In dermatology, treatment plans are built carefully. The first-line therapy is chosen based on the grading of the disease, patient history, tolerance, and expected response. The Dermatologist’s judgment directs the core treatment. That part is not in question. The question that often remains is where cosmeceuticals belong in this picture . Are they simply afterthought moisturizers? Are they optional? Do they really change the outcome? From a formulation perspective, and more