The whole system, explained

A skincare system built around your skin, not around a catalogue.

DermApproved started as a review site and outgrew it. Underneath it now sits an assessment engine that grades every product separately for every skin concern, with the research behind each number open to inspection. On top of it sits a set of tools for managing your skin over time — and a personal library that remembers what you learned. Choosing products, checking they’re safe for you, using them correctly, tracking whether they work, and knowing when to see a professional: the whole job, in one place. This page explains all of it, in order, with nothing left as a claim you have to take on faith — and if you’d rather see it than read about it, the test drive drops you into a fully lived-in sample account in one tap.

Products assessed
11,656and growing weekly
Skin concerns graded
26expanding with the evidence table
Interactive tools
42more in development
Therapy guides
18further conditions in preparation

01 — Overview

What this is

A system for looking after your skin: deciding what to use, checking it’s safe for you, using it correctly, tracking whether it worked, and knowing when the answer isn’t a product at all.

Most skincare sites are shops with articles attached. The question they answer is “what’s popular?” This one is built to answer a harder and more useful question: “what is likely to work on my skin, and how would I know?” Those are different questions, and answering the second one requires machinery the first one never needs.

That machinery is four layers, and each is useful on its own:

1

The assessment engine

A deterministic scoring system over a versioned evidence table. It produces a structured assessment and a letter grade per skin concern for every product in the catalogue — not a star rating.

2

The personalization spine

You describe your skin once. Every page then reorganizes around it — with the reason for each verdict written out, never hidden behind a black box.

3

The toolkit

42 tools that turn advice into action: routine builders, safety checkers, dosing planners, the severity scores clinicians actually use, symptom diaries, and an appointment brief for your dermatologist.

4

Continuity

A personal library — profile, shelf, diaries, photos — that persists, syncs to every device you sign in on, exports on demand, and deletes completely when you say so.

They compound. The engine makes the content trustworthy; trustworthy content makes personalization meaningful; personalization makes the tools worth using; the tools build a history of your skin; and that history makes every future recommendation sharper. The system gets more useful the longer you use it, which is the opposite of how a product catalogue behaves.

02 — Why it needs to exist

The problem

Skincare is a category where the buyer is structurally outmatched. Five specific ways:

  1. The label is not the product

    “Brightening” is at least five different clinical claims wearing one word — post-inflammatory hyperpigmentation, melasma, sun spots, general photodamage, or nothing but optical shine. They have different evidence bases and respond to different ingredients. Meanwhile “2.5% retinol” is often retinyl palmitate, and “botanical hyaluronic acid” is frequently a plant gum. None of this is visible from the front of the box, and much of it isn’t obvious from the back either.

  2. Ratings measure popularity, not suitability

    A 4.7-star average tells you a product pleased people. It cannot tell you it’s a poor fit for rosacea, that its key active is under-dosed, or that a large share of those reviews came from a seeded promotion. When we began extracting review data properly, we found products where 36–50% of reviews were undisclosed promotional placements. Those reviews are invisible in the average everyone shops by.

  3. Advice is generic; skin is not

    A rich ceramide balm is a gift for eczema and a liability for fungal-acne-prone skin. A 10% niacinamide serum is unremarkable on resilient skin and a flushing risk on reactive skin. A single score has to average that difference away — and that difference is the entire clinical reality of the product.

  4. Nobody remembers anything

    Which product caused that reaction in March? When did the flare actually start? What did the last dermatologist change? This is precisely the information a clinician asks for and precisely the information that lives, unreliably, in memory and a camera roll.

  5. And products have a ceiling

    Some conditions do not respond to anything sold without a prescription. Almost no commercial skincare site will say so plainly, because saying so ends the sale. That silence is why people spend years and hundreds of pounds cycling through products for something that needed a prescription in month two.

03 — The engine

How products are assessed

Most rating systems pick a number and construct a justification afterwards. This one runs the other way: it starts with evidence, reasoning and provenance, and derives the number at the end. That inversion is the whole design.

One verdict per concern, read off a published rule tree

For every concern a product claims to help, the engine answers three questions — does it contain an active with documented standing for this concern; is it present in a form that can work; is it likely to be tolerated for this concern — and a numbered rule maps the three answers to one of a handful of plain words: Strong choice, Good choice, Supporting role, Promising, Unproven, Not for this, Not yet assessed, Avoid (sunscreens read Full or Basic protection). No weighted number sits behind the word; every verdict names the rule that produced it, and every rule is published on the methodology page with its reasoning. Beside the verdict, never blended into it, sit the evidence strength (four dots, derived from the row’s trial record) and the collected reviews with their count. A verdict is our assessment of how well a product’s ingredients fit a concern — never a claim about what the product treats.

