Acne Multi-action Treatment Cream
Ingredients overview
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Key Ingredients
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Boots Dermacare Acne Multi-action Treatment CreamIngredients explained
The gold standard topical ingredient in treating acne. There is no miracle cure for acne (we do really wish for one, *sigh*), but Benzoyl Peroxide (BP) is probably the closest thing we have. But, as usual, big effects come with big side effects, so we think BP is best used as a last resort (at least, in the topical treatment field).
The good thing about BP is that it is amazingly effective against inflammatory-type acne. Not so much against blackheads or whiteheads, but against acne that is caused by the evil bacteria called Propionibacterium acnes (and that is most types of acne). Apart from being antibacterial, it is also anti-inflammatory, keratolytic and wound-healing, all of which are properties that make it so darn effective against spots.
Another big pro of BP is that there is no bacterial resistance to it, meaning if it works once it will continue to work. Antibiotics are also a common way to treat acne, but antibiotic-resistant P. acnes are increasing worldwide. BP will probably help you even if antibiotics have stopped working, and the two are also often combined for a more complex acne therapy. Btw, BP plays nice not only with antibiotics but also with retinoids.
The side-effects part? BP works its antibacterial magic by being a powerful oxidizing agent, meaning it is a pro-oxidant. As in the opposite of an antioxidant. BP literally generates evil ROS (reactive oxygen species) in the skin that kills P. acnes but also harms the surrounding skin cells. Ongoing BP-use ages your skin, which is why, we say, use it as a last resort. If you do use BP, please also use a good sunscreen and a good antioxidant serum to apologise to your skin (btw, these things are useful in any case). Use the BP treatment at night and the antioxidant serum in the morning so that they do not cancel each other out.
Another side effect of BP is that it can be very skin drying. BP is an example where more is not better. In fact, it is equally effective at concentrations of 2.5, 5.0 and 10%, but the higher the concentration the more irritating and drying side effects occur. So using BP at 2.5% percent is the ideal amount. Another side effect which is good to know is that BP can bleach bedsheets and clothes. Be careful with your expensive satin bedsheets.
Overall, Benzoyl Peroxide is a uniquely effective topical acne treatment, but it comes at a price. Use it as a last resort and for good measure (and with plenty of moisturizers, sunscreen, and antioxidant serum).
- Mandelic acid is an AHA that comes from bitter almond
- It can gently lift off dead surface skin cells and make the skin more smooth and even
- It has antibacterial properties
- It’s promising against acne and post inflammatory hyperpigmentation
- It’s light sensitive, so choose a product with opaque packaging
Lactobionic acid is the brother or maybe the sister of gluconolactone. Usually, it’s called a PHA, though some studies call it bionic acid or aldobionic acid. Not that this matters too much. What matters is that it’s similarly awesome to gluconolactone. So go read about gluconolactone to get the idea.
In a nutshell, it’s a next generation AHA, with almost all the benefits and more and without the irritation. It gently lifts off dead skin cells and makes your skin smooth and even. It moisturizes and helps the skin barrier. Can be used on sensitive skin too or post cosmetic procedure. In the long run, it has anti-aging benefits (though a tad less than AHAs), and it’s even an antioxidant.
Must try, just like the other AHAs.
It's an ester form of vitamin A (retinol + palmitic acid) that belongs to the "retinoid family". The retinoid family is pretty much the royal family of skincare, with the king being the FDA-approved anti-aging ingredient tretinoin. Retinol is also a very famous member of the family, but it's like Prince George, two steps away from the throne. Retinyl palmitate will be then Prince Charlotte (George's little sister), quite far (3 steps) away from the throne.
By steps, we mean metabolic steps. Tretinoin, aka retinoic acid, is the active ingredient our skin cells can understand and retinyl palmitate (RP) has to be converted by our metabolic machinery to actually do something. The conversion is a 3 step one and looks like this:
retinyl palmitate --> retinol -- > retinaldehyde --> all-trans-retinoic acid
As we wrote in our lengthy retinol description the problem is that the conversion is not terribly effective. The evidence that RP is still an effective anti-aging ingredient is not very strong, in fact, it's weak. Dr. Leslie Baumann in her fantastic Cosmetic Dermatology book writes that RP is topically ineffective.
