Continually Updated Clinical Reference
 
 
  All Sources     eMedicine     Medscape     Drug Reference     MEDLINE
 
eMedicine - Skin and Hair Cleansers : Article by

Quick Find
Authors & Editors
Skin Cleansing
Cleansing Products
Cleansing Implements
Hair Cleansing
Types of Shampoos
Adverse Reactions To Hair Cleansing
Hair Conditioning
Summary
References




Patient Education
Click here for patient education.



Author: Zoe Diana Draelos, MD, Clinical Associate Professor, Department of Dermatology, Wake Forest University School of Medicine; Primary Investigator, Dermatology Consulting Services; Private Practice

Zoe Diana Draelos is a member of the following medical societies: Alpha Omega Alpha, American Academy of Cosmetic Surgery, American Academy of Dermatology, American Contact Dermatitis Society, American Medical Association, American Society for Dermatologic Surgery, North Carolina Medical Society, Sigma Xi, Society for Investigative Dermatology, and Women's Dermatologic Society

Editors: Barbara R Reed, MD, Clinical Associate Professor, Department of Dermatology, Dermatology Service, Denver Veterans Administration Hospital, University of Colorado Health Sciences Center; Consulting Staff, Denver Skin Clinic; David F Butler, MD, Professor of Dermatology, Texas A&M University College of Medicine; Director, Division of Dermatology, Scott and White Clinic; Director Dermatology Residency Training Program, Scott and White Clinic; Jeffrey P Callen, MD, Professor of Medicine, Chief, Division of Dermatology, University of Louisville School of Medicine; Catherine Quirk, MD, Clinical Assistant Professor, Department of Dermatology, Brown University; William D James, MD, Paul R Gross Professor of Dermatology, University of Pennsylvania School of Medicine; Vice-Chair, Program Director, Department of Dermatology, University of Pennsylvania Health System

Author and Editor Disclosure

Synonyms and related keywords: soap, shampoo, personal hygiene, cleansing cream, body wash, detergent, conditioner

Cleansing of the skin is a complex interaction between the stratum corneum barrier, environmental dirt, body secretions, and a surfactant. Washing of the skin is the single most common cause of dermatologic disease, yet it is necessary in terms of personal hygiene and health.



Soap

Most cleansing is accomplished with a product known as soap, which is obtained through the chemical reaction between a fat and an alkali, resulting in a fatty acid salt with detergent properties. Modern refinements include adjustments in the alkaline pH to decrease skin irritation and to incorporate substances that prevent precipitation of calcium fatty acid salts in hard water, known as soap scum.

Nevertheless, modern soap is basically a blend of tallow and nut oil, or the fatty acids derived from these products, in a ratio of 4:1. Increasing this ratio results in superfatted soaps designed to leave an oily film on the skin.

Bar and liquid cleansers can be divided into 3 basic types, as follows: (1) true soaps composed of long chain fatty acid alkali salts with a pH of 9-10; (2) combars composed of alkaline soaps to which surface active agents have been added, also with a pH of 9-10; and (3) syndet, or synthetic detergent, bars composed of synthetic detergents and fillers that contain less than 10% soap and that have an adjusted pH of 5.5-7.

The purpose in developing new synthetic detergents is to provide a product that is less irritating to the skin than traditional soaps are. Common detergents in bar-type cleansers are sodium cocoate, sodium tallowate, sodium palm kernelate, sodium stearate, sodium palmitate, triethanolamine stearate, sodium cocoyl isethionate, sodium isethionate, sodium dodecyl benzene sulfonate, and sodium cocoglyceryl ether sulfonate. Detergents in liquid formulations are sodium laureth sulfate, cocoamido propyl betaine, lauric acid diethenolamine (lauramide DEA), sodium cocoyl isethionate, and disodium laureth sulfosuccinate.

The normal pH of the skin is acidic, between 4.5 and 6.5. Applying alkali soap theoretically raises the pH of the skin, making it feel dry and uncomfortable. However, healthy skin rapidly regains surfactant; induced irritation remains a controversial area under investigation.

Special additives to the previously discussed formulations allow for the tremendous variety of soaps marketed today. Lanolin and paraffin may be added to a moisturizing syndet soap to create a superfatted soap, whereas sucrose and glycerin can be added to create a transparent bar. Adding olive oil instead of another form of fat distinguishes a Castile soap.

Medicated soaps may contain benzoyl peroxide, sulfur, or resorcinol antibacterials, such as triclocarban or triclosan. Triclocarban is excellent for eradicating gram-positive organisms, but triclosan eliminates both gram-positive and gram-negative bacteria. These soaps have a pH of 9-10 and may cause skin irritation. Moisturizing syndet bar soaps contain sodium lauryl isethionate with a pH adjusted to 5-7 by using lactic or citric acid. These products are less irritating to the skin and are sometimes labeled beauty bars. Most bar soaps marketed by cosmetic companies are of this type.

Additives to soap also are responsible for its characteristic appearance, feel, and smell. Titanium dioxide is added in concentrations as high as 0.3% to opacify the bar and to increase its optical whiteness. Pigments, such as aluminum lakes, can color the bar without producing colored foam, which is considered an undesirable characteristic. Foam builders, such as sodium carboxymethylcellulose and other cellulose derivatives, can make the lather feel creamy. Perfume in concentrations of 2% or more also can be added to ensure that the soap bar smells pleasant until it is completely used up.

Lipid-free cleansers

Lipid-free cleansers are liquid products that clean without fats. They are applied to dry or moistened skin, rubbed to produce lather, and rinsed or wiped away. These products may contain water, glycerin, cetyl alcohol, stearyl alcohol, sodium laurel sulfate, and (occasionally) propylene glycol.