The rules the engine cannot break

  • One scoring owner per fact. Fragrance is priced in safety, texture in usability, price in value. Nothing scores twice under two names — and no factor is computed from another. Value is never derived from popularity, which would let a fashionable product inflate its own price justification.
  • Risk, not hazard. An ingredient is judged at the concentration it appears in, in the format it appears in. The same fragrance is a different proposition in a 30-second cleanser and an eight-hour night cream. Assessment that ignores dose and exposure is assessing vocabulary, not risk.
  • No weakest link. One alarming-sounding ingredient never caps a product; ingredients aggregate in proportion to how much of the formula they actually represent.
  • Claims are a closed vocabulary. Nothing is graded against a phrase taken from a label. Post-inflammatory hyperpigmentation is not melasma — PIH resolves, melasma relapses and defeats treatments that clear PIH easily — so a trial measuring PIH is evidence for PIH and is never transferred to melasma. That one rule invalidates a large share of the industry’s evidence borrowing.
  • Unknown is a real value. It scores neutral and lowers stated confidence. Never rounded up (which would credit marketing), never rounded down (which would punish proprietary formulation). Uncertainty is absorbed by confidence, never by the score.
  • Transparency can only help. A brand that publishes its concentrations gets measured precisely instead of estimated. The reverse is impossible by construction: nothing is penalised for non-disclosure, because a system that punishes secrecy rewards whoever hides the most.
  • Same product, same data, same result. Every input comes from a reference table, a public record, an ingredient list or a collected review — never a fresh judgement made at scoring time. Two people running the engine on different days get the same number, or the number is an opinion wearing a lab coat.
  • Judgement happens once, in the open. There is exactly one place human expertise enters: deciding what the published evidence says about an ingredient for a claim. That lives in a versioned table where every row carries its sources, its reviewer and its review date.

Hard gates: the disqualifiers

Weights price ordinary differences. Six gates handle things that should disqualify a product regardless of how well it scores: an active recall or verified contamination finding; a false clinical claim; documented review manipulation; a category integrity failure (a “sunscreen” without adequate UVA filtration, derived from its own ingredient list); a formulation that neutralises its own hero ingredient; and an expert consensus that it does nothing.

Every gate has published entry criteria, exit criteria, a review schedule, a disputed state for findings under formal challenge, and a written appeal path. A gate can only be entered through its published criteria, never by editorial judgement. That is the difference between a standard and a grudge.

Confidence is stated, not buried

Every assessment carries a confidence band alongside it, and the two are shown together. A product with thin data can still earn a good grade — it simply says so, and tells you what the grade currently rests on. Hiding uncertainty inside a confident-looking number is the most common failure in this category, and it’s designed out here.

04 — The evidence

The research behind it

The engine is only as good as what it reads. The research layer is the asset the whole system rests on — and it’s published in full, so any number on the site can be followed back to the study it came from.

Where the evidence comes from

Ingredient and claim research is built from the primary literature — controlled trials, systematic reviews and meta-analyses indexed on PubMed and PubMed Central — read at the level of the individual paper rather than summarised from secondary sources. Building the current tables involved working through well over a thousand papers, and the count rises with every research batch. Today the system carries 1,321 distinct verified studies cited across product reviews, ingredient references, therapy guides and articles, and more than 5,263 individual citations placed where they’re relevant. Both numbers grow continuously; the research pipeline runs in parallel with everything else.

How a claim becomes a score

  1. Pair the ingredient with a specific claim. Not “niacinamide is good” — “niacinamide for post-inflammatory hyperpigmentation”, as a distinct row from “niacinamide for barrier support”.
  2. Find what has actually been measured. Each claim publishes the endpoints an admissible study must have measured, so evidence can’t drift between similar-sounding conditions.
  3. Read the primary sources. Trial design, population, dose, duration and endpoint are recorded — a positive result at 4% for 12 weeks is not evidence for a product containing 0.5%.
  4. Derive the tier. The evidence tier is computed from what was found, never typed in by hand — so two researchers reviewing the same body of work land in the same place.
  5. Record provenance. Every row carries its sources, the reviewer’s name and the review date, and is versioned. The current table holds 228 reviewed rows and is actively expanding — each new row sharpens every grade that depends on it, across the whole catalogue, at once.

The right study, cited precisely

Selecting the citation is part of the research, not a footnote added afterwards. For each claim we identify the studies that actually bear on it — the right population, the right endpoint, the right dose and duration — and prefer systematic reviews and controlled trials over single small studies or secondary summaries. A well-designed trial in the wrong population is not evidence for the claim in front of us, and it isn’t cited as though it were.

Every citation is then confirmed against the source database before it publishes, so the reference you see resolves to exactly the paper it names — title, journal and year matching the record. That check runs automatically across products, ingredient references, treatment guides and articles, so the link under a claim is always the study behind it.

All of it is open on the page

This is the part most systems don’t offer: the evidence isn’t summarised for you and locked away. On any product page, the assessment expands.

  • The headline grade opens into the chapters and factors that produced it.
  • Each factor opens into the individual measured facts — which ingredient, at what dose, judged against which claim.
  • Each of those opens into the studies themselves, with title, journal, year and a link to the paper.
  • The provenance strip states where the grade’s data came from and how much of it there is.

