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Trindade de Almeida AR, Marques ERMC, Contin LA, Trindade de Almeida C, Muniz M. Efficacy and Tolerability of Hyperdiluted Calcium Hydroxylapatite (Radiesse) for Neck Rejuvenation: Clinical and Ultrasonographic Assessment. Clin Cosmet Investig Dermatol 2023; 16:1341-1349. [PMID: 37255625 PMCID: PMC10226485 DOI: 10.2147/ccid.s407561] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 05/13/2023] [Indexed: 06/01/2023]
Abstract
Background The subdermal injection of calcium hydroxylapatite (CaHA) can improve the mechanical properties of the skin, providing immediate correction and stimulating the endogenous production of collagen, elastin, angiogenesis, and dermal cell proliferation; however, few studies have examined the neck region. Purpose This study assessed the clinical and ultrasonographic improvement induced by two sessions of subdermal injection of hyperdiluted (1:4) CaHA for neck rejuvenation in 22 women. Patients and Methods A quasi-experimental longitudinal trial (before and after) was performed by enrolling 22 adult women with mild and moderate neck aging (grades 1 and 2) on Merz Neck Volume Scale at rest (laxity) and Neck Horizontal Lines. They were submitted to two sessions of subdermal hyperdiluted CaHA (D0 and D45) treatments and assessed clinically and ultrasonographically at D0, D45, and D120. The main outcomes were the blinded photographic assessment (Merz scales of neck laxity and horizontal lines), dermal thickness (at three points), and the GAIS (Global Aesthetic Improvement Scale) score. Results The mean (SD) age was 43.5 (5.6) years. At the inclusion, the Merz scores for neck laxity were mild for 27% and moderate for 73% of participants, and the Merz scores for necklines were mild for 32% and moderate for 68%. At D120, scores decreased in 86% (95% CI 68-99%) of the participants by at least one degree on the necklines scale and in 82% (95% CI 73-90%) for neck laxity. According to the GAIS, 91% (95% CI 77-99%) of the participants evidenced improvement at D120. The mean dermal thickness increased by 15% (95% CI 8-21%) at D120. No severe adverse effects were recorded, and high satisfaction was reported by 82% of the participants. Conclusion Two sessions of subdermal hyperdiluted CaHA were well-tolerated and improved necklines, neck laxity, and dermal thickness in adult women with mild and moderate cervical aging.
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Affiliation(s)
| | | | - Letícia Arsie Contin
- Hospital do Servidor Público Municipal, São Paulo, SP, Brazil
- For Trials Pesquisa Clínica, São Paulo, SP, Brazil
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2
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Mayrovitz HN. Transepidermal water loss and stratum corneum hydration in forearm versus hand palm. Skin Res Technol 2023; 29:e13218. [PMID: 36973986 PMCID: PMC10155802 DOI: 10.1111/srt.13218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Accepted: 10/01/2022] [Indexed: 03/08/2023]
Abstract
BACKGROUND Skin measurements of transepidermal water loss (TEWL) and stratum corneum hydration (SCH) reflect different aspects of skin physiology. Since epidermal water loss depends on epidermal-to-air water vapor gradients, a possible quantitative relationship between TEWL and SCH may exist. This investigation's purpose was to test the possible TEWL-SCH relationship. MATERIALS AND METHODS SCH and TEWL were measured noninvasively on forearm and palmer thenar eminence (hand) in 40 young adults (20 males) along with total body fat percentage (FAT) via bioimpedance. RESULTS A significant positive nonlinear correlation (p < 0.001) was detected between SCH and TEWL in hands of the male cohort that occurred when SCH exceeded a threshold level. This threshold level was not exceeded in male or female forearms and forearms did not display a SCH-TEWL correlation. There was a weak inverse dependence of TEWL on FAT on both forearm and hand (p < 0.05), but no SCH-FAT relationship was observed. TEWL values on the forearm and hand were moderately correlated with each other (p = 0.002) but SCH values were not. CONCLUSION The findings clarify the relationship between forearm and palmer hydration and TEWL values, and their relationship to total body fat percentages in young healthy adults. The significant correlation between palmer stratum corneum hydration and palmer TEWL that was discovered in the male but not the female cohort suggests a threshold hydration level for which TEWL depends both on skin barrier function and stratum corneum hydration. This implies that conditions with increased SCH may in part account for elevated TEWL values.
