1
|
Ojeda AG, Guevara GC, Ciociano JMC, Cardona GAC, Guzman DA, Puebla-Mora AG, Lares JAC, Tostado MC, Álvarez-Villaseñor ADS, Cervantes-Pérez E, Ramos-Álvarez MP, Vallejo LRP, Barbosa Camacho FJ, Orozco CF. Treatment of melasma with platelet-rich plasma: a self-controlled clinical trial. Dermatol Ther 2022; 35:e15703. [PMID: 35831241 DOI: 10.1111/dth.15703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 04/13/2022] [Accepted: 07/04/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Melasma is a common circumscribed hypermelanosis of sun-exposed areas of the skin. Platelet-Rich Plasma therapy has been evidenced to inhibit melanin synthesis in animals and humans OBJECTIVE: To determine the effectiveness of platelet-rich plasma as a treatment for melasma. MATERIALS AND METHODS Twenty female patient with melasma were involved in this study. The intervention included three Platelet-Rich Plasma application sessions at 15-day intervals. Patients were evaluated before and after treatment. Variables measured included the facial melanin concentration using the Melasma Area and Severity Index score, Melasma Quality of Life Scale satisfaction grade, and histologic changes. RESULTS Mean age was 41±7 years. An initial MELASQOL score of 42±14.8 and final score of 16.6±7.2 (p = 0.008) were reported; the initial and final MASI score were 15.5±8.4 and 9.5±7.2 (p = 0.001), respectively. The dermatoscopy examination revealed a decrease in pigmentation after intervention (p=0.001). Histopathologic improvement was detected in reductions in cutaneous atrophy (14 [70%] vs. 11 [55%]), solar elastosis (15 [75%] vs.11 [55%]), and inflammatory infiltrate (9 [45%] vs. 6 [30%]), before and after treatment, respectively. CONCLUSIONS The intervention was associated with decreased intensity of the melasma patch and improved skin quality, shown by the MELASQOL and MASI scores. This article is protected by copyright. All rights reserved.
Collapse
Affiliation(s)
- Alejandro González Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Gabino Cervantes Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco, México.,Servicio de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México
| | - Jonathan Matías Chejfec Ciociano
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Guillermo Alonso Cervantes Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - Daniel Acevedo Guzman
- Departamento de Cirugia Plastica, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Ana Graciela Puebla-Mora
- Departamento De Patología, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Jose Antonio Cortes Lares
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Mariana Chávez Tostado
- Departamento de Reproducción Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Hospital 320, Col. El Retiro, Guadalajara, Jalisco, México
| | | | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México
| | | | | | - Francisco José Barbosa Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.,Departamento de Planeación y enlace institucional
| | - Clotilde Fuentes Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| |
Collapse
|
2
|
Yang XX, Zhao MM, He YF, Meng H, Meng QY, Shi QY, Yi F. Facial Skin Aging Stages in Chinese Females. Front Med (Lausanne) 2022; 9:870926. [PMID: 35572984 PMCID: PMC9094048 DOI: 10.3389/fmed.2022.870926] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 04/06/2022] [Indexed: 11/23/2022] Open
Abstract
Background Facial skin is exposed to the environment, which marks it with obvious signs of aging. Based on multi-dimensional non-invasive evaluation data, female facial skin can be characterized in detail. However, there are few studies on the general aging rules of facial skin. Most skin aging studies divide the ages into 5-10-year intervals, so they have lacked dynamic matching with facial skin aging. Aim To explore facial skin aging rules, discuss the main parameters of facial skin aging, propose an unequal-distance aging division method based on the main skin parameters, and study the skin characteristics of Chinese women of different aging stages. Methods We comprehensively described the skin status as 24 non-invasive skin parameters belonging to five dimensions: skin wrinkles, texture, stain, color and barrier function. We performed polynomial fitting on the 21 skin parameters that were significantly correlated with age and derived the rules of aging in the different dimensions. Based on the wrinkle dimension, the facial skin aging process was divided into four stages, and the skin characteristics of the different stages were compared. Results Skin wrinkles increased, texture deteriorated, acne decreased, pigment spots increased, skin tone darkened, and sebum secretion decreased with age, according to the polynomial fitting. The aging stage was divided into an incubation period (18-30 years old), an aging occurrence period (31-42 years old), a rapid aging period (43-47 years old), and a stable aging period (48-60 years old), according to the wrinkles. Different aging stages had different skin characteristics. Conclusion The incubation period is the critical period for the appearance of skin stains; the skin texture gradually deteriorates during the aging occurrence period; the rapid aging period is a critical period for the aging of skin parameters; skin status during the stable aging period is the worst.
