Objective: This systematic review aimed to determine the impact of topical preparations on the incidence of skin tears in older people. Method: A systematic search of publications using PubMed, CINAHL, SCOPUS, Cochrane and EMBASE databases was conducted in February 2021. A total of 11 records were returned, seven satisfying the inclusion criteria. Data were extracted using a predesigned data extraction tool and initially, a narrative synthesis was undertaken, followed by meta-analysis. Cochrane Collaboration tool was used to assess the risk of bias using RevMan. Results: The included studies (n=7) were conducted between 1997 and 2017. The mean sample size was 275 participants (SD= ±399.3). In total, six different interventions were employed, ranging from moisturising lotions, body wash, norinse skin cleanser and emollient soap. In the usual care groups, 41% (n=333/812) of participants developed a skin tear, whereas 27% (n=217/841) of participants in the different treatment groups developed a skin tear. The odds ratio of skin tear development was 2.09 (95% CI: 1.67 to 2.63; p=0.00001). This indicates that the control care group is twice as likely to develop a skin tear. All included studies were at risk of bias in one or more domains. Conclusion: The use of topical preparations reduces the incidence of skin tears in older people. However, due to the risk of bias seen in these studies more high-quality research is needed in the area to confirm this finding.