Lipid-free cleansers leave behind a thin, moisturizing film and can be used effectively to remove facial cosmetics and dirt in persons with sensitive or dermatitic skin. Lipid-free cleansers cause less cutaneous irritation in photoaged skin than other cleansers. However, propylene glycol can cause stinging, and sodium laurel sulfate is a detergent.

Cleansing creams

Cleansing creams are applied to the face both to clean and to moisturize. They are composed of water, mineral oil, petrolatum, and waxes. The classic cream for facial cleansing is known as cold cream. Cold creams combine the effect of a lipid solvent, such as beeswax and mineral oil, with detergent action from borax, also known as decahydrate of sodium tetraborate. These products are popular to remove cosmetics and to provide cleansing for patients with dry skin.

Body washes

Body washes are a special subset of liquid synthetic detergents that combine mild skin cleansing with moisturizing and emollient qualities. They are applied with a puff that does not support bacterial growth to break the emulsion through the incorporation of generous amounts of air and water. High amounts of petrolatum can be incorporated in body wash emulsions to improve skin dryness and hydration.



Particulate abrasive scrubs

The recognition that exfoliation of desquamating corneocytes is desirable to produce smooth skin in maturing patients led to the concept of an abrasive scrub. Abrasive scrubs incorporate polyethylene beads, aluminum oxide, ground fruit pits, or sodium tetraborate decahydrate granules to induce various degrees of exfoliation.

Aluminum oxide particles and ground fruit pits produce the most abrasive scrub. In general, products containing these rough-edged particulates are not appropriate for individuals with sensitive skin. Polyethylene beads (eg, those in Clinique 7th Day Scrub), which are smooth and round, produce more mild scrubbing. The least aggressive abrasion of the skin is achieved with products that contain sodium tetraborate decahydrate granules, which soften and dissolve during use.

The main problem with abrasive scrub products for epidermabrasion is related to the firm scrubbing granules, which do not deform when pressed too hard against the skin.

Woven mesh sponges

Woven mesh products were introduced about the same time as abrasive scrubs and also induce exfoliation, but an implement is used instead of a particulate. The most popular product is composed of a nonwoven web sponge made of polyester fibers (Buf Puf). Originally, this product was designed to remove open comedones, but later, the stiffness of the web was decreased, and the sponge impregnated with a mild cleanser to produce products designed for various skin types.

Woven disposable face cloths

The desire for thorough but less abrasive cleansing led to the development of the disposable cleansing cloth. These cloths are composed of a combination of polyester, rayon, cotton, and cellulose fibers held together by heat through a technique known as thermobonding. Additional strength is imparted to the wipe by hydroentangling the fibers. This process is achieved by entwining the individual rayon, polyester, and wood pulp fibers with high-pressure jets of water and eliminates the need for adhesive binders thereby creating a soft, strong cloth.

The clothes are packaged dry and impregnated with a cleanser that foams modestly when the cloth is moistened. The type of cleanser in the cloth depends whether strong sebum removal is required for oily skin or whether modest sebum removal is required for dry skin. Humectants and emollients can also be added to the cloth to decrease barrier damage with cleansing or to smooth the skin scale present in xerosis.

In addition to the composition of the ingredients preapplied to the dry cloth, the weave of the cloth also determines its cutaneous effect. Two types of fiber weaves are used in facial products: open and closed. Open-weave cloths are so named because of the 2- to 3-mm windows in the cloth between the adjacent fiber bundles. This open weave softens the cloth and decreases the surface area in contact with the skin, yielding a milder exfoliating effect that is appropriate for people with dry and/or sensitive skin. In comparison, closed-weave cloths are designed with a tighter weave and provide more aggressive exfoliation. Ultimately, the degree of exfoliation achieved depends on the weave of the cloth, the pressure with which the cloth is stroked over the skin surface, and the length of time the cloth is applied.

Woven cleansing pouches

The cleansing pouch is a variation of fibered cloths; however, it can also be used as a metered-delivery system for skin-cleansing and skin-conditioning agents. To create this pouch, a plastic membrane is placed between 2 fibered cloths containing holes of various diameters. The size of the holes determines how quickly the contents of the pouch are released onto the skin surface. Typically, the cleansing pouch produces less exfoliation than that achieved with a plain cleansing cloth.

Mechanized face brush

The newest mechanized technique for facial cleansing is the face brush (Clarisonic; Pacific Biosciences Laboratories). The same team of engineers and researchers that developed the Sonicare Toothbrush (Phillips) also developed this brush. This hand-held device runs on a rechargeable battery attached to a miniaturized motor that creates an oscillatory motion of the brush head. This oscillatory sonic motion was developed to remove plaque from the teeth more thoroughly than manual brushes. A revision of the enlarged brush head with soft, tufted bristles was developed for facial cleansing. The bristles of the face brush are designed to traverse facial dermatoglyphics, pores, and scars. The sonic motion of the brush also aids in dislodging facial debris, much like the sonic surgical-instrument cleansers that are used to clean liposuction cannulas and reusable injection needles.



Hair cleansing and conditioning are more complex interactions than skin cleansing because the surface to cleanse is greater, as it consists of the scalp and all surfaces of each hair shaft. Products designed to cleanse the hair are known as shampoos. Products designed to beautify the cleansed hair are known as conditioners.

Formulation

Shampoos basically contain detergents, foaming agents, thickeners and opacifiers, conditioners, sequestering agents, pH adjusters, specialty additives, and other ingredients (eg, softeners, fragrances, preservatives).

Detergents are the primary components for sebum and dirt removal; however, excessive removal of sebum leaves the hair dull, susceptible to static electricity, and difficult to comb. Furthermore, consumers equate cleansing ability with abundant, long-lasting foam. Excessive bubbles are not a technical requirement for good hair cleansing and bacteria removal, but shampoo manufacturers add increased amounts of detergents, in addition to foam boosters, to obtain the foam that consumers desire. This increased concentration of detergent creates the need for conditioners and other additives in shampoos to improve their cosmetic acceptability.