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Affiliation(s)
- Harvey N. Mayrovitz
- Department of Medical EducationDr. Kiran C. Patel College of Allopathic MedicineNova Southeastern UniversityFloridaUSA
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3
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Vingan NR, Parsa S, Barillas J, Culver A, Kenkel JM. Evaluation and characterization of facial skin aging using optical coherence tomography. Lasers Surg Med 2023; 55:22-34. [PMID: 36208115 DOI: 10.1002/lsm.23611] [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: 07/28/2022] [Revised: 09/05/2022] [Accepted: 09/26/2022] [Indexed: 02/02/2023]
Abstract
OBJECTIVES The skin aging exposome encompasses internal and external factors that contribute to clinical signs of facial aging. Aging skin can be characterized by distinctive features such as wrinkles, lentigines, elastosis, and roughness. Optical coherence tomography (OCT) is capable of noninvasively measuring skin characteristics. This study aimed to assess bilateral features using OCT to explore temporal skin changes among decades and potential changes in facial skin aging based on laterality. METHODS A total of 97 subjects between 20 and 89 years old with Fitzpatrick skin types I to IV were enrolled. VivoSight, a Multi-Beam OCT system intended to gather topographical and histological images of skin, was used to scan the area inferolateral to the lateral canthus, bilaterally. Investigators compared characteristics of skin roughness, attenuation coefficient and blood flow across age groups and based on laterality to determine any differences. RESULTS Only data from successful OCT scans were used. Seventy subjects, 10 from each specified decade, had successful bilateral scans and were thus included in the analysis. Chronological aging was characterized by significantly decreased dermal attenuation coefficient with increased age. Skin roughness measurements showed trends of increased roughness with age; however, no statistically significant changes were seen between groups. Qualitative differences amongst scans taken on right and left sides of the face showed no significance regarding roughness, density or blood flow at depths ranging from 0.05 to 0.5 mm. CONCLUSIONS OCT is an effective method for evaluating changes in aging skin. Our results illustrate a decline in skin density with chronological age. Additionally, it was illustrated that structural change in the epidermis and dermis does occur, however on a microscopic scale, there are no significant differences based on laterality. OCT holds promise as a noninvasive technique for characterization of aging skin. Its utility and application in the clinical management and treatment of aged skin requires further research; however, the technology has potential to personalize therapies based on objective findings.
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Affiliation(s)
- Nicole R Vingan
- Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas, USA
| | - Shyon Parsa
- University of Texas Southwestern Medical School, Dallas, Texas, USA
| | - Jennifer Barillas
- Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas, USA
| | - Abby Culver
- Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas, USA
| | - Jeffrey M Kenkel
- Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas, USA
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4
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Vergilio MM, Aiello LM, Furlan AS, Caritá AC, Azevedo JR, Bolzinger MA, Chevalier Y, Leonardi GR. In vivo evaluation of topical ascorbic acid application on skin aging by 50MHz ultrasound. J Cosmet Dermatol 2022; 21:4921-4926. [PMID: 35238148 DOI: 10.1111/jocd.14892] [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: 11/17/2021] [Revised: 02/02/2022] [Accepted: 02/28/2022] [Indexed: 11/27/2022]
Abstract
Ascorbic acid (AA) is a powerful antioxidant capable of acting significantly both in the prevention and treatment of the skin aging process. One way to assess the in vivo efficacy of anti-aging treatments is by using the high-frequency ultrasound (HFUS) skin image analysis technique, a non-invasive approach that allows for a new level of evaluating the effectiveness of dermatological and cosmetic products. The aim of the present study was to assess the performance of a topical emulsion of liquid crystalline structures containing AA using the 50 MHz HFUS skin image analysis method. Twenty-five healthy female participants between 35 and 60 years old were included, all of whom randomly applied a placebo formulation and an AA-containing formulation to each forearm, once a day, for 30 days. HFUS measurements were performed before using the products (T0), two hours later (T2h), and after 30 days of use (T30d). The analyzed parameters included total skin, dermal, and epidermal echogenicity; variation and mean thickness of total skin, the epidermis and dermis; and surface roughness. Statistical analyses were performed using the Friedman test, followed by Dunn's test for comparisons of multiple means (α=0.05). A significant increase in total skin and dermal echogenicity was observed after topical AA application. Our findings suggest that collagen synthesis significantly increased after topical therapy with AA, which was responsible for the increment in dermal echogenicity. This study showed, through the HFUS technique, that the topical use of AA promoted dermal redensification after 30 days of application.
