Redness

Dilated vessels and sensitivity.

Niacinamide

In a 12-week split-face study of 50 people, 5% niacinamide reduced fine lines, yellowing, red blotchiness and pigmented spots. The control was not nothing but the same moisturiser, and the manufacturer paid for the trial.

Not establishedBarrier lipid

Ceramides

An ingredient class — not a single line on an ingredient list

In 39 children with atopic dermatitis randomised three ways, a ceramide barrier cream, another prescription cream and an over-the-counter petrolatum ointment did not differ, and the petrolatum was at least 47 times more cost-effective. Applying emollients to newborns to prevent eczema also failed in a Cochrane review.

Moderate evidenceBarrier lipid

Panthenol

In a three-week study of 23 people on deliberately damaged skin, the reduction in transepidermal water loss was larger than control (−168.36 vs −123.38 g/m²/h, P = .023). What that control was, the abstract does not say.

Moderate evidenceSoothing

Centella asiatica

Centella Asiatica Extract

In a split-face trial of 30 people after laser resurfacing, the side treated with Centella extract gel showed a lower erythema index (coefficient −0.03, P = .046) and better crusting and wound appearance in the first days. Skin biophysics, though, did not differ between the two sides.

Ingredient dataSoothing

Alpha-bisabolol

Bisabolol

The Korean listed amount is 0.5%, the lowest of the nine whitening actives. But we could find no human trial comparing this ingredient on its own against vehicle. What turns up are studies of multi-ingredient formulas.

Medicines used for this concern

Medicines are not listed alongside cosmetic ingredients. Dosage and whether a prescription is needed are settled in consultation.

Azelaic acid Over the counter — ask the pharmacist

Clinical procedures related to this concern

Procedures are not listed alongside topical ingredients. They are not something you use at home.

In preparation.