MEDICARE

Hydrant Day

Soothing: the manufacturer tested out the soothing effect in vivo (meaning on humans that is always a good thing!) by measuring how 3% Biosaccharide Gum-1 decreased the tingling sensation caused by 10% lactic acid. The result was good: the tingling was decreased by 47%.

Moisturizing: Compared to famous hyaluronic acid, it turns out that the two are great together. HA has a quicker effect and provides more instant hydration (much more hydration was measured after 1h of application), while our nice sugar has a somewhat delayed effect demonstrating stronger hydration after 3h of application. After 8 hours both had similar moisturizing effect. 

Anti-aging: According to ex-vivo tests (meaning not on humans, so do not trust it too much) Biosaccharide Gum-1 can stimulate a protein in our skin called sirtuin-1. This is supposed to help our skin cells to live longer, and function better. 

Resurfacing:  The sirtuin-1 stimulation also results in quicker cell renewal - something that happens anyway but slows down as we age. And the quicker cell renewal is good because it helps the regeneration of the barrier function. That is especially nice for fragile, sensitive skin.

Touch: our fermented sugar is not only good to the skin, but it also feels great on the skin. It gives a nice “soft touch” feeling and makes the products pleasant to use. 

The bottom line is that the above info is from the manufacturer (and we could not find any relevant independent research) so obviously take it with a grain of salt. But Biosaccharide Gum-1 does look as an interesting and promising ingredient that’s why it earned our goodie rating. 

Regarding safety, there are also some concerns around Octinoxate. In vitro (made in the lab not on real people) and animal studies have shown that it may produce hormonal (estrogen-like) effects. Do not panic, the studies were not conducted under real life conditions on real human people, so it is probably over-cautious to avoid Octinoxate altogether. However, if you are pregnant or a small child (under 2 yrs. old), choose a physical (zinc oxide/titanium dioxide) or new-generation Tinosorb based sunscreen, just to be on the super-safe side. :) 

Overall, Ethylhexyl Methoxycinnamate is an old-school chemical sunscreen agent. There are plenty of better options for sun protection today, but it is considered "safe as used" (and sunscreens are pretty well regulated) and it is available worldwide (can be used up to 10% in the EU and up to 7.5% in the US).

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. 

The key skill of Ectoin is protection that applies also to the skin. Its main mode of action is binding water molecules (aka kosmotropic) and creating hydro complexes. These complexes then surround important biomolecules (e.g. cells, proteins, enzymes) and form a stabilizing hydration shell around them. 

This protection mechanism means good things when it comes to our skin: Ectoin has antioxidant, anti-inflammatory, pollution& light protecting, skin hydrating, barrier repairing as well as anti-aging properties. 

A placebo-controlled 10-person study examined a four-week treatment with 0.5% Ectoin in the crow's feet area and found a significant anti-wrinkle effect (-19% mean wrinkle depth) in 100% of the participants. Another double-blind, placebo-controlled clinical study with 24 participants used a 2% Ectoin cream twice a day for 4 weeks and found an improvement in all of the measured parameters, such as wrinkle volume, skin scaling, roughness, and elasticity. 

Another remarkable property of Ectoin is protecting the epidermal immune cells called Langerhans cells from UV damage. 0.3% and 0.5% Ectoin cream was used twice a day for 14 days on the forearm and then irradiated with 1.5 MED UV (one and a half times the UV dose that causes detectable redness). While the untreated, UV-stressed area showed a 40% decrease in viable Langerhans cells, 0.5% Ectoin showed 100% protection (and 0.3% showed ~95% protection). 

The soothing efficacy is also backed up by multiple in-vivo studies. A 20-person study compared 1% Ectoin cream to 0.25% hydrocortisone treatment on surfactant irritated skin and found similar effectiveness in reducing skin redness.  Another study with 23 females with sensitive skin found that a 1% Ectoin cream helped to tolerate a 0.5% or 1% retinol treatment much better.  

A tiny, 5-person study examined the long-term (7 days) skin hydration effect of 1% Ectoin. During the study, hydration levels increased up to 200% compared to placebo, and even 7 days after stopping the treatment hydration status was largely preserved. Higher concentration (5-7%) Ectoin treatments are also used as OTC medical products for the treatment of eczema or atopic skin. 

The anti-pollution magic properties are also well-established and Ectoin is currently the only anti-pollution active ingredient approved for use in medical products (e.g. inhalation solutions) in Europe. Clinical studies showed a reduction of inflammations in human lungs of patients with COPD (a pulmonary disease) and pollution-induced asthma. But coming back to the skin, Ectoin protects both from PMs (Particulate Matters, including ultrafine) as well as PAHs (Polycyclic Aromatic Hydrocarbons) and heavy metals. 

