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SkinMedica TNS Ceramide Treatment Cream Ingredients Explained

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Updated on January 02, 2024 Submitted by ShaeMitchell

Overview

What it is

General moisturizer with 36 ingredients that contains exfoliants, hyaluronic acid, peptides, retinoid, Vitamin C and Vitamin E

Cool Features

It is reef safe

Suited For

It has ingredients that are good for fighting acne, anti aging, dry skin, brightening skin, sensitive skin, oily skin, reducing pores, scar healing, dark spots and better texture

Free From

It doesn't contain any harsh alcohols, common allergens, parabens or sulfates

Fun facts

SkinMedica is from United States. This product is used in 7 routines created by our community.

We independently verify ingredients and our claims are backed by peer-reviewed research. Does this product need an update? Let us know.

You should know

Here's our breakdown of the notable ingredients, benefits, and concerns we determined from the ingredients in this product. Click any item to learn more.

Notable Ingredients

Retinoid
Vitamin C
Vitamin E
Exfoliators
Hyaluronic Acid
Peptides (2)

Benefits

Hydrating (3)
Good For Oily Skin
Redness Reducing (2)
Reduces Irritation (3)
Skin Texture (2)
Reduces Large Pores
Anti-Aging (2)
Dark Spots (2)
Scar Healing (2)
Acne Fighting
Brightening (3)

Concerns

Drying
May Worsen Oily Skin
Acne Trigger
Irritating (2)

Ingredient Info

Click any item below to learn more and view relevant ingredients.
alcohol-free
silicon-free
fragrance-free
sulfate-free
paraben-free
oil-free
fungal-acne safe
reef-safe
eu-allergen-free
vegan
cruelty-free

Ingredients Overview

Here's our quick-to-read summary of the ingredients in this product. Keep scrolling if you'd like to learn more about what each ingredient does!
Ingredient
Features
1
Skin Conditioning, Solvent
2
Emollient
3
Emollient, Emulsifying, Emulsion Stabilising
2 / 1
Fatty Alcohol IconMay worsen Oily Skin IconBad for Acne Prone Skin IconNot safe for Fungal Acne Icon
4
Emollient
5
Skin Conditioning
6
Emollient, Skin Conditioning, Skin Protecting
1 / 0
Silicon Icon
7
Masking, Perfuming, Skin Conditioning
0-2 / 0
Fragrance IconOil IconNot safe for Fungal Acne Icon
8
Emollient, Skin Conditioning
3 / 0
Oil IconNot safe for Fungal Acne Icon
9
Humectant, Skin Conditioning, Skin Protecting, Solvent
0 / 0
Helps hydrate Dry Skin IconHelps brighten skin Icon
10
Emulsifying
11
Cleansing, Skin Conditioning
Peptide IconNot safe for Fungal Acne Icon
12
Skin Conditioning
Peptide IconNot safe for Fungal Acne Icon
13
Antioxidant, Skin Conditioning
Vitamin C IconAntioxidant IconHelps reduce Skin Redness IconGood for Skin Texture IconHelps with Anti-Aging IconGood for Dark Spots IconHelps brighten skin Icon
14
Abrasive, Antioxidant, Emollient, Skin Conditioning
Exfoliant IconAntioxidant IconHelps hydrate Dry Skin Icon
15
Emollient, Skin Conditioning
0 / 0
Not safe for Fungal Acne Icon
16
Skin Conditioning
1-3 / 1-3
Retinoid IconCan worsen Dry Skin IconGood for Oily Skin IconMay cause irritation IconGood for Skin Texture IconGood for Minimizing Pores IconHelps with Anti-Aging IconGood for Dark Spots IconGood for Scar Healing IconNot safe for Fungal Acne IconHelps fight Acne Icon
17
Antioxidant, Skin Conditioning
0 / 0
Vitamin E IconAntioxidant IconHelps brighten skin Icon
18
Cleansing
19
Emollient, Skin Conditioning
1 / 0
Helps hydrate Dry Skin Icon
20
Skin Conditioning, Skin Protecting, Soothing
0 / 0
Helps reduce Skin Redness IconHelps reduce irritation IconGood for Scar Healing Icon
21
Masking, Skin Conditioning, Soothing
Helps reduce irritation Icon
22
Skin Conditioning
0 / 0
Helps reduce irritation Icon
23
Humectant, Skin Conditioning
0 / 0
Hyaluronic Acid Icon
24
Emulsifying, Emulsion Stabilising, Gel Forming, Skin Conditioning
25
Emollient, Emulsifying
1 / 0
Not safe for Fungal Acne Icon
26
0 / 0
Not safe for Fungal Acne Icon
27
Emulsifying
May cause irritation Icon
28
Humectant, Masking, Skin Conditioning, Solvent
1 / 0
29
Humectant, Solvent
0 / 0
30
Emulsion Stabilising, Gel Forming
1 / 0
31
32
Skin Conditioning
33
Preservative
Preservative Icon
34
Emollient, Humectant, Skin Conditioning
35
36
Preservative
Preservative Icon