It’s all loaded on demand, so the page stays fast for people who just want the answer — and goes all the way down for people who want to argue with it. The system is designed to be argued with, which is a deliberately different posture from a star rating.

Real-world outcomes, read properly

Alongside the literature, review text is collected from retailer and platform APIs and passed through a fixed extraction model — measured against human coding at κ = 0.851, a level of agreement generally considered strong. It reads what people actually said about their concern, rather than counting stars, and it flags undisclosed promotional reviews. Collection expands with every pass, and because it’s expensive to gather it’s treated as a durable asset: backed up separately, refreshed on a cadence, and never confused with the derived scores that are rebuilt from scratch each time.

05 — Personalization

The site rearranges itself around your skin

You describe your skin once. Everything after that is filtered through it — with the reason shown in words, every time.

The profile takes about a minute: skin type, up to three concerns you most want solved, how reactive your skin is, whether you’re pregnant or nursing — and then the refinements that sharpen the matching: your age band, your Fitzpatrick sun-response type (which drives white-cast and visible-light guidance for deeper skin tones), your experience with actives, and any ingredient families you never want to see, fragrance included. Every question is skippable; every answer makes the matching sharper. From that point:

  • Product pages give you a personal verdict. Not a star average — “Graded A− for your rosacea”, or “You listed eczema; this product is flagged avoid for it”, with the reasoning written out.
  • Every product card, everywhere, carries your grades. In listings, curated rankings, brand pages, routines and treatment pages, cards show up to two letter badges for your concerns. Safety-critical grades always surface, so a poor fit can’t hide behind a good one.
  • Listings reorder around your profile instead of a generic ranking.
  • My Skin becomes your skin dashboard. One page assembled entirely for you: top-graded picks for each concern, the therapy guide each one connects to, your routines, your shelf, and reading chosen for your skin — each card labelled with why it’s there. The homepage picks up the same dashboard.
  • Tools prefill. Skin type, phototype, sensitivity and the products on your shelf flow between tools, so nothing is asked twice.
  • Your exclusions are hard filters, not preferences. An ingredient family you excluded is checked against each product’s actual ingredient list — not a marketing claim on the front of the box — and the product is filtered or flagged accordingly, whatever grade it earned.
  • Your reaction history overrides everything. A product you logged a reaction to in the Patch Test tool is flagged as yours to avoid — above any grade the engine gave it.

It sharpens the longer you use it

The profile is the start, not the whole picture. Every tool you touch quietly completes it: the products you add to your shelf are what the Conflict Checker audits and the Routine Order tool sequences; a failed patch test writes a permanent avoid flag; the Skin Type Quiz and Sun Safety Guide replace your guesses with measured answers that every other tool then inherits. Diaries, severity scores and progress photos build the record that Derm Visit Prep turns into a one-page appointment brief. Nothing is ever asked twice — and the recommendations get harder to distinguish from ones a person who knew you would make.

It also knows what it shouldn’t recommend. Something you reacted to stays flagged everywhere, forever, however well it grades for everyone else — and your shelf isn’t just stored, it’s audited: what clashes, what’s expired, what order it should go on in.

Try it as someone else first — the Test Drive

The honest problem with a system like this is that on day one it’s empty: the trend lines, the photo comparisons, the skin dashboard that remembers what you’ve tried — all of it takes weeks of real use to appear. So we built a way to skip ahead. The Test Drive loads a fully lived-in sample person into your browser and lets you walk the entire site as them. Using it takes three steps:

  1. Open the Test Drive page and pick a person. There are six, each built to show you something different: six months of eczema tracking through a real relapse, the week-three retinoid dip that makes people quit too early, a slow and honest melasma course with a summer rebound, a shelf full of clashes, expired products and cheaper twins.
  2. Browse anywhere — the whole site is theirs. Product cards carry their grades, their skin dashboard is filled in, every tracker has months of entries, the photo tracker compares their timeline side by side, and Derm Visit Prep assembles their real brief. Nothing is walled off; whatever you’re curious about, open it.
  3. Switch or leave whenever you like. A banner stays pinned to the top of every page with two doors: Start your own, which sets the demo aside and begins your real profile, and End test drive, which returns you to your own data and the scenario picker. Simply closing the tab does the same — every trace of the demo is gone.

Nothing you do in a test drive is saved, and your own data — if you have any — is never touched or shown. The progress photos are AI-generated illustrations, not real people or real results.

Personalization without surveillance

This is unusual enough to state plainly: your profile is never sent anywhere in order to personalize anything. The matching runs inside your browser, against small public files that are the same for everyone. The server never learns who wants what. There is no behavioural profile, no advertising identity, no third-party data broker in the loop. When you later create an account, it exists to back your data up and carry it between your own devices — not to watch you use the site.

