Dermal Therapy Face & Eyelid Eczema Cream

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.

Industry survey data shows this ingredient is used around 1-5% but Glyceryl Stearate goes as high at 17% in a leave-on deodorant.

Safety-wise, it's pretty boring: it's been deemed safe for topical use in 1982 and again most recently in 2021 by the CIR. Human repeat insult patch tests come back non-irritating, non-sensitizing, non-phototoxic, and non-photoallergenic.

This ingredient does carry a comedogenic rating of 3 from the old rabbit-ear assay. Just remember testing finished products in humans showed that formulas built with "comedogenic" ingredients are not necessarily comedogenic themselves. It's worth patch testing if you're breakout prone, and always listen to your skin.

The Malassezia yeast can potentially metabolize the stearic acid in this ingredient, so it may not be fungal acne safe.

Allergy is rare: a 310-patient patch test study of common emulsifiers found this ingredient was not a meaningful reactor. Isolated case reports do exist so a true contact allergy is possible but uncommon.

This ingredient is generally considered non-toxic, non-irritating, and has low absorption potential.

This ingredient does have a comedogenic rating of 3-5, but this doesn't mean a formula with this ingredient will clog pores.

Dermatologist Dr. Zoe Draelos has also confirmed in a peer-reviewed paper that products containing comedogenic ingredients are not necessarily comedogenic themselves.

A small subset of people (~2%) may experience contact sensitivity so patch testing is a reasonable idea if you have reactive skin.

Since this ingredient is an ester of myristic acid (a C14 fatty acid), it falls within the carbon chain range that is known to feed Malassezia. This ingredient may not be fungal acne safe.

Reported use levels range from 0.1% or less to over 50% depending on the product type.

Irritation and allergy risk is also low: undiluted single applications caused little or no irritation in rabbit skin and eye tests, it was not a sensitizer in guinea pigs at 15%, and repeat insult patch tests at 1-5% showed no sensitization.

This ingredient does have a comedogenic rating of 3 from Fulton's rabbit ear assay. Keep in mind that rabbit ear models tend to overstate what happens on human skin and finished products behave differently than raw ingredients.

As for fungal acne, this ingredient has supposed the growth of Malassezia furfur and sympodialis (but not M. globosa or M. restricta) in direct testing.

Your skin makes glycerin on its own (mostly from sebaceous oil breakdown) and shuttles it to your outermost layer of skin, or your epidermis, via aquaporin-3.

Aquaporin-3 is a transporter that is essential for normal skin hydration, elasticity, and repair. Interestingly, mice lacking in AQP3 have dry and less elastic skin that can be fully corrected with glycerin.

This ingredient is non-irritating, plays well with almost every ingredient, and works across all skin types. Typical use is anywhere between 3-10% but can go up to 79% in some leave-on products.

Just know very high concentrations (>40%) can feel tacky in low humidity.

Glycerin is the name for this ingredient in American English. British English uses Glycerol/Glycerine.

Aloe leaves are also great moisturizers. They are naturally rich in polysaccharides, a carbohydrate made of sugars. Polysaccharides are able to mimic the carbs found in the top layer of your skin. This can help keep your skin hydrated.

Aloe contains the antioxidants Vitamins A, C, and E. These vitamins neutralize free radicals. Free-radicals are molecules that may damage your skin cells, such as pollution.

Aloe does not protect against UV rays, despite it soothing sunburns.

As a preservative, it works by disrupting the membrane of microbial proteins. This helps keep bacteria and fungi from growing in your products.

The sensitization picture is actually quite assuring as well:of nearly 71,000 patients patch tested with benzyl alcohol, only 0.21% showed a positive reaction with most of them being weakly positive.

This led researchers to conclude that benzyl alcohol cannot be regarded as a significant contact allergen.

It is worth noting this ingredient is classified as one of the EU's regulated fragrance allergens and restricted to 1% in finished products.

Labels must also declare it in concentrations above 0.001% in leave-on products and 0.01% in rinse-off products.

At concentrations around 5%, localized redness and itching can appear as a direct irritant response and not as a true allergic reaction.

In vitro research found an increase in skin hydration by 58% and a decrease in TEWL by 37.8% after 24 hours of applying this ingredient (pretty impressive for a single ingredient!).

Besides hydration, shea butter also contains triterpenes that have anti-inflammatory potential. In particule, lupeol cinnamate has shown the highest anti-inflammatory activity in vivo.

Shea butter also contains vitamins A and E which may contribute to antioxidant activity.

While Shea Butter has an SPF rating of about 3-4, it is not a sunscreen replacement.

This ingredient may not be fungal acne safe because its fatty acids fall within the C11-C24 range that the Malassezia yeast can metabolize.

This ingredient shows up on a lot of "pore-clogging" lists but there's no real evidence behind that. It doesn't even have a comedogenic rating from an actual study; the numbers you'll find online come from blogs citing other blogs.

Ratings for other ingredients mostly come from a 1980s rabbit ear test. This test doesn't translate well to human skin or to real products because the ingredient sits at a much lower percentage.

Some people still find it breaks them out. So if that's you, definitely trust your skin. Just know this one's based on experience and not evidence.

Because it is not a free-fatty acid, this ingredient is fungal acne safe (there's nothing for Malassezia to feed on).