Ingredients Explained

This product contains 36 ingredients. Click on any ingredient to learn more about it
1
What it does: Skin Conditioning, Solvent
Community Rating: Loved

Water. It's the most common cosmetic ingredient of all. You'll usually see it at the top of ingredient lists, meaning that it makes up the largest part of the product.

So why is it so popular? Water most often acts as a solvent - this means that it helps dissolve other ingredients into the formulation.

You'll also recognize water as that liquid we all need to stay alive. Talk about multi-purpose! If you see this, drink a glass of water. Stay hydrated!

Learn more about Water
2
What it does: Emollient
Community Rating: Mixed

Cetyl Ethylhexanoate comes from cetearyl alcohol and 2-ethylhexanoic acid.

It is an emollient that adds a velvety feel to products when applied. Emollients help trap moisture into your skin, keeping your skin soft and hydrated.

3
What it does: Emollient, Emulsifying, Emulsion Stabilising
Community Rating: Very Disliked

Cetearyl alcohol is a mixture of two fatty alcohols: cetyl alcohol and stearyl alcohol. It is mainly used as an emulsifier. Emulsifiers help prevent the separation of oils and products. Due to its composition, it can also be used to thicken a product or help create foam.

Cetearyl alcohol is an emollient. Emollients help soothe and hydrate the skin by trapping moisture.

Studies show Cetearyl alcohol is non-toxic and non-irritating. The FDA allows products labeled "alcohol-free" to have fatty alcohols.

This ingredient is usually derived from plant oils such as palm, vegetable, or coconut oils. There is debate on whether this ingredient will cause acne.

Due to the fatty acid base, this ingredient may not be Malassezia folliculitis safe.

Learn more about Cetearyl Alcohol
4
What it does: Emollient
Community Rating: Liked

We don't have a description for Hydroxypropyl Bispalmitamide Mea.

5
What it does: Skin Conditioning

We don't have a description for Human Neonatal Fibroblast Conditioned Media.

6
What it does: Emollient, Skin Conditioning, Skin Protecting
Community Rating: Very Disliked

Dimethicone is a silicone used for making products smooth and silky. It also has the added benefit of sealing in hydration. The amount of dimethicone found in beauty products is considered safe and non-comedogenic, meaning it won't clog pores.

Dimethicone has been found increase absorption in skin, boosting the benefits of other ingredients. While there is concern for the safety of dimethicone, the levels used in skincare are safe for use.

7
What it does: Masking, Perfuming, Skin Conditioning
Community Rating: Very Disliked

Olea Europaea Fruit Oil is the fixed oil obtained from the ripe fruit of the Olive. In other words - olive oil.

The primary contents of olive oil are glycerides of the fatty acids linoleic, oleic and palmitic.

Olive oil also contains antioxidants such as Vitamin E. Antioxidants may help reduce signs of aging by fighting unstable free-radical molecules. It also contains Vitamins A (retinol), D, and K.

The squalene in olive oil makes it a great emollient. Emollients help soothe and soften your skin by trapping moisture in. This makes olive oil a great skin moisturizer.

Studies show olive oil to have antibacterial and antifungal properties in low concentrations. Another study found olive oil irritated sensitive oily skin. We always recommend speaking with a professional about using this ingredient in your routine.

Learn more about Olea Europaea Fruit Oil
8
What it does: Emollient, Skin Conditioning
Community Rating: Very Disliked

Glycine Soja Oil comes from the soybean. Glycine Soja is native to eastern Asia.

