty acids alpha nutrium Beta hydroxy acids: salicylic acid * beta hydroxybutanoic acid tropic acid trethocanic acid Alpha and beta hydroxy acids: malic acid citric acid * From a chemist's perspective,salicylic acid is not a true BHA.However, cosmetic companies often refer to it as a BHA and,consequently, many consumers think of it as one. Approved Treatments for Signs of Aging, Sun-Damaged Skin These are the only products that have been studied for safety and effectiveness and approved by FDA for treating signs of sun-damaged or aging skin: Renova (tretinoin emollient cream). This vitamin A derivative, available by prescription only, is approved for mitigating of fine wrinkles and mottled darkened spots and roughness of facial skin in people whose skin does not improve with regular skin care and use of sun protection. Renova does not eliminate wrinkles, repair sun-damaged skin, or restore skin to its healthier younger structure. Also, the safety of daily Renova use for longer than 48 weeks has not been established, and it should not be used by women who are pregnant or trying to become pregnant. Renova has not been studied in people 50 and older or in people with moderately or darkly pigmented skin. Carbon dioxide (CO2) and Erbium:YAG (Er:YAG) lasers. These medical devices are approved for treating wrinkles. The procedure requires removal of facial skin in a layer-by-layer manner. It is performed under anesthesia by a doctor in an outpatient surgical setting. --P.K. For More Information FDA's Office of Cosmetics and Colors Center for Food Safety and Applied Nutrition Information Line 1-888-723-3366 FDA's Food Safety and Applied Nutrition Website: Backgrounder on Alpha Hydroxy Acids in Cosmetics Information About Cosmetics For more information, consumers can also call toll-free 1-888-INFO-FDA (1-888-463-6332). Questions concerning the content ofthis article should be directed to FDA's Office of Public Affairs. . This is a mirror of the page at http://www.fda.gov/fdac/features/1998/298_ahas.html + Updated Contact Information: CFSAN Adverse Event Reporting System (CAERS) Phone: 301-436-2405 Email: Cosmetics Foods Home | FDA Home | HHS Home | Search/Subject Index | Disclaimers & Privacy Policy | Accessibility/Help Microdermabrasion? 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