06 — The toolkit

42 tools, in six families

Every tool is free, needs no account, works instantly, and saves nothing to a server unless you ask it to. Each is useful on its own — and each one quietly makes the others smarter, because they share one profile and one library. More are in development.

Match — what should I use?

My Skin Profile

What it does: captures your skin type, concerns, reactivity and constraints in about a minute.

Why it helps: it’s the spine of everything else. One minute here converts thousands of generic pages into a shortlist that applies to you, and pre-fills every tool you touch afterwards.

Routine Finder

What it does: a short quiz returns a complete AM/PM routine drawn from the whole catalogue, fitted to a total budget you set, your experience with actives, strict pregnancy filtering, shared AM/PM basics and an eye-cream slot where wanted.

Why it helps: assembling a coherent routine is the single hardest task in skincare and the one people most often get wrong — buying five products that fight each other. This does it in two minutes, explains each slot, and stays inside your budget rather than quietly recommending a £400 shelf.

Skin Type Quiz

What it does: nine questions that separate genuinely dry skin from dehydrated skin and measure how reactive you actually are.

Why it helps: skin type is misjudged far more often than not, and every later personalization decision inherits that error. Dehydrated skin mistaken for dry attracts heavier and heavier creams when what it needed was water and barrier support.

Sunscreen Finder

What it does: matches real preferences — mineral versus modern filters, activity level, white cast, reef rules, whether it stings your eyes — across every scored sunscreen in the catalogue.

Why it helps: sunscreen is the highest-value product in skincare and the one people abandon fastest over feel. The best sunscreen is the one you’ll actually wear daily, so matching on texture and tolerance isn’t a luxury — it’s the whole compliance problem.

Dupe Finder

What it does: search an expensive product, get data-scored cheaper alternatives with a transparent breakdown of what matches and what doesn’t.

Why it helps: it turns “is the expensive one worth it?” into an itemised answer — and it’s honest about what you lose, rather than pretending every dupe is equivalent.

Compare

What it does: up to three products side by side across scores, ingredients, skin compatibility and user sentiment.

Why it helps: the last step before buying, with the differences that matter surfaced rather than buried in two long ingredient lists.

Check — is this safe for me?

Ingredient Decoder

What it does: paste an ingredient list — or photograph the label, and the text is read on your device — and every ingredient is translated into plain English with allergen, comedogenic and pregnancy flags.

Why it helps: it turns the most opaque object in the category, the back of the box, into something readable while you’re standing in the shop holding it. It also works for products that aren’t in our catalogue at all.

Conflict Checker

What it does: select the products you own and see what clashes, what needs spacing out, and what genuinely works better together.

Why it helps: most self-inflicted skin damage comes from combining actives that shouldn’t meet. This catches it before your barrier does, and explains why rather than just saying no.

Pregnancy-Safe Checker

What it does: audits an entire routine at once, gives a per-product verdict, names the exact ingredient causing the problem, and suggests safe swaps.

Why it helps: a high-anxiety moment usually answered with a vague list. Naming the specific ingredient means you can keep the products that are fine instead of throwing out the shelf.

Routine Order

What it does: sorts your products into the correct application order with wait times, weekly frequency, and automatic splitting of retinoids and acids across different nights.

Why it helps: the most common reason a good routine underperforms isn’t the products — it’s the sequence. Sunscreen under moisturiser, acids on retinoid nights, actives applied to damp skin that dilutes them.

Patch Test Log

What it does: a guided at-home patch-test protocol with a check schedule and a clear pass/stop verdict, with an optional reaction photo.

Why it helps: it’s the only tool that changes how the entire site treats a product for you — a failed test writes to your avoid list, and that product is flagged for you everywhere from then on.

Fungal Acne Checker

What it does: screens an ingredient list for what feeds Malassezia — the fatty acids, esters and ferments behind uniform, itchy bumps — and points to products formulated without them.

Why it helps: fungal acne is routinely treated as bacterial acne for months, and the usual acne routine feeds it. Knowing which of your products is the culprit is most of the cure.

Pore-Clog Checker

What it does: runs an ingredient list against the published comedogenic-rating tables and names exactly which ingredients score high.

Why it helps: those ratings are decades old and widely over-trusted, so the tool comes with honest context about what they can and can’t tell you — which is precisely what the “non-comedogenic” label on the front never says.

Plan — how do I use it properly?

FTU Calculator

What it does: fingertip units per body area, and how long a tube will really last at that rate.

Why it helps: under-application is the quiet reason treatments “don’t work”. Most people apply a fraction of the sunscreen the SPF on the bottle was tested at, which turns SPF 50 into something far lower.

Shelf-Life Tracker

What it does: log when you opened each product; get toss-by dates from its period-after-opening.

Why it helps: stops you both from throwing away perfectly good product and from applying degraded actives — oxidised vitamin C being the classic case, where the thing you’re applying has become an irritant.

Skin Cycling Planner

What it does: builds an exfoliate → retinoid → recover rotation as a printable 14-night calendar, tuned to how resilient your skin is.