Soybean oil is an emollient. It is rich in antioxidants and fatty acids including palmitic, stearic, oleic, and linoleic acids.

As an emollient, the fatty acids in soybean oil helps keep your skin soft and hydrated. It does so by creating a film on top that traps moisture in.

Soybean oil is also rich in vitamin E, a potent antioxidant. Vitamin E is also anti-inflammatory and provides a soothing effect.

Studies show soy may help fade hyperpigmentation from UVB. It does so by disrupting the melanin process from UVB induced skin inflammation.

This ingredient may not be malassezia folliculitis, or fungal-acne, safe.

Soybeans are rich in proteins and are part of the legume family. Foods made with soybeans include tofu, soymilk, edamame, miso, and soy sauce.

Learn more about Glycine Soja Oil
9
What it does: Humectant, Skin Conditioning, Skin Protecting, Solvent
Community Rating: Loved

Glycerin is already naturally found in your skin. It helps moisturize and protect your skin.

A study from 2016 found glycerin to be more effective as a humectant than AHAs and hyaluronic acid.

As a humectant, it helps the skin stay hydrated by pulling moisture to your skin. The low molecular weight of glycerin allows it to pull moisture into the deeper layers of your skin.

Hydrated skin improves your skin barrier; Your skin barrier helps protect against irritants and bacteria.

Glycerin has also been found to have antimicrobial and antiviral properties. Due to these properties, glycerin is often used in wound and burn treatments.

In cosmetics, glycerin is usually derived from plants such as soybean or palm. However, it can also be sourced from animals, such as tallow or animal fat.

This ingredient is organic, colorless, odorless, and non-toxic.

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

Learn more about Glycerin
10
What it does: Emulsifying
Community Rating: Disliked

Cetearyl Glucoside is a surfactant and emulsifier. It can be produced from synthetic of natural sources of cetearyl alcohol and glucose.

Emulsifiers help prevent ingredients from separating, such as oils and waters. It can also be used to enhance the texture of products.

As a surfactant, Cetearyl Glucoside helps during the cleansing process. By gathering all the dirt and oils, it allows these molecules to be washed away easily.

Learn more about Cetearyl Glucoside
11
What it does: Cleansing, Skin Conditioning
Community Rating: Liked

Palmitoyl Oligopeptide is a form of peptide. It is created by blending peptides with palmitic acid. Peptides are building blocks for protein.

Due to the palmitic acid base, it may not be malassezia folliculitis safe.

This ingredients tells our body to create more collagen. Collagen is a protein that makes connective tissue. Boosting collagen production leads to a healthier skin barrier. Having a healthy skin barrier means having firm and hydrated skin.

Read more about other common types of peptides here:

Learn more about Palmitoyl Oligopeptide
12
What it does: Skin Conditioning
Community Rating: Loved

Palmitoyl Tetrapeptide-7 is a peptide. Peptides are building blocks for protein.

This ingredient consists of four amino acids and palmitic acid. These amino acids are arginine, proline, glutamine, and glycine.

This ingredient has many benefits. These benefits include boosting collagen production, fighting inflammation, and reversing UV damage.

By preventing our bodies from producing interleukins, Palmitoyl Tetrapeptide-7 helps fight inflammation. An interleukin is a chemical that signals to the body to produce an inflammatory response. Interleukin production is accelerated by UV radiation.

Palmitoyl Tetrapeptide-7 tells our body to create more collagen. Collagen is a protein that makes connective tissue. Boosting collagen production leads to a healthier skin barrier. Having a healthy skin barrier means having firm and hydrated skin.

Read more about other common types of peptides here:

Learn more about Palmitoyl Tetrapeptide-7
13
What it does: Antioxidant, Skin Conditioning
Community Rating: Loved

Tetrahexyldecyl Ascorbate is a form of Vitamin C.

Vitamin C helps reduce redness, improve skin texture, reduce the effects of aging, reduce the visibility of dark spots, and brighten skin.

Your skin uses Vitamin C to produce collagen and collagen production plays a role in having a strong skin barrier and having plump skin. As an antioxidant, Sodium Ascorbyl Phosphate also helps reduce the signs of aging such as fine-lines and wrinkles.

Studies show Tetrahexyldecyl Ascorbate is more stable when combined with stabilizing ingredients.

VItamin C helps brighten skin by blocking the process of skin darkening.

