Colleen Rothschild Radiant Cleansing Balm Versus Eve Lom Cleanser

It mostly stays on the surface of skin where it helps hydrate due to its large molecular size and low water solubility.

Due to it being derived from fatty acids, this ingredient may not be Malassezia or fungal acne safe.

It plays several roles in a formula:

Typical use levels for this ingredient sit around 1-10% and the Cosmetic Ingredient Review Expert Panel has affirmed safety at concentrations up to 25% in leave-on products.

Multiple assessments have found it to be non-irritating and non-sensitizing to most people.

However, there have been some cases of allergic contact dermatitis in patients with chronically compromised skin barriers.

Cetearyl alcohol has a comedogenic rating of 2 and irritancy rating of 1. Both of these numbers come from the 1989 study that used rabbit ears; a "2" means mildly comedogenic and a "1" means low irritancy.

Here's the catch: rabbit skin is more sensitive than human skin and throws a lot of false positives. A 1996 reappraisal found that ingredients rated 1-2 in the rabbit ear tests are generally safe for humans.

Remember comedogenic ratings are unable to assess the entire formula of a product or how it will react on your skin. Just be sure to patch test if you are unsure about certain ingredients.

This ingredient is not fungal acne safe. Cetearyl alcohol is a fatty alcohol with chain lengths that fall within the range that Malassezia can metabolize.

A 2019 study has also observed Malassezia growth in the presence of this ingredient, confirming it to be not-fungal acne safe.

There's some lab work behind its reputation; in one study, it acted as an antioxidant and calmed inflammation in human immune cells. But it also killed skin cells (keratinocytes) in a dish.

It stopped damaging those cells and still reduced swelling in mice when the researchers wrapped it in tiny capsules to slow its release.

One study that is quoted out of context frequently: clove oil killed human skin and blood vessel cells at levels as low as 0.03%, and about 73% of that came down to eugenol. Keep in mind those were bare cells sitting in a dish with no skin barrier in the way (which is a lot harsher than what happens on your actual face).

On concentrations, it is restricted to 0.64% in leave-on products + body products, 0.21% in baby + lip products, 2.5% in fine fragrance and 4.9% in rinse-off. Real formulas usually land far below those caps.

Allergy is the actual story with this ingredient. It is one of the eight markers dermatologists use for allergy testing, and the EU requires it to be named on the label above 0.001% in leave-on and 0.01% in rinse-off products.

It is also a prohapten, meaning it needs enzymatic activation in skin to become allergenic, so sensitivity varies between people.

Rates are modest but not trivial: in a classic EECDRG multicentre study, 13 of about 1,300 patch-tested patients reacted to eugenol, and in eugenol-allergic subjects the lowest positive patch test concentration was 0.031%, with 56% reacting in a 21-day repeated open application test at 0.5% to 2.7%.

Normal use levels are generally fine if you are not already sensitized.