INTRODUCTION
A body of research suggests a connection between acne vulgaris and cutaneous lipid peroxidation (Figure 1).1 Indeed, acneic skin is known to have higher levels of oxidative stress and lower levels of antioxidants than healthy skin.2 Since there is evidence that certain antioxidants can help reduce lipid peroxidation, an opportunity exists for topical antioxidant treatment to help intervene in this pathogenesis. It is known that silymarin, a standardized extract from Silybum marianum (milk thistle) seeds has potent antioxidant properties.3 We have previously reported that a topical serum containing 0.5% silymarin, 15% vitamin C, 0.5% ferulic acid, and 0.5% salicylic acid was effective in preventing or reducing lipid peroxidation based on several methodologies.4 The current study evaluated the ability of this topical antioxidant serum to help reduce sebum peroxidation and improve facial acne and related aesthetic attributes when used over time.