Read more about other types of Vitamin C:

Learn more about Tetrahexyldecyl Ascorbate
14
What it does: Abrasive, Antioxidant, Emollient, Skin Conditioning
Community Rating: Loved

Avena Sativa Kernel Extract is is derived from colloidal oatmeal. It is formed from grounded oatmeal and a liquid base.

Besides being a healthy breakfast, oats have many benefits in skincare too.

This ingredient helps sooth, hydrate, and protect the skin. The starches in colloidal oatmeal are able to bind water, keeping the skin hydrated.

The cellulose and fiber in colloidal oatmeal help reduce inflammation. This can also help the skin feel softer.

Colloidal Oatmeal is also an antioxidant. Antioxidants help stabilize free-radical molecules. These molecules may damage skin cells.

Avenacins found in colloidal oatmeal have anti-fungal properties. The saponins have a cleaning affect.

Overall, colloidal oatmeal is great at providing the skin with moisture and help sooth irritation. It also protects the skin in various ways.

Learn more about Avena Sativa Kernel Extract
15
What it does: Emollient, Skin Conditioning
Community Rating: Mixed

Glycine Soja Sterols is derived from the soybean plant. Sterols are an organic compound and technically an alcohol.

Unlike solvent alcohols, glycine soja sterols have emollient properties and help hydrate the skin.

This ingredient may not be Malassezia folliculitis, or fungal-acne safe.

Sterols can be found in plants, animals, and fungi.

Learn more about Glycine Soja Sterols
16
What it does: Skin Conditioning
Community Rating: Mixed

Retinyl palmitate is a form of retinoid. It is created from palmitic acid and retinol.

This ingredient has antioxidant and exfoliating properties. Like other types of retinols, retinyl palmitate increases cell turnover. Removing dead skin cells and encouraging the growth of new ones improves skin tone and unclogs pores. This in turn promotes brighter looking skin and even skin texture.

As an antioxidant, retinyl palmitate helps neutralize free-radical molecules. These molecules have the potential to damage skin cells. Thus, antioxidants may help with anti-aging.

Retinyl palmitate can be good for be good for oily skin by helping to unclog pores. However, it may not be good for dry skin and fungal acne.

After using this product, you should follow up with sunscreen.

This ingredient is often added to low-fat milk to increase the levels of Vitamin A.

Learn more about Retinyl Palmitate
17
What it does: Antioxidant, Skin Conditioning
Community Rating: Liked

Tocopheryl Acetate is AKA Vitamin E. It is an antioxidant and protects your skin from free radicals. Free radicals damage the skin by breaking down collagen.

One study found using Tocopheryl Acetate with Vitamin C decreased the number of sunburned cells.

Tocopheryl Acetate is commonly found in both skincare and dietary supplements.

Learn more about Tocopheryl Acetate
18
What it does: Cleansing

We don't have a description for Sodium Carboxymethyl Beta-Glucan.

19
What it does: Emollient, Skin Conditioning
Community Rating: Loved

Squalane is an emollient that helps the skin hold onto moisture. It's an oily liquid that occurs naturally in certain types of fish and plant oils.

Because squalane boosts hydration in the skin, it also comes with plenty of benefits: it is an antioxidant and can help fight free radicals and skin damage. Squalane is also found to have a detoxifying effect when applied.

Squalane comes from squalene, which occurs naturally within the sebum of our skin. It is one of the oils our skin produces to keep itself hydrated. Squalane is the hydrogenated version of squalene and has a longer shelf life.

Research shows that squalane is non-irritating (even at 100% concentration).

In general, it's a fantastic ingredient. It does a great job at hydrating the skin, and it's suitable for those with sensitive skin.

The source of squalane may impact malassezia / fungal acne. This is because olive oil derived squalane can contain impurities such as fatty acids and plant waxes. Sugarcane derived squalane is recommended for anyone with malassezia concerns.

Is squalane vegan? This depends on the source. Squalane can be derived from both plants and animals. Most squalane used in skincare comes from plants.

Please note: the source of squalane is only known if disclosed by the brand. We recommend reaching out to the brand if you have any questions about their squalane.

Read more about squalene with an "e".

Learn more about Squalane
20
What it does: Skin Conditioning, Skin Protecting, Soothing
Community Rating: Loved

Allantoin plays a role in soothing and moisturizing the skin. Because of this, it is often added to products with strong active ingredients.

