Topical application of niacinamide has been shown to increase ceramide and free fatty acid levels in the skin, prevent skin from losing water content, and stimulate microcirculation in the dermis (British Journal of Dermatology, September 2000, pages 524-531; and Journal of Cosmetic Dermatology, April 2004, page 88).
In a published study, 2% Niacinamide was more effective than petrolatum (Vaseline) for reducing skin water loss and increasing hydration levels (International Journal of Dermatology, March 2005, pages 197-202).
Niacinamide is also non-comedogenic and does not have the greasy texture of petrolatum.
According toa 2005 study by Draelos et.al., niacinamide help alleviate some of the symptoms of rosacea by increasing hydration and barrier function of the stratum corneum (uppermost layer of the skin).
According to Bissett et al., niacinamide reduces hyperpigmented (age) spots, red blotchiness, and increases elasticity.
According to a 2002 study by Hakozaki et. al., a topically applied 2% niacinamide and sunscreen lotion significantly decreased hyperpigmentation and increased skin lightness after 4 weeks of use more significantly than a control lotion.
Niacinamide reduces hyperpigmentation by inhibiting 35–68% of melanosome (pigment) transfer from melanocytes to keratinocytes (skin cells). These results were affirmed by a study, using a niacinamide concentration of 4%. As such, in concentrations of at least 2% and up to 5%, niacinamide provides a unique and effective method in decreasing hyperpigmentation.
A study by Bissett et. al. demonstrated that 2% niacinamide stimulates collagen production by enhancing the replicative potential of the skin's fibroblasts cells.
Shalita et al. have shown that niacinamide yields similar results to 1% clindamycin gel. In addition, the use of niacinamide may be preferable over clindamycin and other antibacterial agents in the long term because bacteria tend to re-emerge after a period of antibacterial agent use (Shalita et al.).