Detergents

Shampoos function by using detergents (also known as surfactants) that are both lipophilic (oil loving) and hydrophilic (water loving). The lipophilic component adheres to sebum and the hydrophilic component allows water to rinse away the sebum.

Some of the most common synthetic detergents combined into shampoo formulations for various needs are as follows:

  • Lauryl sulfates (sodium lauryl sulfate, triethanolamine lauryl sulfate, ammonium lauryl sulfate) are found in most shampoos as the main surfactant since they work well in both hard and soft water, produce rich foam, and are easy to remove. This group produces good cleansing but is hard on the hair.
  • Laureth sulfates (sodium laureth sulfate, triethanolamine laureth sulfate, ammonium laureth sulfate) produce rich foam, provide good cleansing, and leave hair in good condition. They also are a common main surfactant.
  • Sarcosines (lauryl sarcosine, sodium lauryl sarcosinate) are poor cleansers but are excellent conditioners. This group commonly is used as a secondary surfactant.
  • Sulfosuccinates (disodium oleamine sulfosuccinate, sodium dioctyl sulfosuccinate) are strong degreasers and commonly are used as a secondary surfactant in oily hair shampoos.

The aforementioned detergents are classified as anionic surfactants because of their negatively charged hydrophilic polar group. Another group of detergents, the cationic detergents, is named for their positively charged polar group. They are relatively poor detergents and do not lather well, but their unpopularity is largely due to their incompatibility with other anionic surfactants. Some shampoos designed for use with dyed or bleached hair cationic detergents because they are excellent at imparting softness and manageability.

The nonionic detergents, the second most popular group of detergents behind the anionic surfactants, possess no polar group. These are the mildest of all surfactants and are used in combination with anionic surfactants as a secondary cleanser. Examples are polyoxyethylene fatty alcohols, polyoxyethylene sorbitol esters, and alkanolamides.

The amphoteric detergents contain both an anionic and a cationic group so that they behave as cationic agents at lower pH values and anionic agents at higher pH values. Detergents in this group are the betaines, sultaines, and imidazolinium derivatives. Ingredients such as cocamidopropyl betaine and sodium lauraminopropionate are used in baby shampoos because they are nonirritating to the eyes. These surfactants foam moderately well and leave the hair manageable, making them a good choice for chemically treated hair and fine hair.

Foaming agents

Foaming agents in shampoos introduce gas bubbles into the water. Many consumers believe that shampoos that generate copious foam are better cleansers than poorly foaming shampoos; this is not true. As the shampoo removes sebum from the hair, the amount of foam decreases because sebum inhibits bubble formation. This phenomenon accounts for the increased foam seen on the second shampooing, when most of the sebum has been removed.

Thickeners and opacifiers

Thickeners and opacifiers have no part in hair cleansing. They simply make the product more appealing to the consumer. Many people incorrectly believe that a thick shampoo is more concentrated than a thin shampoo; others want a shampoo that appears opaque or pearlescent.

Conditioners

Conditioners impart manageability, gloss, and antistatic properties to the hair. They are found in most shampoos for dry, damaged, or treated hair. They usually are fatty alcohols, fatty esters, vegetable oils, mineral oils, or humectants. Many conditioners are used in dry hair shampoos, including hydrolyzed animal protein, glycerin, dimethicone, simethicone, polyvinylpyrrolidone, propylene glycol, and stearalkonium chloride.

Sequestering agents

Sequestering agents make shampoos function better than bar soaps in cleansing the hair. They chelate magnesium and calcium ions so that other salts or insoluble soaps, known as scum, are not formed. Without sequestering agents, shampoos would leave a film on the hair.

pH adjusters

Some shampoos contain ingredients designed to alter pH, allowing the marketing claim of pH balanced. Most shampoos are alkaline, which can swell the hair shaft and render it more susceptible to damage. This is not a problem for patients with healthy, nonporous hair containing an intact cuticle. Patients with damaged or chemically treated hair with a fragmented cuticle may wish to avoid hair swelling by selecting a shampoo that has an acid added to balance the pH.

Specialty additives

The key differences between similar purpose shampoos manufactured by various personal care product companies are the fragrance and special care additives. Such additives as wheat germ oil (containing vitamin E) and panthenol (a form of vitamin B) are added mainly because they are believed to leave hair more silky and manageable. Other producers add fatty substances, such as plant extracts or mink oil. Proteins, such as ribonucleic acid, collagen, and placenta, may be added to act as conditioners. Some shampoos now include a chemical sunscreen.



Shampoos are formulated in liquids, gels, creams, aerosols, and powders. This article discusses only the liquids because they are the most popular. Different types of shampoos are available: basic shampoos (for normal, dry, oily, and chemically treated hair), baby shampoos, conditioning shampoos, medicated shampoos, and professional shampoos.

Basic shampoos

Basic shampoos may be selected from several formulations depending on the amount of sebum production in the scalp and depending on the diameter and condition of the hair shaft. The label usually defines the intended purpose by stating "normal hair,oily hair,dry hair," or "damaged, color-treated hair." Some companies alter the concentrations of detergents and conditioners to make different formulations, but the ingredient lists may be identical for all formulations. Other product lines have different formulations for each type.

Normal-hair shampoos use lauryl sulfate detergents, giving them good cleansing and minimal conditioning characteristics. These products work well for adults with moderate sebum production and coarse hair; however, they do not work well for persons with fine, unmanageable hair.

Oily-hair shampoos have excellent cleansing and minimal conditioning properties. They may use lauryl sulfate or sulfosuccinate detergents and are intended for adolescents with oily hair or persons who have extremely dirty hair. They can be drying to the hair shaft if used daily. Using a heavy conditioner after an oily-hair shampoo is self-defeating.