What's more, the anti-aging effectiveness is not the only questionable thing about RP. It also exibits questionable behaviour in the presence of UV light and was the center of a debate between the non-profit group, EWG (whose intentions are no doubt good, but its credibility is often questioned by scientists) and a group of scientists and dermatologists lead by Steven Q. Wang, MD, director of dermatologic surgery at Memorial-Sloan Kettering Cancer Centre.
Dr. Leslie Baumann wrote a great review of the debate and summarized the research available about retinyl palmitate here. It seems that there is a study showing RP being photo protective against UVB rays but there is also a study showing RP causing DNA damage and cytotoxicity in association with UVA.
We think that the truth lies somewhere in the middle, and we agree with Dr. Baumann's conclusion: "sufficient evidence to establish a causal link between RP and skin cancer has not been produced. Nor, I’m afraid, are there any good reasons to recommend the use of RP". We would add especially during the day!
Bottom line: If you wanna get serious about retinoids, RP is not your ingredient (retinol or tretinoin is!). However, if you use a product that you like and it also contains RP, there is no reason to throw it away. If possible use it at night, just to be on the safe side.
Good old water, aka H2O. The most common skincare ingredient of all. You can usually find it right in the very first spot of the ingredient list, meaning it’s the biggest thing out of all the stuff that makes up the product.
It’s mainly a solvent for ingredients that do not like to dissolve in oils but rather in water.
Once inside the skin, it hydrates, but not from the outside - putting pure water on the skin (hello long baths!) is drying.
One more thing: the water used in cosmetics is purified and deionized (it means that almost all of the mineral ions inside it is removed). Like this, the products can stay more stable over time.
An extremely common multitasker ingredient that gives your skin a nice soft feel (emollient) and gives body to creams and lotions. It also helps to stabilize oil-water mixes (emulsions), though it does not function as an emulsifier in itself. Its typical use level in most cream type formulas is 2-3%.
It’s a so-called fatty alcohol, a mix of cetyl and stearyl alcohol, other two emollient fatty alcohols. Though chemically speaking, it is alcohol (as in, it has an -OH group in its molecule), its properties are totally different from the properties of low molecular weight or drying alcohols such as denat. alcohol. Fatty alcohols have a long oil-soluble (and thus emollient) tail part that makes them absolutely non-drying and non-irritating and are totally ok for the skin.
The distillate created from the leaves of the hazelnut-bush-like-magic-tree commonly called Witch Hazel. The distillate from the leaves is probably the gentlest, most diluted version of any kind of With Hazel ingredient.
The leaves contain much, much less active components than the bark (4.77% vs 0.04% tannins) and distillates are more diluted than extracts. So this one is probably just a "fancy-water" that resembles the properties of Witch Hazel Extract (astringent, soothing, antioxidant, antibacterial) in a very mild and gentle way.
We have gone into much more details about Witch Hazel here.
The gold standard topical ingredient in treating acne. There is no miracle cure for acne (we do really wish for one, *sigh*), but Benzoyl Peroxide (BP) is probably the closest thing we have. But, as usual, big effects come with big side effects, so we think BP is best used as a last resort (at least, in the topical treatment field).
The good thing about BP is that it is amazingly effective against inflammatory-type acne. Not so much against blackheads or whiteheads, but against acne that is caused by the evil bacteria called Propionibacterium acnes (and that is most types of acne). Apart from being antibacterial, it is also anti-inflammatory, keratolytic and wound-healing, all of which are properties that make it so darn effective against spots.
Another big pro of BP is that there is no bacterial resistance to it, meaning if it works once it will continue to work. Antibiotics are also a common way to treat acne, but antibiotic-resistant P. acnes are increasing worldwide. BP will probably help you even if antibiotics have stopped working, and the two are also often combined for a more complex acne therapy. Btw, BP plays nice not only with antibiotics but also with retinoids.