If that weren't enough, Ectoin is also shown to protect the skin from blue and visible light, and pigmentation resulting from environmental stress (think UV, pollution, oxidative stress). 

All in all, we think Ectoin is one of those under-the-radar actives that deserves more hype than it is currently getting. As an amazing all-around skin protectant, it is a useful addition to any skincare routine. 

The extra nice thing about SOD is that it remains intact during the neutralization process and can continue its magic, while non-enzymatic antioxidants (like vitamin E) are used up during neutralization.

The efficacy studies of topical SOD are promising. In-vitro (made in the lab) tests show that SOD is a more effective antioxidant than vitamin E, green tea extract, and MAP. There is also an in-vivo (made on real people) study that measured how SOD can reduce the redness caused by UV rays and it was much more effective than vitamin E (pure or acetate form) and ascorbyl palmitate. 

All in all, SOD is a really potent antioxidant and slathering it all over yourself is a great way to give the skin a little extra help in protecting itself from all the bad environmental things out there. 

Another concern of BP-3 is that it shows some estrogenic activity, though it's probably not relevant when applied topically to the skin. Estrogenic activity was confirmed only in-vitro (in test tubes) and when taken orally by lab animals, and not when used topically as you would normally. In fact, a 2004 follow-up study to examine the estrogenic effect of sunscreens when used topically on the whole body found that "the endogenous levels of reproductive hormones were unaffected" (even though BP-3 could be detected both in plasma and urine, so its absorption is no doubt too good).

If that was not enough, Wikipedia claims that BP-3 is nowadays the most common allergen found in sunscreens, and the always-trustworthy smartskincare writes that "[benzophenones] have been shown in some studies to promote the generation of potentially harmful free radicals".

On the up side, sunscreens are pretty well regulated in several parts of the world, and BP-3 is considered "safe as used" and is an allowed sunscreen agent everywhere. It can be used in concentrations of up to 10% in the EU and up to 6% in the US.

Overall, BP-3 is probably our least favorite sunscreen agent and we prefer sunscreens without it. However, if you find a formula that you love and contains BP-3, we do not think that you should throw it away. A sunscreen with BP-3 is definitely better than no sunscreen. 

The main thing of these largish peptides is to act as water-binding agents, and to make the skin nice and smooth (aka emollient). Hydrolyzed Collagen is also often used in cleansers as it can make harsh surfactants milder and in hair conditioners as it improves the flexibility and manageability of hair. 

If you wanna know more about collagen in cosmetics, we have a shiny explanation about soluble collagen here >> 

Other than having a good safety profile and being quite gentle to the skin it has some other advantages too. It can be used in many types of formulations as it has great thermal stability (can be heated up to 85°C) and works on a wide range of pH levels (ph 3-10). 

It’s often used together with ethylhexylglycerin as it nicely improves the preservative activity of phenoxyethanol.

MAP does solve the stability problem: it's stable up to pH 7, so far so good. What is not so good is that, as the great review study about vitamin C derivatives in the Journal of Cosmetic Dermatology writes, MAP is "at very best, poorly absorbed in comparison to AA." 

Moreover,  derivatives not only have to be absorbed into the skin, they also have to be converted into pure AA. The good news is that in-vitro data shows that MAP does convert, but the bad news is we do not really know if the same is true on real, living human skin. Even if it does, we don't know how good the conversion rate is (but to be fair the same is true for all other derivatives).

Regarding the three magic abilities of pure vitamin C (antioxidant, collagen booster, skin brightener), there is no published data about MAP's antioxidant or photoprotection capabilities. We have better news about the other two things: in-vitro data shows that MAP can boost collagen synthesis similar to AA (though in the case of AA it's proven in-vivo) and even better, MAP is proven to work as a skin brightener in-vivo (on real people). 

Bottom line: when it comes to vitamin C derivatives, MAP is definitely an option. We especially recommend it if you are after skin brightening as this seems to be the strongest point of MAP. 

One of the biological activities of the centellosides is to be able to stimulate GAGs  (glycosaminoglycans - polysaccharides that are part of the liquidy stuff between our skin cells), and especially hyaluronic acid synthesis in our skin. This is probably one of the reasons why Centella Asiatica Extract has nice skin moisturizing properties that was confirmed by a 25 people, four weeks study along with Centella's anti-inflammatory effects.

Madecassoside can also help in burn wound healing through increasing antioxidant activity and enhancing collagen synthesis. Asiaticoside was shown to increase antioxidant levels on rats skin when applied at 0.2%. 

Centella Asiatica also often shows up in products that try to treat cellulite or striae. Of course, it cannot make a miracle but it might have some effect via regulating microcirculation and normalizing the metabolism in the cells of connective tissues. 

Bottom line: Gotu Kola is a great plant ingredient with proven wound healing, anti-inflammatory, and antioxidant properties. Nice to spot on any ingredient list.