Dry-hair shampoos provide mild cleansing and good conditioning. Some companies recommend the same product for dry hair and damaged hair. These products are excellent for mature persons and for those who wish to shampoo daily. They reduce static electricity and increase manageability in fine hair; however, some products provide too much conditioning, which may result in limp hair. Dry-hair shampoos may also cleanse so poorly that conditioner can build up on the hair shaft. This condition has been labeled the "greasies" in popular advertising and may account for the observation that hair sometimes has more body after a different shampoo is used.

Damaged-hair shampoos are intended for hair that has been chemically treated with permanent color, bleaching agents, permanent waving solutions, or straighteners. Hair can also be physically damaged by overcleansing, by excessive use of heated styling devices, and by vigorous brushing or combing. Long hair is more likely to be damaged than short hair because it undergoes a natural process known as weathering, whereby the scales of the cuticles are decreased in number from the proximal end to the distal end of the hair shaft. As mentioned before, these shampoos may be identical to dry-hair shampoos, or they may contain mild detergents and more conditioners. Hydrolyzed animal protein is the superior conditioner for damaged hair because it can minimally penetrate the shaft and temporarily plug surface defects, resulting in hair with shine and a smooth feel. The protein should be hydrolyzed, as large protein molecules cannot penetrate the hair shaft.

Baby shampoos

Baby shampoos are nonirritating to the eyes and designed as mild cleansing agents because babies produce limited sebum. These shampoos contain detergents from the amphoteric group. Baby shampoos are also appropriate for use on mature hair and for individuals who wish to shampoo daily.

Conditioning shampoos

Conditioning shampoos may be labeled as such, or they may be labeled as shampoos for dry or damaged hair. Detergents used in conditioning shampoos generally are amphoterics and anionics of the sulfosuccinate type. These products sometimes are known as 1-step shampoos, because a conditioner need not be applied afterward.

Medicated shampoos

Medicated shampoos, also known as dandruff shampoos, contain additives, such as tar derivatives, salicylic acid, sulfur, selenium disulfide, polyvinylpyrrolidone-iodine complex, chlorinated phenols, or zinc pyrithione. Medicated shampoos have several functions: to remove sebum efficiently, to remove scalp scale, to decrease scalp scale production, and to act as an antibacterial/antifungal. The shampoo base removes sebum, while mechanical scrubbing removes scalp scale. Tar derivatives commonly are used as anti-inflammatory agents. Sulfur and zinc pyrithione are used for their antibacterial and/or antifungal qualities. Menthol is added to some shampoos to produce a tingling sensation that some patients find esthetically pleasing.



Shampoos are not a common cause of cutaneous irritant or allergic contact dermatitis because of their relatively brief contact with the skin before they are rinsed off. However, eye irritation can be a problem. Some shampoos overcome eye irritation with the addition of imidazoline-type amphoteric surfactants, succinic ester sulfonates, silicone glycols, and fatty acid-peptide condensates.

Ingredients in shampoos that are possible sensitizers include formalin, parabens, hexachlorophene, fragrances, triclosan, and miranols.

Shampoos should be diluted to form a 1-2% aqueous solution for closed patch testing and a 5% aqueous solution for open patch testing. However, false-positive reactions due to irritation may still occur. A better assessment may be patch testing the individual ingredients separately.



Hair cleansing and conditioning are more complex interactions than skin cleansing because the surface to cleanse is greater, as it consists of the scalp and all surfaces of each hair shaft. Products designed to cleanse the hair are known as shampoos. Products designed to beautify the cleansed hair are known as conditioners.

The need for hair conditioners arose after the technologic developments in detergents and shampoo formulation occurred. Originally, bar soaps were used to clean both the hair and the body. Most bar soaps possessed an alkaline pH, which caused the hair shaft to swell, leaving it unattractive and unmanageable. In addition, most homes used well water with a high mineral content. The combination of the bar soap and hard water yielded soap scum that accumulated on the tub and on the hair. This soap scum left the hair harsh and dull, adding a source of scalp irritation.

The widespread use of municipal water sources and the development of liquid synthetic detergents formulated at a neutral pH with sequestering agents revolutionized hair shampooing. As a result, shampoos left the hair soft and manageable and could be used more frequently without an adverse cosmetic result. These features led to the current practice of daily or every-other-day shampooing that efficiently removes sebum from the hair shaft. Sebum is, of course, the ideal hair conditioner. Excessive removal of sebum created the need for a synthetic sebum-like substance that could minimize static electricity, increase shine, improve manageability, and aid in maintaining a hairstyle. Therefore, hair conditioners were developed in an attempt to supply the hair with the positive attributes of sebum while avoiding the greasy appearance indicative of excessive sebum and dirt.

Conditioners are liquids, creams, pastes, or gels that mimic sebum to make the hair manageable, glossy, and soft. The role of conditioners goes beyond maintaining the appearance of healthy hair. Conditioners are also designed to recondition hair that has been damaged by chemical or mechanical trauma. Common sources of trauma include excessive brushing, hot blow-drying, permanent hair waving, hair straightening, hair bleaching, and other mechanisms. Damage to the hair shaft can also occur through environmental factors, such as exposure to sunlight, air pollution, wind, seawater, and chlorinated water in swimming pools; this type of hair damage is technically known as weathering. Obviously, because hair is nonliving tissue, any reconditioning that occurs is minimal and temporary until the next shampooing.

Hair conditioners were developed during the early 1930s when self-emulsifying waxes became available. These waxes were combined with protein hydrolysates, polyunsaturates, and silicones to give the hair improved feel and texture. Early sources of protein were gelatin, milk, and egg protein. Currently, the most common ingredient in hair conditioners is silicone. Silicone is a lightweight oil that can leave a thin film on the hair shaft without creating the appearance of dirty hair. The amount of silicone left behind on the hair shaft determines whether the product is designed for adding body to fine hair, for which minimal conditioning is desirable, or straightening curly hair, for which maximal conditioning is desirable.

