A Comparative Analysis of 8 Facial Cleansers Using Corneosurfametry Reveals Differentiated Irritation Potential

July 2026 | Volume 25 | Issue 7 | 655 | Copyright © July 2026


Published online June 29, 2026

Sindhu Garimella MS, Thu Q. Nguyen PhD, Christine Emesiani PharmD, Matthew Meckfessel PhD

Galderma Laboratories, LP, Fort Worth, TX

Abstract
Background: Facial cleansers can disrupt the stratum corneum and cause irritation. Selecting a cleanser that is both effective and gentle is foundational to a tailored skincare routine, particularly for individuals with sensitive skin. This project assessed the relative mildness of Cetaphil® Gentle Skin Cleanser (GSC; Galderma Laboratories, LP, Fort Worth, TX) vs 7 other commercially available gentle cleansers using corneosurfametry.
Methods: Surface skin cells were collected from the volar forearms of 18 volunteer participants using D‑Squame® standard sampling discs. Discs were then incubated for 10 minutes in a 10% aqueous solution of one of the 8 cleansers, 5% sodium lauryl sulfate (positive control), or water (negative control). Samples were stained with toluidine blue–basic fuchsin and measured by chromameter. Colorimetric index of mildness (CIM) least-squares means were compared pairwise versus GSC, and photographs provided qualitative corroboration. A higher CIM indicated a milder cleanser, while a lower CIM indicated a harsher cleanser.
Results: The mean CIM for GSC was 63.87; pairwise comparisons indicated statistically significant differences between GSC and the mean CIM of the 7 comparators, which ranged from 46.95 to 53.32. Photographic tape appearance was concordant with CIM rankings.
Conclusion: GSC was significantly milder than the comparator cleansers as assessed by CIM and photographic analysis of the tape strips. These data suggest that there are differences in irritation potential among commercially available facial cleansers, which may help ensure patients and providers select a sufficiently mild cleanser for those with sensitive skin.

INTRODUCTION

The stratum corneum serves as the primary physical barrier of the skin, protecting against environmental insults, microbial invasion, and transepidermal water loss (TEWL).1 This outermost epidermal layer consists of corneocytes embedded within a lipid-rich intercellular matrix ("brick and mortar" model), and its integrity is essential for skin homeostasis.2

Cleansing products are among the most frequently used topical formulations worldwide, and their interaction with the skin is determined largely by the type and concentration of surfactants they contain.3-5 Although surfactants enable the removal of dirt and sebum, conventional anionic surfactants, most notably sodium lauryl sulfate (SLS), can solubilize intercellular lipids, denature stratum corneum proteins, and induce inflammatory responses.6,7 Barrier disruption from certain surfactant-based cleansers can contribute to adverse cutaneous responses, ranging from subclinical irritation to clinically evident contact dermatitis.6 Additionally, the concentration of surfactants, pH, and other components of the final formula can all contribute to the overall mildness of a cleanser.

Sensitive skin is common, affecting up to 70% of people globally, and it can be associated with meaningful quality-of-life impacts for affected individuals.8,9 Sensitive skin is often characterized by heightened reactivity to topical agents and environmental stimuli, producing symptoms such as stinging, burning, tightness, and erythema in response to products typically tolerated by the general population.10-12 Proposed mechanisms of this heightened reactivity include impaired barrier function, increased TEWL, and heightened neurosensory responsiveness, which together may increase susceptibility to irritation from surfactant-based cleansing formulations.10-12

Consequently, selecting a cleanser that effectively removes impurities while preserving barrier integrity is foundational to managing sensitive skin and developing a tailored skincare regimen.13 Topical cosmetic formulations can influence stratum corneum hydration and epidermal barrier function; barrier-supportive product selection, therefore, remains an important consideration in individualized at-home skincare routines.14,15