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Affiliation(s)
| | - Laura Moretti Aiello
- Pharmaceutical Sciences, School of Pharmaceutical Sciences, University of Campinas (UNICAMP), Brazil
| | - Andreza Sonego Furlan
- Pharmaceutical Sciences, School of Pharmaceutical Sciences, University of Campinas (UNICAMP), Brazil
| | - Amanda Costa Caritá
- Department of Translational Medicine, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.,University of Lyon, Laboratoire d'Automatique, de Génie des Procédés et Génie Pharmaceutique (LAGEPP), CNRS, UMR 5007, Université Claude Bernard Lyon 1, 43 bd 11 Novembre, 69622, Villeurbanne, France
| | - Jaqueline Rezende Azevedo
- University of Lyon, Laboratoire d'Automatique, de Génie des Procédés et Génie Pharmaceutique (LAGEPP), CNRS, UMR 5007, Université Claude Bernard Lyon 1, 43 bd 11 Novembre, 69622, Villeurbanne, France
| | - Marie-Alexandrine Bolzinger
- University of Lyon, Laboratoire d'Automatique, de Génie des Procédés et Génie Pharmaceutique (LAGEPP), CNRS, UMR 5007, Université Claude Bernard Lyon 1, 43 bd 11 Novembre, 69622, Villeurbanne, France
| | - Yves Chevalier
- University of Lyon, Laboratoire d'Automatique, de Génie des Procédés et Génie Pharmaceutique (LAGEPP), CNRS, UMR 5007, Université Claude Bernard Lyon 1, 43 bd 11 Novembre, 69622, Villeurbanne, France
| | - Gislaine Ricci Leonardi
- Internal Medicine, School of Medical Sciences, University of Campinas (UNICAMP), Brazil.,Pharmaceutical Sciences, School of Pharmaceutical Sciences, University of Campinas (UNICAMP), Brazil
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Martin RP, Varela P, Gomes CP, Marins MM, Filippelli-Silva R, Yarak S, Soares JLM, Sanudo A, Idkowiak-Baldys J, Chen S, Hwang C, Zhuang Y, Lyga J, Pesquero JB, Bagatin E. Transcriptomic and histological analysis of exposed facial skin areas wrinkled or not and unexposed skin. Mol Biol Rep 2021; 49:1669-1678. [PMID: 34851478 DOI: 10.1007/s11033-021-06973-y] [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: 08/12/2021] [Accepted: 11/17/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Skin aging involves genetic, environmental and hormonal factors. Facial wrinkles also depend on muscular activity. Gene expression investigation may be useful for new anti-aging products. METHODS AND RESULTS To evaluate structure and gene expression differences among exposed and unexposed skin in menopausal women. Cross-sectional study, including 15 menopausal women, 55-65 years, phototype III; photo-exposed, periorbital wrinkles (A1), preauricular, not wrinkled (A2), and unexposed gluteal (A3) areas were described and compared by non-invasive measures, histology, immunohistochemistry and gene expression (RNASeq); participants mean age was 61yo, presenting moderate periorbital wrinkles and light facial photodamage. Higher roughness, wrinkles number and echogenicity were observed in A1 and A2 versus A3. Decreased epidermal thickness and dermal collagen IV were demonstrated in A1 versus A2 and A3. Exposed areas impacted different pathways compared to unexposed. Exposed wrinkled skin (A1) showed impact on cell movement with decreased inflammatory activation state. Pathways related to lipid and aminoacids metabolism were modulated in non-wrinkled exposed (A2) compared to unexposed (A3) skin. CONCLUSIONS Expected histological findings and gene expression differences among areas were observed. Photoaging in menopausal women may modulate lipid and aminoacids metabolism and decrease inflammatory and keratinization pathways, cellular homeostasis, immune response, fibrogenesis and filament formation. These findings may help development of new therapies for skin health and aging control.