Mechanism of action

Healthy, undamaged hair is soft, resilient, and easy to disentangle. Unfortunately, the trauma caused by shampooing, drying, combing, brushing, styling, dyeing, and permanent waving damages the hair, making it harsh, brittle, and difficult to disentangle. Hair conditioners are designed to reverse this damage by decreasing static electricity, improving manageability, increasing shine, decreasing the number of split ends, and improving flexibility of the hair.

Decreased static electricity

Hair conditioners improve manageability of the hair by decreasing static electricity. After combing or brushing, the hair shafts become negatively charged. These negatively charged shafts repel one another, preventing the hair from lying smoothly in a given style. Conditioners deposit positively charged ions on the hair shaft, neutralizing the electrical charge and minimizing frizzy hair. Frizzy hair due to static electricity is a greater problem in climates with low humidity, such as the southwestern United States, than elsewhere.

Improved manageability

In addition to decreasing static electricity, conditioners improve the manageability of hair. Manageability refers to the ease with which the hair can be combed and styled. Conditioners improve manageability by decreasing the friction between hair shafts by smoothing the surface of the cuticle. This is accomplished by filling in the gaps around and between the cuticular scales. A good-quality hair conditioner can reduce friction between hair shafts by as much as 50%. The reduction in friction also aids in disentangling of the hair after shampooing. A subset of conditioners, known as cream rinses, is designed to make hair easier to comb after shampooing. A special subset of these products is designed to aid in combing children's hair.

Increased shine

Most consumers equate shiny hair with healthy hair. Hair shine results from light reflected by individual hair shafts. The smoother the hair surface, the more light reflected. Conditioners increase hair gloss primarily by increasing adherence of the cuticular scale to the hair shaft and by placing a thin coating over the individual hairs.

Decreased number of split ends

Conditioners can also improve the health of the hair by temporarily repairing damage at the distal hair shaft, a condition known as split ends. Split ends occur when the cuticle is removed from the hair shaft, and the soft keratin cortex and medulla are exposed to weathering and grooming trauma. Unable to withstand the damage, the protein of these structures splits or frays much like a damaged textile fiber. Conditioners temporarily reapproximate the frayed remnants of remaining medulla and cortex to strengthen the hair shaft and prevent breakage of the distal ends. However, the conditioner is removed with subsequent shampooing and must be reapplied after each contact with shampoo.

Improved flexibility

Conditioners can improve flexibility of the hair. Flexibility is the ability of the hair to withstand the forces of bending without fracturing. A hair coated with conditioner does not exhibit cuticle lifting, whereas a hair devoid of conditioner shows disruption of the cuticle. Flexibility is especially important in women with long hair to prevent hair breakage.

Hair type

Although all types of hair benefit from the use of a conditioner, conditioners must be formulated for specific hair types to function optimally. Conditioners designed for straight hair, fine hair, wavy hair, or kinky hair. The geometry of the hair shaft determines the type of conditioner required to produce the best cosmetic result. For example, people with kinky hair may prefer a heavy conditioner that thickly coats the hair shaft to provide additional weight and straighten the unruly shafts. Kinky-hair conditioners allow the hair to lay in the desired style while appearing shiny and healthy, but this same conditioner applied to fine, thin hair makes it appear greasy and limp. Fine, straight hair is best minimally conditioned because additional straightening of the hair shafts if not a goal.

It may seem that the best way to avoid limp hair in persons with fine hair is to avoid use of a conditioner, but this is not the case. Fine hair is particularly prone to weathering and damage from hair grooming because the increased number of hair fibers per weight increase the net surface area of fine hair. This increased surface area is subject to static electricity and exposes proportionally more cuticular scales to damage.

Formulation

Several active agents can be combined to achieve a hair conditioner designed for a given hair type. Categories of ingredients in hair conditioners are the following: (1) alkanolamides, (2) glycols, (3) lipids, (4) quaternaries, (5) polymers, (6) protein derivatives, and (7) silicones. Of these categories, the quaternaries, polymers, and protein derivatives are most frequently used.

Common Hair Conditioners

CategoryPrimary ingredientsMain AdvantagesHair-Grooming Benefit
Cationic detergentQuaternary ammonium compoundsSmooth cuticle, decrease static electricityExcellent for restoring damaged, chemically processed hair
Film formerPolymersFill defects in hair shaft, decrease static electricity, improve shineImprove appearance of dry hair; improve grooming of coarse, kinky hair
Protein containingHydrolyzed proteinsPenetrate hair shaft to minimally increase strengthTemporarily mend split ends
SiliconesDimethicone, cyclomethicone, amodimethiconePlace thin coating on hair shaft, decrease static electricityDecrease combing friction, add shine

Cationic detergents, or quaternary conditioning agents

The quaternary conditioning agents, also known as quaternaries or quaternary ammonium compounds or quats, are cationic detergents. These ingredients are found in both conditioning shampoos and hair conditioners. They neutralize the negative charge found on the hair shafts. The addition of the cationic quaternary conditioner neutralizes the anionic charge of the hair, decreasing static electricity and improving manageability. The attraction of the positively charged conditioner to the negatively charged hair shaft allows the hair care product to remain on the hair after it is rinsed with water.

Quaternary conditioning agents are used in conditioning shampoos, also known as 2-in-1 shampoos, which clean the hair but also leave a thin film of conditioner on the hair to improve its appearance. With repeated grooming and shampooing, the hair becomes weathered, and the cuticular scale it loosened. The same effect is seen in woven textiles, such as cotton or wool sweaters, on which fuzz balls and pilling forms around areas of friction, such as the elbows. These fuzz balls occur because the textile fibers are broken and rolled into a ball. The cuticular scales also fracture, break, and clump, creating increased combing friction and a dull appearance.

