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Galderma Twyneo

Twyneo

A fixed-dose combination topical cream combining tretinoin and benzoyl peroxide for the first time in history; indicated to treat acne vulgaris in patients age 9 and above.
Uploaded by: 0ctopusboiii on

Galderma Twyneo
Ingredients explained

What-it-does: anti-acne

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.

Tretinoin (0.1%) - superstar
Also-called: All-Trans-Retinoic Acid, Form of Retinoids | What-it-does: cell-communicating ingredient
  • Tretinoin (a metabolite of vitamin A) is the gold standard anti-aging ingredient that is also FDA-approved (and it's the only one so far!)
  • It's an all around skin issue fixer as it works at the skin cell level and makes your skin cells behave in a healthy and normal way
  • It makes the skin less wrinkled, firmer, smoother and tighter, everything you could want from an anti-aging ingredient
  • It's also an effective acne treatment. It normalizes keratinization and makes the pores produce less sebum
  • It's also a skin lightener though not as effective as gold-standard hydroquinone.
  • Side effects with tretinoin are very common. Irritation, skin flaking, redness, and drier skin are usual
  • Do not use tretinoin (or any form of retinoids) while pregnant
  • To minimize side effects introduce tretinoin slowly into your routine (see more how to use tips in geeky details)
Read all the geeky details about Tretinoin here >>

What-it-does: buffering

Citric acid comes from citrus fruits and is an AHA. If these magic three letters don’t tell you anything, click here and read our detailed description on glycolic acid, the most famous AHA. 

So citric acid is an exfoliant, that can - just like other AHAs - gently lift off the dead skin cells of your skin and make it more smooth and fresh. 

Also-called: Butylated Hydroxy Toluene;BHT | What-it-does: antioxidant, preservative

It's the acronym for Butylated Hydroxy Toluene. It's a common synthetic antioxidant that's used as a preservative.

There is some controversy around BHT. It's not a new ingredient, it has been used both as a food and cosmetics additive since the 1970s. Plenty of studies tried to examine if it's a carcinogen or not. This Truth in Aging article details the situation and also writes that all these studies examine BHT when taken orally.

What-it-does: viscosity controlling, emulsion stabilising | Irritancy: 0 | Comedogenicity: 1

A big molecule created from repeated subunits (a polymer of acrylic acid) that magically converts a liquid into a nice gel formula.  It usually has to be neutralized with a base (such as sodium hydroxide) for the thickening to occur and it creates viscous, clear gels that also feel nice and non-tacky on the skin. No wonder, it is a very popular and common ingredient. Typically used at 1% or less in most formulations.

We don't have description for this ingredient yet.

What-it-does: emollient, viscosity controlling, emulsion stabilising | Irritancy: 2 | Comedogenicity: 2

A so-called fatty (the good, non-drying kind of) alcohol that does all kinds of things in a skincare product: it makes your skin feel smooth and nice (emollient), helps to thicken up products and also helps water and oil to blend (emulsifier). Can be derived from coconut or palm kernel oil.

What-it-does: emollient | Irritancy: 0 | Comedogenicity: 0

Cyclomethicone is not one type of silicone, but a whole mixture of them: it's a mix of specific chain length (4 to 7) cyclic structured silicone molecules. (There seems to be a confusion on the internet whether Cyclomethicone and Cyclopentasiloxane are the same. They are not the same, but Cyclopentasiloxane is part of the mixture that makes up Cyclomethicone). 

All the silicones in the Cyclomethicone mixture are volatile, meaning they evaporate from the skin or hair rather than stay on it. This means that Cyclomethicone has a light skin feel with none-to-minimal after-feel.  It also makes the formulas easy to spread and has nice emollient properties.

What-it-does: chelating

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.

Glycerin - superstar
Also-called: Glycerol | What-it-does: skin-identical ingredient, moisturizer/humectant | Irritancy: 0 | Comedogenicity: 0
  • A natural moisturizer that’s also in our skin
  • A super common, safe, effective and cheap molecule used for more than 50 years
  • Not only a simple moisturizer but knows much more: keeps the skin lipids between our skin cells in a healthy (liquid crystal) state, protects against irritation, helps to restore barrier
  • Effective from as low as 3% with even more benefits for dry skin at higher concentrations up to 20-40%
  • High-glycerin moisturizers are awesome for treating severely dry skin
Read all the geeky details about Glycerin here >>

What-it-does: buffering

We don't have description for this ingredient yet.

What-it-does: preservative

We don't have description for this ingredient yet.

Lactic Acid - superstar
  • It’s the second most researched AHA after glycolic acid
  • It gently lifts off dead skin cells to reveal newer, fresher, smoother skin
  • It also has amazing skin hydrating properties
  • In higher concentration (10% and up) it improves skin firmness, thickness and wrinkles
  • Choose a product where you know the concentration and pH value because these two greatly influence effectiveness
  • Don’t forget to use your sunscreen (in any case but especially so next to an AHA product)
Read all the geeky details about Lactic Acid here >>

This is a trade name with the following INCI listing: PEG-50 Stearate

This ingredient name is not according to the INCI-standard. :( What, why?!