Collapse
Affiliation(s)
- Xiao-xiao Yang
- Key Laboratory of Cosmetic, China National Light Industry, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
- Institute of Cosmetic Regulatory Science, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
| | - Meng-meng Zhao
- Key Laboratory of Cosmetic, China National Light Industry, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
- Institute of Cosmetic Regulatory Science, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
| | - Yi-fan He
- Key Laboratory of Cosmetic, China National Light Industry, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
- Institute of Cosmetic Regulatory Science, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
| | - Hong Meng
- Key Laboratory of Cosmetic, China National Light Industry, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
- Institute of Cosmetic Regulatory Science, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
| | - Qing-yang Meng
- Shanghai Pechoin Daily Chemical Co., Ltd., Shanghai, China
| | - Qiao-yin Shi
- Shanghai Pechoin Daily Chemical Co., Ltd., Shanghai, China
| | - Fan Yi
- Key Laboratory of Cosmetic, China National Light Industry, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
- Institute of Cosmetic Regulatory Science, College of Chemistry and Materials Science, Beijing Technology and Business University, Beijing, China
| |
Collapse
|
3
|
Dietary Supplements and the Skin: Focus on Photoprotection and Antioxidant Activity—A Review. Nutrients 2022; 14:nu14061248. [PMID: 35334905 PMCID: PMC8953599 DOI: 10.3390/nu14061248] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 03/07/2022] [Accepted: 03/14/2022] [Indexed: 12/22/2022] Open
Abstract
Skin health is not only significantly affected by ageing, but also by other lifestyle-related factors, such as sun exposure, exercise and eating habits, smoking or alcohol intake. It is known that the cutaneous tissue can exhibit visible signs of senescence, in the form of, for example, dull complexion, loss of firmness, or changes in pigmentation. Consumers attempt to improve skin health and appearance not only by cosmetic products, but also with the consumption of food supplements. Recently, there has been an increase in the amount of food supplements with claims that are related to skin and hair health. Nevertheless, the literature is still scarce in evidence of the efficacy of this type of products. Considering this scenario, we aim in this review to assemble studies and methodologies that are directed at the substantiation of the cutaneous health claims of food supplements. For example, we reviewed those that were indicative of antioxidant properties, improvement in pigmentation disorders, increased hydration or protection against the damages caused by ultraviolet radiation.
Collapse
|
4
|
Grimes P, Ijaz S, Nashawati R, Kwak D. New oral and topical approaches for the treatment of melasma. Int J Womens Dermatol 2019; 5:30-36. [PMID: 30809577 PMCID: PMC6374710 DOI: 10.1016/j.ijwd.2018.09.004] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2018] [Revised: 09/30/2018] [Accepted: 09/30/2018] [Indexed: 12/23/2022] Open
Abstract
Melasma is a common, therapeutically challenging, and universally relapsing disorder of hyperpigmentation that is most often observed in women and individuals with Fitzpatrick Skin Types III through VI. The pathogenesis of melasma is complex and protean. Contributing factors that are often implicated in the etiopathogenesis of this condition include a genetic predisposition, intense ultraviolet radiation exposure, and hormonal influences. Therapeutic interventions for melasma include a multimodality approach incorporating photoprotection agents, topical and oral skin lighteners, and resurfacing procedures. Given our expanding knowledge of the pathogenesis of melasma, new and effective treatments are expanding our therapeutic armamentarium. This article reviews new and emerging oral and topical treatments for melasma.
Collapse
Affiliation(s)
- P.E. Grimes
- Vitiligo & Pigmentation Institute of Southern California, Los Angeles, California
- Division of Dermatology, David Geffen School of Medicine, University of California, Los Angeles, California
| | - S. Ijaz
- Vitiligo & Pigmentation Institute of Southern California, Los Angeles, California
| | - R. Nashawati
- Vitiligo & Pigmentation Institute of Southern California, Los Angeles, California
| | - D. Kwak
- Vitiligo & Pigmentation Institute of Southern California, Los Angeles, California
| |
Collapse
|
5
|
Chalermchai T, Rummaneethorn P. Effects of a fractional picosecond 1,064 nm laser for the treatment of dermal and mixed type melasma. J COSMET LASER THER 2017; 20:134-139. [DOI: 10.1080/14764172.2017.1376098] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Thep Chalermchai
- School of Antiaging and Regenerative Medicine, Mae Fah Luang University, Bangkok, Thailand
| | - Paisal Rummaneethorn
- School of Antiaging and Regenerative Medicine, Mae Fah Luang University, Bangkok, Thailand
| |
Collapse
|