Quaternary conditioners are excellent for increasing adherence of the cuticular scales to the hair shaft, which increases the light-reflective abilities of the hair, adding shine and luster. These qualities make them an excellent choice for individuals with permanently dyed or permanently waved hair in which the cuticle is disrupted as part of the chemical process.

Film-forming conditioning agents

The second category of conditioning agents is known as film-formers. Rather than functioning through electrical charge, as is the case with the quaternary agents, these conditioners coat the hair shaft with a thin layer of polymer. They contain some of the new lightweight polymers used in hair sprays and styling products. The most common polymer selected is polyvinylpyrrolidone (PVP). The polymer forms a coating over the hair shaft to fill in defects and missing areas of cuticular scale to create a smooth surface. This smooth surface reflects light, improving hair luster and shine. In addition, the polymer coating eliminates static electricity because of its cationic nature, improving manageability of the hair.

Many makes of the film-forming conditioners claim that they thicken hair. Although consumers may think that more hair is present on the scalp, this claim is based on the diameter of each hair shaft after the polymer film coats it. Indeed, the hair shafts are thickened, but not in the manner many consumers hope.

Film-formers are ideal in conditioners designed to straighten kinky or curly hair because a thick coating can be applied to help straighten the hair shafts. They are also found in products to add manageability to coarse hair; however, people with fine hair may find that the polymer coating makes the hair shaft limp and difficult to style. Film-forming conditioners are most commonly used for hair that has been shampooed and towel dried. They are designed to remain on the hair shaft, whereas the quaternary conditioners are applied after shampooing and rinsed before the hair is towel dried.

Protein-conditioning agents

Protein-containing conditioners are the most interesting agents and the most beneficial from a dermatologic standpoint. As hair weathers, it looses its strength because cuticular scales are removed and the underlying cortex is damaged. This damage creates areas where the hair shaft contains holes. Protein from a conditioner can be deposited in these holes. Protein-containing conditioners can actually penetrate the damaged hair shaft and increase its fracture strength by 10%. Although a 10% improvement may seem insignificant, it may make the difference between an intact hair shaft and one that is broken with the force of combing. These proteins, derived from animal collagen, keratin, placenta, and other sources, are hydrolyzed to a particle size with a molecular weight of 1000-10,000 d, which can enter the hair shaft. The source of the protein is not as important as the size of the protein particle and its ability to enter and remain inside the hair shaft.

The ability of protein-containing conditioners to strengthen the hair shaft depends on contact time. The longer the protein conditioner is left in contact with the hair shaft, the greater the amount of protein that diffuses into the shaft. Therefore, proteins are used in short-contact instant conditioners applied after shampooing and rinsed for minimal protein penetration, and they are used in leave-on conditioners applied before shampooing and left on the hair for 30 minutes before removal for greater penetration. The amount of protein that penetrates the hair shaft determines the final result. However, protein diffusion is reversible, meaning that any exogenous protein present in the hair shaft is removed during the next shampooing. Therefore, reapplication of the protein-containing conditioner is needed with each contact with water to maintain the effect.

Silicones

The last major category of conditioning agents is silicone. Silicones have virtually revolutionized hair conditioning, in terms of both conditioning shampoos and instant hair conditioners. Topical silicone is an amazingly safe material from a dermatologic perspective because it is hypoallergenic, noncomedogenic, and nonacnegenic.

Silicone was developed in the 1930s when Franklin, Hyde, and McGragor discovered a method of extracting pure silica from raw quartzite and converting it to dimethyl silicone. Silicone originates from silica, which is found in sand, quartz, and granite. It derives its properties from the alternating silica and oxygen bonds, known as siloxane bonds, which are exceedingly strong. These strong bonds account for the tremendous thermal and oxidizing stability of silicone. Silicone is resistant to decomposition from ultraviolet radiation, acids, alkalis, ozone, and electrical discharges. The silicone used in topical preparations is an odorless, colorless, nontoxic liquid. It is soluble in aromatic and halocarbon solvents but poorly soluble in polar and aliphatic solutes. Because silicone is immiscible and insoluble in water, it is used in hair conditioners. To date, no cases of toxicity due to the use of topical silicone have been reported.

Silicone is the newest ingredient used in hair conditioners. Because silicone is water resistant, some of it remains on the hair shaft after it is rinsed with water, and this silicone improves the manageability of the hair by reducing static electricity, minimize tangles by decreasing friction, and imparting shine by smoothing roughened scales of the cuticles. In addition, silicone can form a thin, nongreasy film on the hair shaft; therefore, it does not create the limp appearance characteristic of other hair conditioning ingredients.



Cleansing and conditioning the skin and hair are 2 important aspects of maintaining the outward health and appearance of the body. An understanding of the mechanism of action and chemistry of products designed to improve the ability of the skin and hair to function is medically important.



