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However, this exfoliating effect only happens at high concentrations (20%) which can be hard to find in cosmetic products.

Due to this, citric acid is usually included in small amounts as a pH adjuster. This helps keep products slightly more acidic and compatible with skin's natural pH.

In skincare formulas, citric acid can:

While it can provide some skin benefits, research shows lactic acid and glycolic acid are generally more effective and less irritating exfoliants.

Most citric acid used in skincare today is made by fermenting sugars (usually from molasses). This synthetic version is identical to the natural citrus form but easier to stabilize and use in formulations.

Rosacea skin has a lower threshold for acids generally, with 62.5% of rosacea subjects in one study reacting to lactic acid in a sting test. This is why we mark citric acid as a potential rosacea trigger.

However, this ingredient shows up as a pH adjuster or chelator at roughly 0.1-1% in many products. These low levels are unlikely to be an issue for rosacea skin and becomes a potential trigger at exfoliating concentrations (20%). Because everybody's skin is unique, we recommend a patch test if you are unsure.

This ingredient is considered safe at present practices of use and concentration and repeated insult patch test with 50% Glycol Distearate on 125 subjects found no evidence of skin irritation, hypersensitivity, or acute toxicity.

Typical use concentrations range from 0.1-10%.

Because it's an ester of stearic acid, it falls into the range that Malassezia likes to metabolize. This ingredient may not be fungal acne safe.

A 2012 assessment found this ingredient is used in leave-on products at up to 21%, which is at the very high end for the category; most cosmetic use is far lower and typically in the single digits.

A true allergy to Laureth-4 is rare; similar alcohol ethoxylates tested negative for skin sensitization in undiluted guinea pig studies, and related compounds were non-sensitizing in Magnusson-Kligman maximization tests.

There is one caveat for this whole ingredient family: ethoxylated surfactants slowly oxidize when exposed to air, and it's the oxidation products, not the fresh material, that act as sensitizers. This is mostly a formulation and shelf life issue.

Dr. James Fulton's rabbit ear test from the 1980's scored this ingredient as a 5 on the comedogenic scale. Fulton himself described the rabbit ear as not an ideal model and the tests used undiluted ingredients on rabbit ears, which are more reactive than human facial skin.

Dr. Draelos later used a human assay on finished cosmetic products and found that products built with so-called comedogenic ingredients are not necessarily comedogenic themselves.

This ingredient can be potentially pore clogging if it appears high in the ingredient list of a leave-on product.

The fungal acne picture is actually reassuring: Malassezia uses fatty acids from its surroundings (C11-24). This ingredient has nothing for the Malassezia yeast to use since it is an alcohol and not an acid.

Supporting this, closely related ethoxylated alcohol detergents like Ceteth-20 get used in Malassezia lab work as neutral carriers to disperse a separately added fatty acid (not as the food source itself).