Some studies have shown this ingredient can promote wound healing with higher concentrations.

Allantoin is derived from the comfrey plant but produced synthetically for cosmetic products to ensure purity.

Learn more about Allantoin
21
What it does: Masking, Skin Conditioning, Soothing
Community Rating: Loved

Bisabolol is pimarily used to add fragrance to a product. However, it is also famous for helping soothe skin.

Bisabolol comes from German chamomile essential oil. Synthetic Bisabolol has been shown to be less effective.

Bisabolol helps soothe skin. It does this by blocking the inflammatory signals, helping to reduce your body's reaction to irritation.

Bisabolol also interferes with the process of hyperpigmentation. This can help with reducing dark spots and uneven tone.

Bisabolol is an antioxidant. Antioxidants help fight free-radicals. Free-radicals are molecules that may damage your skin cells. By fighting these free-radicals, Bisabolol may slow down signs of aging.

Studies have shown Bisabolol to have antimicrobial properties and may be a fungicide. These properties help preserve a product's shelf life.

Bisabolol also helps the absorption of other ingredients.

Learn more about Bisabolol
22
What it does: Skin Conditioning
Community Rating: Loved

Panthenol (also referred to as pro-vitamin B5) is a common ingredient that helps hydrate and soothe the skin.

lt is a humectant, meaning that it helps the skin attract and retain moisture.

Another benefit is the anti-inflammatory abilities. This means that it's great for sensitive, irritation-prone skin.

Once oxidized, panthenol converts to pantothenic acid. Panthothenic acid is found in all living cells.

Learn more about Panthenol
23
What it does: Humectant, Skin Conditioning
Community Rating: Loved

Sodium Hyaluronate is hyaluronic acid's salt form. It is commonly derived from the sodium salt of hyaluronic acid.

Like hyaluronic acid, it is great at holding water and acts as a humectant. This makes it a great skin hydrating ingredient.

Sodium Hyaluronate is naturally occurring in our bodies and is mostly found in eye fluid and joints.

These are some other common types of Hyaluronic Acid:

Learn more about Sodium Hyaluronate
24
What it does: Emulsifying, Emulsion Stabilising, Gel Forming, Skin Conditioning
Community Rating: Disliked

Xanthan gum is used as a stabilizer and thickener within cosmetic products. It helps give products a sticky, thick feeling - preventing them from being too runny.

On the technical side of things, xanthan gum is a polysaccharide - a combination consisting of multiple sugar molecules bonded together.

Xanthan gum is a pretty common and great ingredient. It is a natural, non-toxic, non-irritating ingredient that is also commonly used in food products.

Learn more about Xanthan Gum
25
What it does: Emollient, Emulsifying
Community Rating: Disliked

Glyceryl Stearate is a mix of glycerin and stearic acid.

Glyceryl Stearate is used to stabilize the mixing of water and oil ingredients. By preventing these ingredients from separating, it can help elongate shelf life. It can also help thicken the product's texture.

As an emollient, it helps soften skin and supports barrier-replenishing ingredients.

In cosmetics, Glyceryl Stearate is often made from vegetable oils or synthetically produced. The human body also creates Glyceryl Stearate naturally.

Learn more about Glyceryl Stearate
26
What it does:
Community Rating: Very Disliked

Peg-100 Stearate is an emollient and emulsifier. PEGS are a hydrophilic polyether compound . There are 100 ethylene oxide monomers in Peg-100 Stearate. Peg-100 Stearate is polyethylene glycol ester of stearic acid.

Peg-100 Stearate helps keep skin soft by trapping moisture in. It helps prevent oil and water from separating in a product. By binding oil and water, it helps remove dirt and oil to be rinsed away.

27
What it does: Emulsifying
Community Rating: Very Disliked

Isoceteth-20 comes from Isocetyl Alcohol. It is an emulsifier. Emulsifiers help stabilize a product. It does this by preventing certain ingredients from separating.

28
What it does: Humectant, Masking, Skin Conditioning, Solvent
Community Rating: Mixed

Butylene Glycol (or BG) is used within cosmetic products for a few different reasons:

  • It is a solvent, meaning that it helps to dissolve other ingredients. This also enhances the absorption of the product into one's skin.
  • It is a humectant, which means that it helps attract moisture into the skin.
  • It helps improve product application.