The side-effects part? BP works its antibacterial magic by being a powerful oxidizing agent, meaning it is a pro-oxidant. As in the opposite of an antioxidant. BP literally generates evil ROS (reactive oxygen species) in the skin that kills P. acnes but also harms the surrounding skin cells. Ongoing BP-use ages your skin, which is why, we say, use it as a last resort. If you do use BP, please also use a good sunscreen and a good antioxidant serum to apologise to your skin (btw, these things are useful in any case). Use the BP treatment at night and the antioxidant serum in the morning so that they do not cancel each other out.
Another side effect of BP is that it can be very skin drying. BP is an example where more is not better. In fact, it is equally effective at concentrations of 2.5, 5.0 and 10%, but the higher the concentration the more irritating and drying side effects occur. So using BP at 2.5% percent is the ideal amount. Another side effect which is good to know is that BP can bleach bedsheets and clothes. Be careful with your expensive satin bedsheets.
Overall, Benzoyl Peroxide is a uniquely effective topical acne treatment, but it comes at a price. Use it as a last resort and for good measure (and with plenty of moisturizers, sunscreen, and antioxidant serum).
We don't have description for this ingredient yet.
This ingredient name is not according to the INCI-standard. :( What, why?!
A synthetic emollient oil that leaves a soft non-greasy, non-sticky feel on the skin, absorbs fast and can be emulsified (mixed with water) very easily.
A super common, waxy, white, solid stuff that helps water and oil to mix together, gives body to creams and leaves the skin feeling soft and smooth.
Chemically speaking, it is the attachment of a glycerin molecule to the fatty acid called stearic acid. It can be produced from most vegetable oils (in oils three fatty acid molecules are attached to glycerin instead of just one like here) in a pretty simple, "green" process that is similar to soap making. It's readily biodegradable.
It also occurs naturally in our body and is used as a food additive. As cosmetic chemist Colins writes it, "its safety really is beyond any doubt".
We don't have description for this ingredient yet.
We don't have description for this ingredient yet.
The oil coming from the seeds of the nice, little, yellow-flowered plant called Evening Primrose. Similar to other plant oils, it's loaded with nourishing and moisturizing fatty acids. It's a very rich source of linoleic acid (66-76%), and also contains the soothing and healing superstar fatty acid, gamma-linolenic acid (aka GLA, 7-12%) (Btw, the richest known source of GLA is the borage oil, but evening primrose still counts as a very good source of it). It also contains oleic acid, but not too much around 6-15%.
Since the 1980's, EPO is a well-known food supplement and there are quite a lot of studies examining what happens if you take it orally. It seems to be helpful with a bunch of things: atopic dermatitis, dry eyes, brittle nails, sunburn and even acne.
As for the skin, it's a great hydrating plant oil, that can also reduce inflammation and irritation. It's a superb healing agent that can truly help dry skin, not just on the surface by covering it (and not letting water to evaporate) but by initiating structural changes within the skin. If that's not enough, it also helps skin cell regeneration.
All in all, a real goodie especially for dry, easily irritated skin.
The sodium salt of lactic acid. It's a great skin moisturizer and also used to regulate the pH value of the cosmetic formula. It's a natural ingredient approved by both ECOCERT and COSMOS.
We don't have description for this ingredient yet.
Lactobionic acid is the brother or maybe the sister of gluconolactone. Usually, it’s called a PHA, though some studies call it bionic acid or aldobionic acid. Not that this matters too much. What matters is that it’s similarly awesome to gluconolactone. So go read about gluconolactone to get the idea.
In a nutshell, it’s a next generation AHA, with almost all the benefits and more and without the irritation. It gently lifts off dead skin cells and makes your skin smooth and even. It moisturizes and helps the skin barrier. Can be used on sensitive skin too or post cosmetic procedure. In the long run, it has anti-aging benefits (though a tad less than AHAs), and it’s even an antioxidant.
Must try, just like the other AHAs.