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Affiliation(s)
- Renan Paulo Martin
- McKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD, 21205, USA
| | - Patricia Varela
- Department of Biophysics, Universidade Federal de Sao Paulo, São Paulo, Brazil
| | - Caio Peres Gomes
- Department of Biophysics, Universidade Federal de Sao Paulo, São Paulo, Brazil
| | - Maryana Mara Marins
- Department of Biophysics, Universidade Federal de Sao Paulo, São Paulo, Brazil
| | | | - Samira Yarak
- Department of Dermatology, Universidade Federal de Sao Paulo, São Paulo, Brazil
| | - Juliana L M Soares
- Department of Dermatology, Universidade Federal de Sao Paulo, São Paulo, Brazil
| | - Adriana Sanudo
- Department of Preventive Medicine, Universidade Federal de Sao Paulo, São Paulo, Brazil
| | | | - Siming Chen
- Avon Products Inc., Suffern, New York, NY, 10901, USA
| | - Cheng Hwang
- Avon Products Inc., Suffern, New York, NY, 10901, USA
| | - Yong Zhuang
- Avon Products Inc., Suffern, New York, NY, 10901, USA
| | - John Lyga
- Avon Products Inc., Suffern, New York, NY, 10901, USA
| | - João Bosco Pesquero
- Department of Biophysics, Universidade Federal de Sao Paulo, São Paulo, Brazil.
| | - Edileia Bagatin
- Department of Dermatology, Universidade Federal de Sao Paulo, São Paulo, Brazil.
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6
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El Genedy-Kalyoncu M, Richter C, Surber C, Blume-Peytavi U, Kottner J. The effect of a basic skin care product on the structural strength of the dermo-epidermal junction: An exploratory, randomised, controlled split-body trial. Int Wound J 2021; 19:426-435. [PMID: 34121334 PMCID: PMC8762572 DOI: 10.1111/iwj.13643] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 05/10/2021] [Accepted: 05/12/2021] [Indexed: 12/17/2022] Open
Abstract
Skin ageing is associated with various structural alterations including a decreased strength of the dermo‐epidermal adhesion increasing the risk for shear type injuries (skin tears). Topical applications of basic skin care products seem to reduce skin tear incidence. The suction blister method leads to the artificial and controlled separation of dermis and epidermis. Therefore, time to blister formation may be used as outcome measuring the strength of dermo‐epidermal adhesion. We conducted an exploratory, randomised, controlled trial with a split‐body design on forearms in healthy female subjects (n = 12; mean age 70.3 [SD 2.1] years). Forearms assigned to the intervention were treated twice daily with petrolatum for 8 weeks. Suction blisters were induced on forearms after 4 and 8 weeks and time to blister formation was measured. Stratum corneum and epidermal hydration were measured and epidermal thickness was assessed via optical coherence tomography. Time to blistering was longer and stratum corneum as well as epidermal hydration was consistently higher in intervention skin areas. We conclude that topical application of basic skin care products may improve mechanical adhesion of the dermo‐epidermal junction and that the parameter “time to blistering” is a suitable outcome to measure dermo‐epidermal adhesion strength in clinical research.
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Affiliation(s)
- Monira El Genedy-Kalyoncu
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Claudia Richter
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Christian Surber
- Department of Dermatology, University Hospital Zurich, Zurich, Switzerland
| | - Ulrike Blume-Peytavi
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Jan Kottner
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany.,Charité Center for Health and Human Sciences, Charité-Universitätsmedizin Berlin, Berlin, Germany
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7
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Vergilio MM, Monteiro E Silva SA, Jales RM, Leonardi GR. High-frequency ultrasound as a scientific tool for skin imaging analysis. Exp Dermatol 2021; 30:897-910. [PMID: 33905589 DOI: 10.1111/exd.14363] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 04/09/2021] [Accepted: 04/21/2021] [Indexed: 01/07/2023]
Abstract
Ultrasonic imaging is one of the most important diagnostic tools in clinical medicine due to its cost, availability and good correlation with pathological results. High-frequency ultrasound (HFUS) is a technique used in skin science that has been little explored, especially in comparison with other sites and imaging techniques. HFUS shows real-time images of the skin layers, appendages and skin lesions in vivo and can significantly contribute to advances in skin science. This review summarizes the potential applications of HFUS in dermatology and cosmetology, with a focus on quantitative tools that can be used to assess various skin conditions. Our findings showed that HFUS imaging is a reproducible and powerful tool for the diagnosis, clinical management and therapy monitoring of skin conditions. It is also a helpful tool for assessing the performance of dermatological products. This technique may eventually become essential for evaluating the performance of dermatological and cosmetic products.