Why it helps: structure is what makes strong actives tolerable. Recovery nights aren’t wasted nights — they’re what lets you keep using the actives at all.

Retinoid Ramp-Up

What it does: a week-by-week introduction schedule for retinol, adapalene or tretinoin, including what’s normal and what isn’t.

Why it helps: retinoid abandonment is overwhelmingly a titration failure, not an efficacy failure. People quit in week three of a twelve-week process because nobody told them the third week looks like that.

Retinoid Strength Ladder

What it does: places your current retinoid on the ladder — esters, retinol, retinal, prescription — and tells you when you’ve earned the next rung, with graded products waiting on it.

Why it helps: “retinol” spans a hundred-fold potency range under one word. People plateau for years on an ester without knowing a next step exists, or jump straight to tretinoin and burn out in a fortnight.

Purging or Breaking Out?

What it does: four questions — what you started, when, where the bumps are, what they look like — separate a purge worth pushing through from a reaction worth stopping.

Why it helps: the two look identical in the mirror and demand opposite responses. Quitting a working retinoid in week three and persisting with a product that’s genuinely breaking you out are the same mistake in different directions.

Sun — the highest-stakes category

Sun Safety Guide

What it does: establishes your Fitzpatrick phototype, then converts today’s UV index into a minimum SPF, a realistic burn-time window and a reapplication schedule.

Why it helps: “wear sunscreen” is advice; “at this UV index, your skin burns in about this long, so reapply on this schedule” is an instruction you can follow.

ABCDE Mole Check

What it does: teaches the five melanoma warning signs and walks you through a structured self-examination of any spot, with clear next steps and a record you can keep.

Why it helps: this is the one tool whose success is measured in doctor’s appointments made, not products bought. It is explicitly educational and makes no assessment of anyone’s skin — its job is to make a change easier to notice, and to make sure noticing leads somewhere.

Mole Map

What it does: drop a marker on every mole you’re watching, log dated observations per spot, and print the map for your next skin check.

Why it helps: “has this changed?” is unanswerable from memory, and change over time is the single most important melanoma signal. A dated map turns the question into a comparison.

Sunscreen Amount Calculator

What it does: converts the 2 mg/cm² testing standard into your real face and full-body amounts, from your height and weight — down to how many bottles a beach week takes.

Why it helps: under-dosing is why SPF 50 performs like SPF 15 in the wild. The number on the bottle was earned at a dose almost nobody applies; this makes that dose concrete.

Skin Cancer Risk Tier

What it does: walks the established risk factors — phototype, sunburn history, mole count, family history — and returns a risk tier with a surveillance plan to match.

Why it helps: “get your skin checked regularly” means annually for some people and monthly self-checks plus a standing dermatologist relationship for others. Knowing which you are is the difference between vigilance and vagueness.

Score — how severe is it, in clinical terms?

The newest family, and the most clinical: the severity instruments dermatology actually uses — the same indices that appear in trials and clinic notes — rebuilt for careful self-assessment. Each explains what it measures and where self-scoring has limits, keeps a dated history so treatment changes can be judged against a number rather than a feeling, and feeds straight into Derm Visit Prep. Arriving with a scored history is the fastest way to a productive appointment.

PASI Calculator

The psoriasis severity index used in every trial — four regions scored for redness, thickness, and scale, weighted by area, out of 72. Self-assessed, tracked over time.

PGA×BSA Score

The fast psoriasis severity measure: rate how your plaques look on a 0–4 scale, multiply by the skin area involved, and track the product — validated against full PASI.

Psoriatic Arthritis Screen

Up to a third of people with psoriasis develop joint disease, often silently. PEST is the validated 5-question screen — three yeses means ask about a rheumatology referral.

Acne Severity Score

Grade your acne the way clinicians do — the GAGS system scores six face and trunk zones by worst lesion type, totalling to mild, moderate, severe, or very severe.

Eczema Control Test

Severity says how bad the week was; control says whether the disease is beaten. The 6-question ADCT tells you which side of the line you’re on — 7+ means it isn’t controlled.

MASI Calculator

The melasma severity index from the clinical literature: four face regions scored for area and darkness, so you can tell whether treatment is actually fading anything.

VASI Calculator

The vitiligo scoring index used in repigmentation trials — hand-unit areas times residual depigmentation per region, with a separate face score, tracked over months.

HS Severity Check

Recurrent boils in the armpits or groin have a name — hidradenitis suppurativa — and a staging system. Self-stage with Hurley and IHS4, and know when to push for treatment.

SALT Calculator

The alopecia areata measure from the JAK-inhibitor trials: score hair loss by scalp quadrant and get your 0–100 SALT — the number regrowth gets judged against.

Hair Loss Stages

Find your stage on the scales dermatologists actually use — Norwood for male-pattern, Ludwig for female-pattern — and what each stage means for treatment options.