- Mandelic acid is an AHA that comes from bitter almond
- It can gently lift off dead surface skin cells and make the skin more smooth and even
- It has antibacterial properties
- It’s promising against acne and post inflammatory hyperpigmentation
- It’s light sensitive, so choose a product with opaque packaging
We don't have description for this ingredient yet.
PCA stands for Pyrrolidone Carboxylic Acid and though it might not sound like it, it is a thing that can be found naturally in our skin. The sodium salt form of PCA is an important skin-identical ingredient and great natural moisturizer that helps the skin to hold onto water and stay nicely hydrated.
We don't have description for this ingredient yet.
A kind of polymer (big molecule from repeated subunits) that helps to thicken up and stabilize products. It usually comes to the formula as part of some thickener complex. For example, coupled with isohexadecane and polysorbate 80, the trio helps to create soft and supple textures.
A handy helper ingredient that comes in a white powder form and works as an anti-caking and oil-absorbing agent. It also gives products good spreadability, long lasting and velvet touch characteristics. It is popular both in skincare and makeup products.
We don't have description for this ingredient yet.
It's a petroleum derived emollient and thickener. It often comes to the formula as part of an emulsifier, thickener trio (with Polyacrylamide and Laureth-7). This trio is an easy-to-use liquid that helps to create nice, non-tacky gel formulas.
We don't have description for this ingredient yet.
It’s the most commonly used version of pure vitamin E in cosmetics. You can read all about the pure form here. This one is the so-called esterified version.
According to famous dermatologist, Leslie Baumann while tocopheryl acetate is more stable and has a longer shelf life, it’s also more poorly absorbed by the skin and may not have the same awesome photoprotective effects as pure Vit E.
It's an ester form of vitamin A (retinol + palmitic acid) that belongs to the "retinoid family". The retinoid family is pretty much the royal family of skincare, with the king being the FDA-approved anti-aging ingredient tretinoin. Retinol is also a very famous member of the family, but it's like Prince George, two steps away from the throne. Retinyl palmitate will be then Prince Charlotte (George's little sister), quite far (3 steps) away from the throne.
By steps, we mean metabolic steps. Tretinoin, aka retinoic acid, is the active ingredient our skin cells can understand and retinyl palmitate (RP) has to be converted by our metabolic machinery to actually do something. The conversion is a 3 step one and looks like this:
retinyl palmitate --> retinol -- > retinaldehyde --> all-trans-retinoic acid
As we wrote in our lengthy retinol description the problem is that the conversion is not terribly effective. The evidence that RP is still an effective anti-aging ingredient is not very strong, in fact, it's weak. Dr. Leslie Baumann in her fantastic Cosmetic Dermatology book writes that RP is topically ineffective.
What's more, the anti-aging effectiveness is not the only questionable thing about RP. It also exibits questionable behaviour in the presence of UV light and was the center of a debate between the non-profit group, EWG (whose intentions are no doubt good, but its credibility is often questioned by scientists) and a group of scientists and dermatologists lead by Steven Q. Wang, MD, director of dermatologic surgery at Memorial-Sloan Kettering Cancer Centre.
Dr. Leslie Baumann wrote a great review of the debate and summarized the research available about retinyl palmitate here. It seems that there is a study showing RP being photo protective against UVB rays but there is also a study showing RP causing DNA damage and cytotoxicity in association with UVA.
We think that the truth lies somewhere in the middle, and we agree with Dr. Baumann's conclusion: "sufficient evidence to establish a causal link between RP and skin cancer has not been produced. Nor, I’m afraid, are there any good reasons to recommend the use of RP". We would add especially during the day!
Bottom line: If you wanna get serious about retinoids, RP is not your ingredient (retinol or tretinoin is!). However, if you use a product that you like and it also contains RP, there is no reason to throw it away. If possible use it at night, just to be on the safe side.
We don't have description for this ingredient yet.
Sunflower does not need a big intro as you probably use it in the kitchen as cooking oil, or you munch on the seeds as a healthy snack or you adore its big, beautiful yellow flower during the summer - or you do all of these and probably even more. And by even more we mean putting it all over your face as sunflower oil is one of the most commonly used plant oils in skincare.