  • Allardice A, Gummo G. Hair Conditioning: Quaternary Ammonium Compounds on Various Hair Types. Cosmet Toilet. 1993;108:107-9.
  • Baltenneck F, Franbourg A, Leroy F, et al. A new approach to the bending properties of hair fibers. J Cosmet Sci. Nov-Dec 2001;52(6):355-68. [Medline].
  • Bergfeld WF. The side effects of hair products on the scalp and hair. In: Orfanos CE, Montagna W, Stuttgen G, eds. Hair Research. New York, NY: Springer-Verlag; 1981:. 507-11.
  • Berthiaume M, Merrifield J, Riccio D. Effects of silicone pretreatment on oxidative hair damage. J Soc Cosmet Chem. 1995;46:231-45.
  • Bouillon C. Shampoos and hair conditioners. Clin Dermatol. Jul-Sep 1988;6(3):83-92. [Medline].
  • Braida D, Dubief C, Lang G. Ceramide: A New Approach to Hair Protection and Conditioning. Cosmet Toilet. 1994;109:49-57.
  • Brooks G, Burmeister F. Black hair care ingredients. Cosmet Toilet. 1988;103:93-6.
  • Corbett JF. Hair conditioning. Cutis. Apr 1979;23(4):405, 413. [Medline].
  • Corbett JF. The chemistry of hair-care products. J Soc Dyers Colour. 1976;92:285-303.
  • Dalton J, Allen G, Heard P, et al. Advancements in spectroscopic and microscopic techniques for investigating the adsorption of conditioning polymers onto human hair. J Cosmet Sci. 2000;51:275-87.
  • De Groot AC, Weyland JW, Nater JP. Unwanted Effects of Cosmetics and Drugs Used in Dermatology. Amsterdam: Elsevier Science; 1994:. 473-6.
  • Durr NP, Orentreich N. Epidermabrasion for acne: the polyester fiber web sponge. Cutis. Mar 1976;17(3):604-8. [Medline].
  • Feughelman M, Willis BK. Mechanical extension of human hair and the movement of the cuticle. J Cosmet Sci. May-Jun 2001;52(3):185-93. [Medline].
  • Finkelstein P. Hair conditioners. Cutis. 1970;6:543-4.
  • Fox C. An introduction to the formulation of shampoos. Cosmet Toilet. 1988;103:25-58.
  • Frosch PJ, Kligman AM. The soap chamber test. A new method for assessing the irritancy of soaps. J Am Acad Dermatol. Jul 1979;1(1):35-41. [Medline].
  • Frosch PJ. Irritancy of soaps and detergents. In: Frost P, Horwitz SN, eds. Principles of Cosmetics for the Dermatologist. St Louis, Mo: CV Mosby; 1982:. 5-12.
  • Gamez-Garcia M. Plastic yielding and fracture of human hair cuticles by cyclical torsionstresses. J Cosmet Sci. 1999;50:69-77.
  • Garcia ML, Epps JA, Yare RS, Hunter LD. Normal cuticle-wear patterns in human hair. J Soc Cosmet Chem. 1978;29:155-75.
  • Goldemberg RL. Hair conditioners: The rationale for modern formulations. In: Frost P, Horwitz SN, eds. Principles of Cosmetics for the Dermatologist. St. Louis, Mo: CV Mosby; 1982:. 157-9.
  • Griesbach U, Klingels M, Horner V. Proteins: Classic Additives and Actives for Skin and Hair Care. Cosmet Toilet. 1998;113:69-73.
  • Gruber JV, Lamoureux BR, Joshi N, Moral L. The use of x-ray fluorescent spectroscopy to study the influence of cationic polymers on silicone oil deposition from shampoo. J Cosmet Sci. Mar-Apr 2001;52(2):131-6. [Medline].
  • Harusawa F, Nakama Y, Tanaka M. Anionic-cationic ion-pairs as conditioning agents in shampoos. Cosmet Toilet. 1991;106:35-9.
  • Hunting AL. Can there be cleaning and conditioning in the same product?. Cosmet Toilet. 1988;103:73-8.
  • Idson B, Lee W. Update on hair conditioner ingredients. Cosmet Toilet. 1983;98:41-6.
  • Jackson EM. Soap: a complex category of products. Am J Contact Dermatitis. 1994;5:173-5.
  • Jass HE. Cold creams. In: deNavarre MG, ed. The Chemistry and Manufacture of Cosmetics. 2nd ed. Wheaton, Ill: Allured Publishing; 1975:. 237-49.
  • Karjala SA, Williamson JE, Karler A. Studies on the substantivity of collagen-derived peptides to human hair. J Soc Cosmet Chem. 1966;17:513-24.
  • Klein K. Formulating Hair Conditioners: Hope and Hype. Cosmet Toilet. 118:28-31.
  • Lochhead R. Formulating Conditioning Shampoos. Cosmet Toilet. 2001;116:55-66.
  • MacKenzie A. Use of Buf-Puf and mild cleansing bar in acne. Cutis. Mar 1977;19(3):370-1. [Medline].
  • Markland WR. Shampoos. In: deNavarre MG, ed. The Chemistry and Manufacture of Cosmetics. 2nd ed. Wheaton, Ill: Allured Publishing; 1988:. 1283-312.
  • McMullen R, Jachowicz J. Optical properties of hair: effect of treatments on luster as quantified by image analysis. J Cosmet Sci. Jul-Aug 2003;54(4):335-51. [Medline].
  • Millikan LE, Ameln R. Use of Buf-Puf and benzoyl peroxide in the treatment of acne. Cutis. Aug 1981;28(2):201-5. [Medline].
  • Mills OH, Berger RS, Baker MD. A controlled comparison of skin cleansers in photoaged skin. J Geriatri Dermatol. 1993;1:173-9.
  • Mills OH Jr, Kligman AM. Evaluation of abrasives in acne therapy. Cutis. May 1979;23(5):704-5. [Medline].
  • Okamoto M, Yakawa R, Mamada A, et al. Influence of internal structures of hair fiber on hair appearance. III. Generation of light-scattering factors in hair cuticles and the influence on hair shine. J Cosmet Sci. Jul-Aug 2003;54(4):353-66. [Medline].
  • Panati C. Extraordinary Origins of Everyday Things. New York, NY: Harper & Row; 1987:. 217-9.