Eczema Severity Score

The POEM questionnaire dermatology actually uses: seven questions about your last week, a 0–28 score, and a trend you can bring to appointments.

Itch Scale (0–10)

Rate your worst and average itch on the same 0–10 scale clinical trials use, log it daily, and see whether anything you change actually helps.

Hives Activity (UAS7)

The 7-day urticaria diary allergists work from: score wheals and itch daily, get your UAS7 out of 42, and know if treatment is actually controlling it.

Track — is any of this actually working?

This family is what makes the site a management system rather than a shop: the running record — extent, symptoms, photographs — and the brief that carries all of it into an appointment.

BSA Calculator

What it does: paint the affected areas on a body map and get your body-surface-area percentage — the extent measure used to grade psoriasis and eczema — with the severity bands built in.

Why it helps: extent thresholds gate real decisions, including eligibility for systemic treatment. “About 12% of my skin” is a claim a clinician can act on; “quite a lot of me” is not.

Skin Flare Diary

What it does: daily severity, itch, affected areas, suspected triggers and products used — with a trend chart and a printable report.

Why it helps: trigger identification is essentially impossible from memory and often obvious from three weeks of data. Patterns like “flares two days after every gym week” only appear once it’s written down.

Progress Photo Tracker

What it does: consistent, comparable photos with a prep checklist, a before/after slider and printable comparison pairs. Photos stay on your device unless you choose to back them up.

Why it helps: skin changes far more slowly than perception. People abandon treatments that are working and persist with treatments that aren’t, because they’re comparing today’s face to a memory. Photographs are the only honest record.

Derm Visit Prep

What it does: assembles a one-page brief for your appointment — symptom timeline, every product you use, selected progress photos, all your tracked scores, and the questions worth asking.

Why it helps: this is the keystone. It reads your profile, your shelf, every diary and your photo library, and turns a rushed consultation into a documented conversation. Most appointments are lost reconstructing history from memory; this hands it over on paper in the first minute.

07 — The honest ceiling

When products aren’t enough

Over-the-counter skincare has a limit. For several conditions that limit arrives early, and the responsible thing a skincare site can do is say so, then explain exactly what lies beyond it. That’s what the therapy guides are.

These are not blog posts about prescriptions. Each guide is a structured, clinically grounded map of a condition — built from the current recommendations of the professional bodies that write them, and published as education rather than as advice to any reader.

What’s inside a guide

Every guide is assembled from the same twelve parts, because the questions people arrive with are always the same twelve questions.

  1. Triage first. About six questions, and the page rearranges around your answers — which branch applies to you, which checkpoint you’re standing at, and what would have to change for the next step to be right. Five presentations may be mapped on a page; only one is probably yours.
  2. Staging, as a way to describe a presentation. Clinicians don’t grade by a single number — they grade by which lesions are present, how widespread they are, and what the condition is leaving behind. The staging framework is drawn from published clinical staging, and it exists so that a presentation can be described accurately, not assessed at home.
  3. Red flags, with urgency. The specific findings that mean skip the ladder and see someone — deep nodules, any scarring already forming, rapid change — each with the reason it matters and how quickly to act.
  4. The over-the-counter ceiling, stated honestly. What OTC care genuinely achieves for this condition, for whom, and by when — including the realistic timeframe, which is almost always months rather than weeks.
  5. The OTC pathway itself. Where products do work, the route is laid out as a ramp rather than a series of experiments: one regimen built up gradually as tolerance allows, not a carousel of products swapped every three weeks.
  6. Branches and ladders. Different presentations of the same condition need different sequences. Each branch is a numbered ladder — rung by rung, OTC through prescription — with the rationale for each step and what has to be true before you climb.
  7. Therapy cards. Every option, OTC and prescription alike, gets the same card: what it is, what the evidence says, its tier, how it is used and what to expect. Currently 163 therapies are documented across the guides, spanning over-the-counter actives, prescription topicals, oral medications, procedures and devices.
  8. Supporting care — the part nobody tells you. Prescriptions fail for the same reason routines fail: people stop. Usually because the skin around the treatment got too dry, too raw or too sore to continue. Each guide covers the supporting routine that keeps a course survivable, which is often the difference between a therapy working and a therapy being abandoned.
  9. The visit. How to actually get seen (including when primary care is a legitimate first step), what to bring, and what will likely be asked — paired with the Derm Visit Prep tool so you arrive with it already assembled.
  10. Expectations, in weeks. What each treatment realistically takes to work, and what the adjustment period looks like — including the ones where skin looks worse before it looks better. Knowing that in advance is frequently what determines whether someone finishes the course.
  11. The pipeline. What’s genuinely coming — restricted to treatments in phase 3 trials or later, or newly reaching market. Earlier-stage research is deliberately excluded, because early promise often doesn’t survive larger trials and reporting it as if it were imminent is exactly the hype this site exists to counter. Nothing here changes what to do now, and the page says so.
  12. The guideline anchors. Each guide names the specific professional guidelines it is built on, with citations and links to the papers.

