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SAFETYTirzepatide (Mounjaro/Zepbound) — 140,435 adverse-event reportsFDA CLEAREDIntense Pulsed Light Therapy Device — Sanhe LEFIS Electronics Co., Ltd.Bausch Health (Solta) -8.71%SAFETYSemaglutide (Wegovy/Ozempic) — 82,911 adverse-event reportsFDA CLEAREDBarbed PDO Suture — Sutura Medical Technology, Inc.STRATA Skin Sciences +8.33%SAFETYBotox — 75,499 adverse-event reportsFDA CLEAREDERBECRYO 2 Cryosurgical Unit and Accessories — Erbe Elektromedizin GmbHThe Beauty Health Company (HydraFacial) -7.17%FDA CLEAREDLumiGlam Laser System (SHE-LSP601-3) — Beijing Sano Laser S&T Development Co.,LtdEli Lilly +7.04%FDA CLEAREDCurrentBody Skin LED Multi Light Therapy Mask (MK-110D) — The Beauty Tech Group, Ltd.STAAR Surgical -5.13%RECALLFDA recall: PAYLESS COMPOUNDERS, LLC — Semaglutide-Glycine-Cyanocobalamin Injectable, 2.5 RECALLFDA recall: HTO Nevada Inc. dba Kirkman — MAXIMUM, ZONE 1, 4% Lidocaine Cream, 1/2 oz bottRECALLFDA recall: Pro Numb Tattoo Numbing Spray LLC — Pro Numb Tattoo Numbing Spray, For Sensiti
Soothing & Repair

Madecassoside

Centella asiatica extract that soothes, strengthens skin barrier, and reduces redness.

Also known as: Asiaticoside, Centella asiatica extract, INCI: Centella Asiatica Extract

What it is
Madecassoside is a triterpene glycoside compound isolated from Centella asiatica (also called gotu kola), a traditional Asian medicinal plant. It's one of the primary active constituents responsible for the plant's skin-healing properties.
What it does
Madecassoside strengthens the skin barrier by promoting collagen and ceramide synthesis, reduces inflammation and redness, and accelerates wound healing and tissue repair. It works by stimulating fibroblast activity and increasing dermal collagen production while calming inflammatory pathways, making it particularly effective post-procedure or for compromised skin.
The evidence
Strong clinical evidence supports its use for barrier repair, post-procedure healing, and reducing erythema; multiple peer-reviewed studies demonstrate efficacy at 0.1–1% concentrations for sensitive and irritated skin. Evidence is particularly robust for post-laser and post-microneedling recovery.
Best for
Sensitive, reactive, compromised, or post-procedure skin; rosacea, eczema, and conditions with barrier dysfunction or chronic inflammation.
Pairs well with
Ceramides, niacinamide, hyaluronic acid, panthenol, and other barrier-supporting ingredients; also synergizes with gentle hydrating actives.
Use cautiously with
No major conflicts; generally well-tolerated alongside most actives, though avoid combining with strong oxidizing agents in the same formulation.
Cautions
Very well-tolerated; rare allergic contact dermatitis reported in sensitive individuals. Pregnancy use is considered safe based on traditional use, but patch-test if concerned. Not sun-sensitizing.
General information, not medical advice. Ingredient effects vary by formulation, concentration, and skin. Patch-test new actives and consult a qualified provider before starting prescription ingredients.

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