  • Pierard-Franchimont C, Arrese J, Pierard G. Sebum flow dynamics and antidandruffshampoos. J Soc Cosmet Chem. 1997;48:117-21.
  • Powers DH. Shampoos. In: Balsam MS, Gershon SD, Reiger MM, et al, eds. Cosmetics Science and Technology. 2nd ed. New York, NY: Wiley-Interscience; 1972:. 73-116.
  • Price VH. The role of hair care products. In: Orfanos CE, Montagna W, Stuttgen G, eds. Hair Research. Berlin: Springer-Verlag; 1981:. 501-6.
  • Prottey C, Ferguson T. Factors which determine the skin irritation potential of soap and detergents. J Soc Cosmet Cent. 1975;26:29.
  • Reeth I, Caprasse V, Postiaux S, Starch M. Hair Shine: Correlation Instrumental and Visual Methods for Measuring the Effects of Silicones. IFSCC. 2001;4:21-6.
  • Rieger M. Surfactants in shampoos. Cosmet Toilet. 1988;103:59-72.
  • Robbins CR. Interaction of shampoo and creme rinse ingredients with human hair. In: Chemical and Physical Behavior of Human Hair. 2nd ed. New York, NY: Springer-Verlag; 1988:. 122-67.
  • Robinson VNE. A study of damaged hair. J Soc Cosmet Chem. 1976;27:155-61.
  • Rook A. The clinical importance of ''weathering'' in human hair. Br J Dermatol. Jul 1976;95(1):111-2. [Medline].
  • Rosen M. Silicone Innovation for Hair Care. GCI. 2002;37-9.
  • Ruetsch SB, Kamath YK, Weigmann HD. The role of cationic conditioning compounds in reinforcement of the cuticula. J Cosmet Sci. Jan-Feb 2003;54(1):63-83. [Medline].
  • Ruiz M, Hernandez A, Llacer J, Gallardo V. Silicone Chemistry. Cosmet Toilet. 1998;113:57-62.
  • Scanavez C, Zoega M, Barbosa A, Joekes I. Measurement of hair luster by diffusereflectance spectrophotometry. J Cosmet Sci. 2000;51:289-302.
  • Schueller R, Romanowski P. Conditioning Agents for Hair and Skin. Cosmet Toilet. 1995;110:43-7.
  • Shipp JJ. Hair-care products. In: Williams DF, Schmitt WH, eds. Chemistry and Technology of the Cosmetics and Toiletries Industry. London:. Blackie Academic & Professional;1992: 32-54.
  • Sibley MJ, Browne RK, Kitzmiller KW. Abradant cleansing aids for acne vulgaris. Cutis. 1974;14:269-74.
  • Spoor HJ. Shampoos. Cutis. 1973;12:671-2.
  • Spoor HJ, Lindo SD. Hair processing and conditioning. Cutis. 1974;14:689-94.
  • Starch M. Screening Silicones for Hair Luster. Cosmet Toilet. 1999;114:56-60.
  • Sun J, Parr J, Travagline D. Stable Conditioning Shampoos Containing High Molecular Weight Dimethicone. Cosmet Toilet. 2002;117:41-50.
  • Swift J. Mechanism of split-end formation in human head hair. J Soc Cosmet Chem. 1997;48:123-6.
  • Swift J, Chahal S, Challoner N, Parfrey J. Investigations on the penetration of hydrolyzed wheat proteins into human hair by confocal laser-scanning fluorescence microscopy. J Cosmet Sci. 2000;51:193-203.
  • Swift JA, Brown AC. The critical determination of fine change in the surface architecture of human hair due to cosmetic treatment. J Soc Cosmet Chem. 1972;23:675-702.
  • Tango Y, Shimmoto K. Development of a device to measure human hair luster. J Cosmet Sci. Jul-Aug 2001;52(4):237-50. [Medline].
  • Tokiwa F, Hayashi S, Okumura T. Hair and surfactants. In: Kobori T, Montagna W, eds. Biology and Disease of the Hair. Baltimore:. University Park Press;1975: 631-40.
  • Van Abbe NJ, Spearman RI, Jarrett A. Pharmaceutical and Cosmetic Products for Topical Administration. London:. William Heinemann Medical Books;1969: 136-9.
  • Wickett RR, Trobaugh CM. Personal care products. Cosmet Toilet. 1990;105:41-6.
  • Wilhelm KP, Freitag G, Wolff HH. Surfactant-induced skin irritation and skin repair. Evaluation of the acute human irritation model by noninvasive techniques. J Am Acad Dermatol. Jun 1994;30(6):944-9. [Medline].
  • Wilkinson JB, Moore RJ. Astringents and skin toners. In: Harry's Cosmeticology. 7th ed. New York, NY: Chemical Publishing; 1982:. 74-81.
  • Wilkinson JB, Moore RJ. Harry's Cosmeticology. New York, NY Chemical Publishing; 1982:. 457-8.
  • Willcox MJ, Crichton WP. The soap market. Cosmet Toilet. 1989;104:61-3.
  • Wortzman MS. Evaluation of mild skin cleansers. Dermatol Clin. Jan 1991;9(1):35-44. [Medline].
  • Wortzman MS, Scott RA, Won PS, et al. Soap and detergent bar rinsability. J Soc Cosmet Chem. 1986;37:89-97.
  • Zviak C, Vanlerberghe G. Scalp and hair hygiene. In: Zviak C, ed. The Science of Hair Care. New York, NY: Marcel Dekker; 1986:. 49-86.
  • Zviak C, Bouillon C. Hair treatment and hair care products. In: Zviak C, ed. The Science of Hair Care. New York, NY: Marcel Dekker; 1986:. 115-6.
  • Zviak C, Bouillon C. Hair treatment and hair care products. In: Zviak C, ed. The Science of Hair Care. New York, NY: Marcel Dekker; 1986:. 134-7.
  • deNavarre MG. Cleansing creams. In: deNavarre MG, ed. The Chemistry and Manufacture of Cosmetics. 2nd ed. Wheaton, Ill: Allured Publishing; 1988:. 251-64.
  • deNavarre MG. Hair conditioners and rinses. In: deNavarre MG, ed. The Chemistry and Manufacture of Cosmetics. Vol IV. 2nd ed. Wheaton, Ill: Allured Publishing; 1988:. 1097-109.

Skin and Hair Cleansers excerpt

Article Last Updated: Feb 22, 2007