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Affiliation(s)
- Mariane Massufero Vergilio
- Graduate Program in Internal Medicine, School of Medical Sciences - University of Campinas (UNICAMP), Campinas, Brazil
| | - Silas Arandas Monteiro E Silva
- Graduate Program in Pharmaceutical Sciences, School of Pharmaceutical Sciences - University of Campinas (UNICAMP), Campinas, Brazil
| | - Rodrigo Menezes Jales
- Radiology Service of the Women´s Hospital "Prof. Dr. José Aristodemo Pinotti", Department of Gynecology and Obstetrics of School of Medical Sciences of Campinas State University (UNICAMP), São Paulo, Brazil
| | - Gislaine Ricci Leonardi
- Graduate Program in Internal Medicine, School of Medical Sciences - University of Campinas (UNICAMP), Campinas, Brazil.,Graduate Program in Pharmaceutical Sciences, School of Pharmaceutical Sciences - University of Campinas (UNICAMP), Campinas, Brazil
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8
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Vergilio MM, Vasques LI, Leonardi GR. Characterization of skin aging through high-frequency ultrasound imaging as a technique for evaluating the effectiveness of anti-aging products and procedures: A review. Skin Res Technol 2021; 27:966-973. [PMID: 33788312 DOI: 10.1111/srt.13033] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 03/11/2021] [Indexed: 12/16/2022]
Abstract
INTRODUCTION High-frequency ultrasound skin imaging analysis (HFUS) is a non-invasive technique that allows a unique approach to the analysis of skin aging, as well as in evaluating the effectiveness of dermatological and cosmetic products, especially for skin rejuvenation. OBJECTIVE To describe the impact of skin aging and different anti-aging strategies from the perspective of high-frequency ultrasound. METHODS A bibliographic survey was carried out, selecting relevant articles that evaluated the characterization of the skin features from different points of view such as gender (male and female), age (young skin and mature skin), and ethnicity, in addition to individual variations between body regions and daily variations. RESULTS Some studies also evaluated the impact of cosmetic treatments and esthetic procedures in the skin. Parameters such as dermal thickness, echogenicity, skin texture, and subepidermal low-echogenic band (SLEB) were analyzed. It can be concluded that there is a trend, although not unanimous in the consequences of aging on the skin, being different between men and women, plus the individual nuances resulted from each one's lifestyle and exposure to the sun. CONCLUSION As for the technique, it is concluded that high-frequency ultrasound is an important evaluative alternative for dermatological studies and the effectiveness of anti-aging products and treatments.