Overall, Butylene Glycol is a safe and well-rounded ingredient. It is unlikely to irritate skin, and works well with pretty much all other ingredients.

29
What it does: Humectant, Solvent
Community Rating: Mixed

Ethoxydiglycol is a synthetic solvent.

Solvents are used to keep ingredients together in a product. They can help dissolve ingredients to stable bases or help evenly distribute ingredients throughout the product.

Ethoxydiglycol also helps deliver other key ingredients into the skin.

Learn more about Ethoxydiglycol
30
What it does: Emulsion Stabilising, Gel Forming
Community Rating: Disliked

Carbomer is a polymer of acrylic acid. Its main role is to create gel consistency within products.

Carbomer is commonly found in many types of cosmetics products. It is found to be safe in concentrations up to 15%. However, a high amount of carbomer can cause pilling or balling up of products. Most products contain 1% of less of carbomer.

31
What it does:
Community Rating: Disliked

Disodium EDTA plays a role in making products more stable by aiding other preservatives.

It is a chelating agent, meaning it neutralizes metal ions that may be found in a product.

Disodium EDTA is a salt of edetic acid and is found to be safe in cosmetic ingredients.

Learn more about Disodium EDTA
32
What it does: Skin Conditioning
Community Rating: Mixed

Ethylhexylglycerin (we can't pronounce this either) is commonly used as a preservative and skin softener. It is derived from glyceryl.

You might see Ethylhexylglycerin often paired with other preservatives such as phenoxyethanol. Ethylhexylglycerin has been found to increase the effectiveness of these other preservatives.

33
What it does: Preservative
Community Rating: Very Disliked

Phenoxyethanol is a preservative that has germicide, antimicrobial, and aromatic properties. Studies show that phenoxyethanol can prevent germ and microbial growth. By itself, it has a scent that is similar to that of a rose.

It's often used in formulations along with Caprylyl Glycol to preserve the shelf life of products.

34
What it does: Emollient, Humectant, Skin Conditioning
Community Rating: Liked

Caprylyl Glycol is a humectant and emollient, meaning it attracts and preserves moisture.

It is a common ingredient in many products, especially those designed to hydrate skin. The primary benefits are retaining moisture, skin softening, and promoting a healthy skin barrier.

Though Caprylyl Glycol is an alcohol derived from fatty acids, it is not the kind that can dry out skin.

This ingredient is also used as a preservative to extend the life of products. It has slight antimicrobial properties.

Learn more about Caprylyl Glycol
35
What it does:
Community Rating: Liked

Caprylhydroxamic Acid is a chelating agent.

Chelating agents help prevent metal ions from binding to other ingredients. This helps prevent unwanted reactions and effects from using the product.

Caprylhydroxamic Acid is often used with natural antimicrobial products as an alternative to preservatives.

Learn more about Caprylhydroxamic Acid
36
What it does: Preservative
Community Rating: Disliked

Potassium Sorbate is a preservative used to prevent yeast and mold in products. It is commonly found in both cosmetic and food products.

Potassium sorbate is potassium salt derived from sorbic acid. Sorbic acid is a natural antibiotic and effective against fungus.

Potassium sorbate and sorbic acid can be found in baked goods, cheeses, dried meats, dried fruit, ice cream, pickles, wine, yogurt, and more.

Potassium sorbate is often used with stronger preservatives.

Learn more about Potassium Sorbate
Embed Ingredients

Here's what our community thinks of the 36 ingredients in this product ✨

42% are loved or liked
17% have mixed ratings
36% are disliked or very disliked
6% have no rating yet

When to use

Here's some more info on how this product is used by our community.

Directions

Apply twice daily after cleansing, toning and using treatment products. Apply to your entire face, (neck and chest if desired). Avoid getting in eyes. If contact occurs, rinse eyes thoroughly with water. Discontinue use if irritation or rash occurs. If symptoms persist,...

Apply twice daily after cleansing, toning and using treatment products. Apply to your entire face, (neck and chest if desired). Avoid getting in eyes. If contact occurs, rinse eyes thoroughly with water. Discontinue use if irritation or rash occurs. If symptoms persist, consult a doctor. Apply a small amount to face and gently massage into the skin.

When to use

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