It’s a real oldie: expressed directly from the seeds, the oil is used not for hundreds but thousands of years. According to The National Sunflower Association, there is evidence that both the plant and its oil were used by American Indians in the area of Arizona and New Mexico about 3000 BC. Do the math: it's more than 5000 years – definitely an oldie.
Our intro did get pretty big after all (sorry for that), so let's get to the point finally: sunflower oil - similar to other plant oils - is a great emollient that makes the skin smooth and nice and helps to keep it hydrated. It also protects the surface of the skin and enhances the damaged or irritated skin barrier. Leslie Bauman notes in Cosmetic Dermatology that one application of sunflower oil significantly speeds up the recovery of the skin barrier within an hour and sustains the results 5 hours after using it.
It's also loaded with fatty acids (mostly linoleic (50-74%) and oleic (14-35%)). The unrefined version (be sure to use that on your skin!) is especially high in linoleic acid that is great even for acne-prone skin. Its comedogen index is 0, meaning that it's pretty much an all skin-type oil.
Truth be told, there are many great plant oils and sunflower oil is definitely one of them.
It's a type of lipid, a so-called sphingoid base that can be found naturally in the upper layer of the skin. It's found both in "free-form" and as part of famous skin lipids, ceramides.
There is emerging research about Phytosphingosine that shows that it has antimicrobial and cell-communicating properties and is considered part of the skin's natural defense system.
A 2007 study showed that Phytosphingosine even works against evil acne-causing bacteria, Propionibacterium acnes and shows promise as a complementing active ingredient in treating acne-prone skin thanks to its anti-inflammatory and antimicrobial activities.
A nice one to spot in the ingredient list. :)
A not-very-interesting helper ingredient that is used as an emulsifier and/or surfactant. Comes from a coconut oil derived fatty alcohol, lauryl alcohol.
Super common little helper ingredient that helps products to remain nice and stable for a longer time. It does so by neutralizing the metal ions in the formula (that usually get into there from water) that would otherwise cause some not so nice changes.
It is typically used in tiny amounts, around 0.1% or less.
It’s the - sodium form - cousin of the famous NMF, hyaluronic acid (HA). If HA does not tell you anything we have a super detailed, geeky explanation about it here. The TL; DR version of HA is that it's a huge polymer (big molecule from repeated subunits) found in the skin that acts as a sponge helping the skin to hold onto water, being plump and elastic. HA is famous for its crazy water holding capacity as it can bind up to 1000 times its own weight in water.
As far as skincare goes, sodium hyaluronate and hyaluronic acid are pretty much the same and the two names are used interchangeably. As cosmetic chemist kindofstephen writes on reddit "sodium hyaluronate disassociates into hyaluronic acid molecule and a sodium atom in solution".
In spite of this, if you search for "hyaluronic acid vs sodium hyaluronate" you will find on multiple places that sodium hyaluronate is smaller and can penetrate the skin better. Chemically, this is definitely not true, as the two forms are almost the same, both are polymers and the subunits can be repeated in both forms as much as you like. (We also checked Prospector for sodium hyaluronate versions actually used in cosmetic products and found that the most common molecular weight was 1.5-1.8 million Da that absolutely counts as high molecular weight).
What seems to be a true difference, though, is that the salt form is more stable, easier to formulate and cheaper so it pops up more often on the ingredient lists.
If you wanna become a real HA-and-the-skin expert you can read way more about the topic at hyaluronic acid (including penetration-questions, differences between high and low molecular weight versions and a bunch of references to scientific literature).
Beta-Glucan is a nice big molecule composed of many smaller sugar molecules (called polysaccharide). It’s in the cell walls of yeast, some mushrooms, seaweeds, and cereals.
It’s a real goodie no matter if you eat it or put it on your face. Eating it is anti-diabetic, anti-cancer, and even lowers blood cholesterol.
Putting it on your face also does a bunch of good things: it‘s shown to have intensive skin repairing & wound healing properties, it’s a mild antioxidant, a great skin soother, and moisturizer, and it even shows promising anti-aging benefits.
