Laureth-4

Laureth-4 is a nonionic surfactant made by attaching an average of four ethylene oxide units to Lauryl Alcohol, a fatty alcohol from coconut or palm kernel oil.

In a formula, it does two jobs:

1. It helps oil and water mix as an emulsifier and solubilizer.
2. It helps lift oil and dirt off skin as a cleansing surfactant.

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.

Acne

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.

Fungal acne

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).