Built on the guidelines clinicians use

These guides aren’t assembled from our own opinion of the literature. They’re anchored to the current recommendations of the bodies that set practice, and updated as those bodies publish. They currently draw on guidance from:

  • American Academy of Dermatology
  • American Academy of Dermatology / National Psoriasis Foundation joint guidelines
  • British Association of Dermatologists
  • National Rosacea Society Expert Committee
  • Global ROSacea COnsensus (ROSCO) panel
  • EADV Mycology Task Force position statements
  • North American Contact Dermatitis Group
  • Cochrane systematic reviews
  • US FDA over-the-counter drug monographs
  • International expert consensus on pigmentation disorders (JEADV)

Where a condition has no formal guideline — which is genuinely the case for several pigmentation and rosacea sub-questions — the guide says so rather than implying a consensus that doesn’t exist, and falls back to systematic reviews with their limitations stated.

Where clinical review currently stands

Being straight about this matters more than the claim it replaces. There is a hard publication gate in the build — a guide marked as a draft cannot reach the site, the sitemap or a deploy, no matter what else happens — and every guide carries a dated changelog of what changed and when. That gate is editorial, not clinical. It records that a guide is finished and checked against its sources; it does not record a dermatologist’s signature.

The published guides — Acne, Eczema, Melasma, Rosacea, Fungal acne, Contact dermatitis, Hyperpigmentation, Dandruff, Nail fungus, Facial seborrheic dermatitis, Keratosis pilaris, Perioral dermatitis, Ringworm, jock itch & athlete's foot, Tinea versicolor, Warts — are written from the professional guidelines named above and the studies cited on each page, and are with a consulting dermatologist for review. None of them currently carries an individual clinician’s sign-off, and none claims one. When a guide has been reviewed, the reviewer is named on it by name and credential, with the date; until then, what stands behind it is the published guidance it cites and nothing more. Stating that plainly is the only version of this section worth publishing.

Some conditions don’t get a walkable guide — on purpose

Psoriasis, Actinic keratosis, Acne scarring are published as clinician territory rather than as self-directed guides, and each page opens by explaining why building one would be dishonest. Psoriasis is a systemic condition, not a skin complaint; actinic keratosis can only be identified by someone who can biopsy it; acne scarring is treated with procedures, not products. Each page covers what the condition actually is, how it is staged, what therapy involves, and how to get properly seen — and does not pretend there is a route anyone can walk alone, because there isn’t.

That distinction is a deliberate feature of the system: a page type whose entire purpose is to redirect you away from the catalogue.

Where the catalogue stops

One rule governs the commercial boundary: prescription and procedure cards never carry product links. The catalogue stops at the over-the-counter ceiling. Where products genuinely help alongside a prescription — a bland moisturiser during a retinoid course, a mineral sunscreen during melasma treatment — they appear as supporting care, in their real supporting role, not as an upsell dressed as treatment.

The site that tells you when to stop buying is the one worth believing when it tells you what to buy.

08 — Continuity

Your library, and why it has to survive

A management system that forgets is not a management system. Everything you build here is inventoried in one place, portable, and yours to take or destroy.

My Library

One page lists everything the system holds for you — skin profile, product shelf, wishlist, comparisons, photo log, flare diary, POEM/itch/UAS7 scores, patch tests, mole checks, cycling and ramp schedules, phototype, appointment briefs: around three dozen distinct records, growing as tools are added. Each row links to the tool that owns it, shows whether it’s backed up, and can be cleared on its own. The whole library exports to a single file and re-imports safely.

It answers “what do you have on me?” completely, in one place, with a delete button beside each answer.

The account — memory, not a wall

There is no signup wall, on anything, ever. Every tool works anonymously and completely. An account exists for one reason: browsers delete data. Safari erases a site’s stored data after seven days without a visit — which would silently destroy someone’s shelf, profile and three months of flare tracking. For a system built on continuity, that’s fatal, so the account solves it:

  • Sign up with a name (a pseudonym is fine), an email and a password. Everything you created before signing up is merged in — nothing you did as a visitor is lost.
  • Profile, shelf, diaries, scores and schedules follow you to any device and any browser you sign into.
  • Progress photos back up too, with generous per-user storage, and deleting one on any device deletes it everywhere rather than letting it reappear.
  • A persistent chip tells you the truth continuously — “saved on this device only”, “backed up to your account”, or a prominent warning if your session lapses. Silent data loss is designed out.
  • Conversion is never a modal or a popup. It’s an inline note at a moment when it’s genuinely relevant — a second diary entry, a completed profile — naming your actual data (“your 12-product shelf”), capped to one at a time and silenced for a fortnight if you dismiss it.

Underneath, the merge logic is careful in a way that matters: diaries and logs merge entry by entry rather than whole-file, so a phone that’s been offline for a week can’t overwrite entries made on a laptop, and deleted entries stay deleted instead of resurrecting from an old device. Full data export and complete account deletion are first-class functions, not buried requests.