The manufacturer of the ingredient did a published study with 27 people and examined the effect of 0.1% beta-glucan. They found that despite the large molecular size the smaller factions of beta-glucan penetrate into the skin, even into the dermis (the middle layer of the skin where wrinkles form). After 8 weeks there was a significant reduction of wrinkle depth and height and skin roughness has also improved greatly.
Bottom line: Beta-glucan is a great ingredient, especially for sensitive or damaged skin. It soothes, moisturizes, and has some anti-aging magic properties.
- Primary fat-soluble antioxidant in our skin
- Significant photoprotection against UVB rays
- Vit C + Vit E work in synergy and provide great photoprotection
- Has emollient properties
- Easy to formulate, stable and relatively inexpensive
It's one of those things that help your cosmetics not to go wrong too soon, aka a preservative. It can be naturally found in fruits and teas but can also be made synthetically.
No matter the origin, in small amounts (up to 1%) it’s a nice, gentle preservative. Has to be combined with some other nice preservatives, like potassium sorbate to be broad spectrum enough.
In high amounts, it can be a skin irritant, but don’t worry, it’s never used in high amounts.
We don't have description for this ingredient yet.
A helper ingredient that helps to make the products stay nice longer, aka preservative. It works mainly against fungi and has only milder effect against bacteria.
It is Ecocert and Cosmos approved, works quite well at low concentrations (0.1-0.6%) and is popular in natural products.
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| what‑it‑does | anti-acne |
| what‑it‑does | exfoliant | antimicrobial/antibacterial |
| what‑it‑does | exfoliant | buffering |
| what‑it‑does | cell-communicating ingredient |
| irritancy, com. | 1-3, 1-3 |
| what‑it‑does | solvent |
| what‑it‑does | emollient | viscosity controlling | emulsifying | surfactant/cleansing |
| irritancy, com. | 1, 2 |
| what‑it‑does | soothing | antimicrobial/antibacterial |
| what‑it‑does | anti-acne |
| what‑it‑does | emollient |
| what‑it‑does | emollient | emulsifying |
| irritancy, com. | 0, 1 |
| what‑it‑does | perfuming |
| what‑it‑does | surfactant/cleansing |
| what‑it‑does | emollient | solvent |
| what‑it‑does | soothing | emollient |
| irritancy, com. | 2, 3 |
| what‑it‑does | buffering | moisturizer/humectant |
| what‑it‑does | exfoliant | buffering |
| what‑it‑does | exfoliant | antimicrobial/antibacterial |
| what‑it‑does | skin-identical ingredient | moisturizer/humectant |
| irritancy, com. | 0, 0 |
| what‑it‑does | antimicrobial/antibacterial |
| what‑it‑does | viscosity controlling |
| what‑it‑does | viscosity controlling |
| what‑it‑does | surfactant/cleansing | emulsifying | preservative | surfactant/cleansing |
| what‑it‑does | emollient | viscosity controlling | solvent |
| what‑it‑does | soothing |
| what‑it‑does | antioxidant |
| irritancy, com. | 0, 0 |
| what‑it‑does | cell-communicating ingredient |
| irritancy, com. | 1-3, 1-3 |
| what‑it‑does | preservative |
| what‑it‑does | surfactant/cleansing |
| what‑it‑does | emollient |
| irritancy, com. | 0, 0 |
| what‑it‑does | skin-identical ingredient | cell-communicating ingredient | anti-acne | antimicrobial/antibacterial |
| what‑it‑does | emulsifying | surfactant/cleansing |
| what‑it‑does | chelating |
| what‑it‑does | skin-identical ingredient | moisturizer/humectant |
| irritancy, com. | 0, 0 |
| what‑it‑does | soothing | moisturizer/humectant |
| what‑it‑does | antioxidant |
| irritancy, com. | 0-3, 0-3 |
| what‑it‑does | preservative | perfuming | solvent | viscosity controlling |
| what‑it‑does | preservative |