Efficacy and Tolerance of a Polymeric Surfactant Technology-Based Cleanser for Clinically Diagnosed Sensitive Skin

October 2024 | Volume 23 | Issue 10 | 8510 | Copyright © October 2024


Published online September 1, 2024

doi:10.36849/JDD.8510

Zoe Diana Draelos MDa, Rabab Hussain PharmD RPhb, Heather Smith b, Thomas Shyr b, Neena K. Tierney PhDb

aDermatology Consulting Service, PLLC, High Point, NC
bJohnson & Johnson Consumer Inc., a subsidiary of Kenvue Inc., Skillman, NJ

Abstract


Background:
Cleansing is an important hygiene activity, necessary to prevent bacterial, fungal, yeast, and viral infection. However, in the presence of skin disease, cleansing can take on a new challenge: removing the sebum, sweat, externally applied substances, environmental debris, and organisms from the face without damaging the skin barrier. Since cleansers cannot easily distinguish between sebum and the intercellular lipids required to maintain skin integrity, unique cleansing technologies are necessary to provide mild cleansing for the many manifestations of sensitive skin.
Objective: This 4-week clinical study aimed to evaluate the appropriateness of a cosmetic facial foaming gel cleanser with a polymeric surfactant technology in a diverse sensitive skin population.
Method: 85 subjects with sensitive skin due to eczema/atopic dermatitis, rosacea, acne, or cosmetic intolerance syndrome were evaluated via investigator grading, self-assessment questionnaire, noninvasive measurements, and digital photography.
Results: The foaming gel cleanser was well tolerated showing no significant increases in investigator-graded irritation endpoints. Sensitive skin subjects saw considerable reduction (P<0.05) in stinging, itching, burning, tightness, and overall sensitivity at 2 and 4 weeks. Improvements in smoothness, softness, clarity, radiance, and overall skin appearance, were observed by both the investigator and patients (P<0.05) at 2 and 4 weeks.
Conclusion: The polymeric surfactant technology-based foaming gel cleanser provided a rich, foaming lather that felt gentle and left skin feeling comfortable.

J Drugs Dermatol. 2024;23(10): doi:10.36849/JDD.8510

INTRODUCTION

Cleansing is an important hygienic activity for maintaining skin health; however, cleansers cannot distinguish between the lipids from sebum and environmental dirt and the intercellular lipids necessary for a robust skin barrier. A careful balance must be created when designing a cleanser formulation to remove enough water- and oil-soluble dirt without worsening sensitive skin. The substances that produce cleansing are known as surfactants. A new method to achieve this cleansing balance while respecting the skin barrier is the development of polymeric surfactant cleansing technologies. These technologies can provide premium cleansing and foaming aesthetics while minimizing surfactant penetration into the skin.1 Surfactant penetration occurs when the skin is exposed to highly alkaline detergents that swell the stratum corneum, enabling penetration. Much of the skin tightness that is experienced post-cleansing is an indication of cleanser penetration through the stratum corneum and the interaction between proteins and lipids in the epidermis2 resulting in skin tightness, skin dryness, epidermal barrier damage, erythema, irritation, and itching.3-7

The key to cleansing is the formation of micelles, which are spheres that have a hydrophobic interior to solubilize oily dirt and a hydrophilic exterior to allow the oily dirt to dissolve in water. The foaming action and mildness of the cleanser are influenced by the surfactant charge and formation of micelles helping to remove lipids from the skin surface.1,3,8 Hydrophobically modified polymers (HMP), such as potassium acrylate copolymer, physically associate with surfactants, resulting in the formation of polymer-surfactant complexes that are less irritating to the stratum corneum lipid barrier.1,9,10 HMPs interact with the hydrophobic tails of other surfactants, leading to the formation of larger surfactant structures and a reduction in the surfactant dynamics. HMPs also lower the effective concentration of free surfactant micelles in solution and facilitate foam formation.10 HMPs can also be combined with the next-generation polymeric cleansing technology,