We don't have description for this ingredient yet.

We don't have description for this ingredient yet.

What-it-does: emollient, emulsifying

We don't have description for this ingredient yet.

Diglycerin - goodie

The big brother of glycerin. It's also a natural moisturizing factor that reduces water evaporation from the upper layer of the skin and helps to keep water in the skin so that it stays nicely hydrated.

Compared to glycerin, it has a larger molecular structure (kind of a double glycerin). Thanks to this, it penetrates slower into the skin but gives longer lasting moisture and less sticky, better skin-feel.

We don't have description for this ingredient yet.

Also-called: Aqua;Water | What-it-does: solvent

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. 

A white powdery thing that's the major component of glass and sand. In cosmetics, it’s often in products that are supposed to keep your skin matte as it has great oil-absorbing abilities. It’s also used as a helper ingredient to thicken up products or suspend insoluble particles. 

Also-called: lye | What-it-does: buffering

The unfancy name for it is lye. It’s a solid white stuff that’s very alkaline and used in small amounts to adjust the pH of the product and make it just right. 

For example, in case of AHA or BHA exfoliants, the right pH is super-duper important, and pH adjusters like sodium hydroxide are needed.  

Squalane - goodie
What-it-does: skin-identical ingredient, emollient | Irritancy: 0 | Comedogenicity: 1

It seems to us that squalane is in fashion and there is a reason for it. Chemically speaking, it is a saturated  (no double bonds) hydrocarbon (a molecule consisting only of carbon and hydrogen), meaning that it's a nice and stable oily liquid with a long shelf life. 

It occurs naturally in certain fish and plant oils (e.g. olive), and in the sebum (the oily stuff our skin produces) of the human skin. As f.c. puts it in his awesome blog post, squalane's main things are "emolliency, surface occlusion, and TEWL prevention all with extreme cosmetic elegance". In other words, it's a superb moisturizer that makes your skin nice and smooth, without being heavy or greasy.

We don't have description for this ingredient yet.

We don't have description for this ingredient yet.

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what‑it‑does anti-acne
The gold standard topical ingredient in treating acne today. It is uniquely effective in treating inflammatory type acne, but it comes at a price (pro-oxidant and skin drying). [more]
what‑it‑does cell-communicating ingredient
The gold-standard, and only FDA-approved anti-aging active ingredient. It works on the skin cell level and makes your skin cells behave in a healthy and normal way. It's not only an anti-aging miracle but is also an effective acne treatment and skin lightener. [more]
what‑it‑does buffering
An AHA that comes from citrus fruits. It is usually used as a helper ingredient to adjust the pH of the formula. [more]
what‑it‑does antioxidant | preservative
It's the acronym for Butylated Hydroxy Toluene. It's a common synthetic antioxidant that's used as a preservative.There is some controversy around BHT. [more]
what‑it‑does viscosity controlling
irritancy, com. 0, 1
A handy white powder that magically converts a liquid into a nice gel formula. [more]
what‑it‑does antimicrobial/antibacterial | emulsifying | preservative | surfactant/cleansing
what‑it‑does emollient | viscosity controlling
irritancy, com. 2, 2
A fatty (the good, non-drying kind of) alcohol that makes your skin feel smooth and nice (emollient), helps to thicken up products and also helps water and oil to blend (emulsifier).
what‑it‑does emollient
irritancy, com. 0, 0
A mixture of 4 to 7 chain length cyclic silicones. It's a light, volatile ingredient that gives skin or hair a smooth feel and has emollient properties. [more]
what‑it‑does chelating
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. [more]
what‑it‑does skin-identical ingredient | moisturizer/humectant
irritancy, com. 0, 0
A real oldie but a goodie. Great natural moisturizer and skin-identical ingredient that plays an important role in skin hydration and general skin health. [more]
what‑it‑does buffering
what‑it‑does preservative
what‑it‑does exfoliant | moisturizer/humectant | buffering
A superstar AHA that not only exfoliates skin but is also a very good moisturizer. In higher concentration (10% and up) it can even improve skin firmness, thickness, and wrinkles. [more]
what‑it‑does emulsifying | surfactant/cleansing
what‑it‑does emulsifying | surfactant/cleansing
what‑it‑does emollient | emulsifying
what‑it‑does skin-identical ingredient | moisturizer/humectant
The big brother of glycerin. A natural moisturizing factor that compared to glycerin penetrates slower into the skin but gives longer lasting moisture and less sticky, better skin-feel. [more]
what‑it‑does solvent
Normal (well kind of - it's purified and deionized) water. Usually the main solvent in cosmetic products. [more]
what‑it‑does viscosity controlling
A white powdery thing that can mattify the skin and thicken up cosmetic products. [more]
what‑it‑does buffering
Lye - A solid white stuff that’s very alkaline and used in small amount to adjust the pH of the product.  [more]
what‑it‑does skin-identical ingredient | emollient
irritancy, com. 0, 1
An emollient and natural moisturizer that can be found also in the sebum (oily stuff our skin produces). It leaves a nice non-greasy, non-heavy feeling on the skin. [more]
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