09 — Scale

The content estate

Everything above runs on a large and deliberately disciplined body of content. Every number here grows continuously — the editorial and research pipelines run constantly.

Products assessed11,656across 792 brands · 100% engine coverage · expanding weekly
Skin concerns graded26each with its own evidence base; more as the table grows
Product categories18
Ingredient references312consolidated into family hubs, continuously deepened
Curated rankings210ranked by condition grade, re-ranked as scores update
Articles522every citation machine-verified · published continuously
Routines68generated by the same engine that powers the quiz
Therapy guides18163 documented therapies · skin, scalp and nails · more in preparation
Questions answered2,287across 18 condition libraries · high-stakes answers source-verified
Interactive tools42including profile, routine finder and compare · more in development

The questions people actually ask

Between the reviews and the therapy guides sits a layer built for the questions people ask while being treated — “can I use this while pregnant?”, “why did it get worse in week three?”, “is this myth true?” Each of the 18 condition libraries holds over a hundred answers, authored against a fixed coverage grid so the awkward questions — life stages, deeper skin tones, red flags — can’t be quietly skipped, and every answer leads with a direct reply before the nuance. Answers on high-consequence topics carry verified sources, and red-flag answers never link to products.

All of it is reachable from anywhere: a site-wide search overlay (press / or ⌘K) that understands how people actually talk — “accutane”, “spiro”, “dark marks” — and finds the answers written in clinical vocabulary: isotretinoin, spironolactone, post-inflammatory hyperpigmentation.

How this much gets made, and made well

Producing research-grade content at this scale is a genuine engineering problem, and it’s solved with a pipeline rather than with volume. Work moves through defined stages — research against primary sources, drafting, an automated standards check, then publication — with each stage specialised and running in parallel. AI does the heavy lifting where it is genuinely good: reading widely, structuring findings, and holding a consistent standard across thousands of pages. That is what makes a catalogue of this depth possible for a small team, and we’re straightforward about it.

What keeps the quality high is that the standard is encoded, not left to chance. Every piece must satisfy the same explicit requirements before it publishes: substantive depth, scores that reconcile exactly with the published formula, ingredients mapped to their canonical references, verified citations, and writing that is genuinely specific to the product in front of it. Each review is written from that product’s own formulation, price, history and evidence — which is why two ceramide moisturisers read as two different assessments rather than one template filled in twice.

10 — Principles

What we refuse to do

Constraints enforced in code and process, not promised in a paragraph.

  • No paid placement, no sponsored seals, no house brand, and no mechanism by which a brand could influence a score. Revenue is affiliate-based and invariant to what any score says.
  • No score computed from popularity.
  • No citation without the study behind it — every reference resolves to the paper it names, confirmed against the source database.
  • No treatment claims. Grades describe suitability — “A− for rosacea-prone skin” — never “treats rosacea”.
  • No brand politics scored as product quality. Cruelty-free status and parent-company ownership are displayed as facts; they never move a number.
  • No personal data sent to a server in order to personalize anything.
  • No signup wall on any tool.
  • No modals, no popups, no interstitials, no countdown timers.
  • No medical advice, anywhere. Clinical tools carry their educational framing and point toward a professional, and nothing on the site assesses anyone’s skin or recommends a therapy to anyone.
  • No pretending the catalogue is the answer to every problem.

11 — The experience

How it’s built to feel

A system you’re meant to use every day has to feel effortless, so the whole thing is built around two promises: never make you wait, and never get in your way.

  • Made for your phone first. Most skin care happens at the bathroom sink and in the shop aisle, not at a desk — so every page and every tool is designed for the phone in your hand, and works just as well on a laptop.
  • Fast everywhere. Pages open near-instantly, even on slow mobile data, whatever the size of the catalogue behind them.
  • Nothing to install, nothing in your way. It runs in any browser — no app, no signup wall, no popups, no “please rate us”. You open a page, and the page answers.
  • Dependable. The site stays up, links keep working, and the library you build here survives every update — it’s treated as yours, not as ours.

12 — Direction

Where it goes next

The system is built to widen rather than to be finished. Everything below is in progress, not aspiration.

  • More therapy guides. Additional conditions are drafted and moving toward clinical review. The rate limit is dermatologist review capacity, deliberately.
  • A deeper evidence table. Every new ingredient-claim row sharpens every grade that depends on it, retroactively, across the whole catalogue. This is the highest-leverage work in the system and it runs continuously.
  • Broader outcomes collection. More products with real extracted review data rather than category priors.
  • More tools. The toolkit is designed so a new tool inherits the profile, the library, the storage guarantees and the sync layer for free.
  • Continued catalogue growth, with new products assessed by the same engine on arrival — no backlog of un-scored items.

Every other skincare site tells you what people liked.
This one tells you what your skin is likely to do — and then remembers what it actually did.