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Acne Face Cleanser With Benzoyl Peroxide And Witch Hazel Extract

The complication, however, is that different extracts and distillates can be made from different parts of the plant (bark, twigs, and leaves are typically used) and different extraction methods from different parts produce different results. So if you see only Witch Hazel Extract or Witch Hazel Water on the ingredient list, it's a bit hard to know what you're actually getting but we will try to summarize the possibilities to give an idea.

The main biologically active components in Witch Hazel are hamamelitannin (a potent astringent and antioxidant), catechins (anti-inflammatory and antioxidant) and gallic acid (antibacterial). The bark extract contains by far the most hamamelitannin and it has the most gallic acid and catechins. The twigs contain fewer catechins, less gallic acid, and much less hamamelitannin (4.77% vs 0.18%). The leaves contain hardly any tannins (0.04%) or catechins and contain a medium amount of gallic acid (compared to the bark and twigs).

Witch Hazel also contains tiny amounts of the essential oil and fragrance component eugenol, but the amount is so small that it's probably not significant for the skin.

Apart from the differences in active components in different parts of the Witch Hazel bush, the extraction methods also vary. Witch Hazel Distillate contains 14% added alcohol according to the USP specifications  and alcohol is, at best drying, and at worst skin-damaging. Luckily, there are also alcohol-free distillates, so if you prefer no alcohol check the ingredient list carefully. Witch Hazel Extracts can also be made in different ways: browsing Ulprospector, we could find hydroglycolic, hydroalcoholic and glicerine/water based extracts.

Well-known skin care expert, Paula Begoun rates witch hazel as poor and says,  "depending on the form of witch hazel, you’re exposing your skin either to a sensitizing amount of alcohol or to tannins, or both." This might be the case if you are dealing with an alcoholic witch hazel bark water or extract, but looking at CosIng (the official INCI name listing of the EU), witch hazel bark water or witch hazel bark extract are not listed ingredients. Bark and leaf or bark and twig or all three are used together to create extracts, so the chance that there is too much hamamelitannin in the final cosmetic ingredient seems small. Also alcohol-free extracts and distillates exist; actually, the majority seem to be alcohol-free nowadays. So all in all, we think "Hamamelis Virginiana Extract" on the ingredient list is nothing to worry about.

We even found a German study that compared the efficacy of Hamamelis ointment to panthenol ointment for soothing the skin in children (from 27 days to 11 years old). They observed 309 children and concluded that both ointments were similarly effective but the one with Hamamelis was even better tolerated (98.2% vs. 92.3% tolerated well the ointments in the two groups).

All in all, Witch Hazel Extract is a sloppy INCI name (btw, not in the CosIng listing), and you do not really know what you're getting. Most probably though, you are getting a goody with nice astringent, soothing, antibacterial, and even antioxidant properties.

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.

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). 

Regarding skincare and tea tree oil, its most well-known effect is probably being a well established anti-acne ingredient. Multiple studies confirm that TTO is effective against the evil acne-causing bacteria called P. acnes and the effectiveness of 5% TTO gel is comparable to the gold standard anti-acne treatment, 5% Benzoyl Peroxide lotion. You need to be a bit more patient with TTO, though, as its effects come slower but also with fewer side effects.

Regarding TTO and sensitive skin, we say that you should be careful. Even if your skin is not sensitive you should never put undiluted TTO on your skin. Luckily, it contains only very small amounts of the common allergens (such as limonene), but irritant and allergic reactions still happen, especially by oxidation products that occur in older or not properly stored oil.  So if you have some pure TTO at home, know that storage matters, keep it in a cool, dry, dark place and use it up in a reasonable amount of time.

Overall, we do not often give a goodie status to essential oils, but we feel that TTO's unique antibacterial and anti-acne properties with its minimal allergen content warrant an exception. If your skin is acne-prone, TTO is something to experiment with.

Also, if your skin is sensitive, fragrance is again not your best friend. It’s the number one cause of contact allergy to cosmetics. It’s definitely a smart thing to avoid with sensitive skin (and fragrance of any type - natural is just as allergic as synthetic, if not worse!).