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Affiliation(s)
- Mariane Massufero Vergilio
- Graduate Program in Internal Medicine, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil
| | - Louise Idalgo Vasques
- Graduate Program in Pharmaceutical Sciences, School of Pharmaceutical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil
| | - Gislaine Ricci Leonardi
- Graduate Program in Internal Medicine, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil.,Graduate Program in Pharmaceutical Sciences, School of Pharmaceutical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil
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9
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Pan Y, Ma X, Zhao J, Yan S, Liu Q, Zhao H. The Interaction of Age and Anatomical Region Influenced Skin Biophysical Characteristics of Chinese Women. Clin Cosmet Investig Dermatol 2020; 13:911-926. [PMID: 33324083 PMCID: PMC7732761 DOI: 10.2147/ccid.s286402] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 11/19/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND Ageing is an inevitable physiology process of humans, and skin biophysical parameters change owing to genetic and environmental factors in different ethnic populations. AIM To gain comprehensive data on the skin biophysical parameters of different anatomical regions and to explore the change trend of the skin characteristics associated with age for the indicated regions by generalized additive model. METHODS We measured various skin biophysical parameters on forehead, cheek, chin and inner forearm of 178 Chinese women aged between 20 and 64 years living in Beijing. These parameters comprised skin hydration, transepidermal water loss (TEWL), sebum content, erythema index (EI), melanin index (MI), L*a*b* values, individual typology angle (ITA) and pH, which were quantified by non-invasive instruments. RESULTS Comparing the skin parameters among the four test areas, we observed that the hydration, TEWL, EI and a* values were significantly higher for the face than for the forearm, but the L* and ITA values were just the opposite. The cheek was the lightest and brightest region with lowest sebum content, while the chin was much darker and the forehead was yellowish. Considering the change of the skin parameters with age, TEWL, sebum content and melanin and erythema indices had a linear relationship with age, whereas skin hydration, L, a, b, ITA and pH values exhibited a non-monotonic relationship. The turning points of these curves appeared almost at the thirties, showing the lightest and evenest skin color and more hydration, with lower pH values. CONCLUSION This study indicates that the skin biophysical characteristics of Chinese women were significantly affected by age and body regions.
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Affiliation(s)
- Yao Pan
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing100048, People’s Republic of China
- Beijing Key Laboratory of Plant Research and Development, Beijing100048, People’s Republic of China
| | - Xue Ma
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing100048, People’s Republic of China
- Beijing Key Laboratory of Plant Research and Development, Beijing100048, People’s Republic of China
| | - Jinfeng Zhao
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing100048, People’s Republic of China
- Beijing Key Laboratory of Plant Research and Development, Beijing100048, People’s Republic of China
| | - Shiyu Yan
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing100048, People’s Republic of China
- Beijing Key Laboratory of Plant Research and Development, Beijing100048, People’s Republic of China
| | - Qi Liu
- Beijing EWISH Testing Technology Co., Ltd, Beijing100142, People’s Republic of China
| | - Hua Zhao
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing100048, People’s Republic of China
- Beijing Key Laboratory of Plant Research and Development, Beijing100048, People’s Republic of China
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10
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Efficacy and Safety of 2 Injection Techniques for Hand Biostimulatory Treatment With Diluted Calcium Hydroxylapatite. Dermatol Surg 2020; 46 Suppl 1:S54-S61. [PMID: 32976172 DOI: 10.1097/dss.0000000000002334] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
BACKGROUND Calcium hydroxylapatite (CaHA) is effective for dorsal hand rejuvenation. Higher dilutions are used for biostimulation with fewer side effects. OBJECTIVE To evaluate the efficacy and safety of 2 techniques of diluted CaHA injection for dorsal hand treatment. METHODS A prospective, evaluator-blinded study was performed to compare (side-to-side) techniques for treating the dorsum of the hands with diluted CaHA: deep fat lamina or subdermal injection. Fifteen women with aging grades between 1 and 3 on the MHGS (Merz hand grading scale) were enrolled and followed up for 24 weeks. The outcomes were a histological analysis of collagen, skin viscoelasticity, high-frequency ultrasound parameters, MHGS score, and the global aesthetic improvement scale (GAIS) score. RESULTS Improvement in the MHGS and GAIS scores (p < .01) was observed, with no difference between techniques (p > .05). Skin viscoelasticity measures and ultrasonography for dermal parameters improved for both treatments (p < .01). The mean total collagen density increased from the baseline for both techniques (p < .01). Pain during the procedure as well as adverse effects within the follow-up did not differ between treatments (p > .4). The overall satisfaction was 12% greater for the subdermal technique (p < .05). CONCLUSION Diluted CaHA improves the skin quality of aging hands with a safe profile, without substantial differences between the techniques.
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11
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Kawałkiewicz W, Matthews-Kozanecka M, Janus-Kubiak M, Kubisz L, Hojan-Jezierska D. Instrumental diagnosis of facial skin-A necessity or a pretreatment recommendation in esthetic medicine. J Cosmet Dermatol 2020; 20:875-883. [PMID: 32702173 PMCID: PMC7983914 DOI: 10.1111/jocd.13638] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 07/15/2020] [Accepted: 07/20/2020] [Indexed: 11/30/2022]
Abstract
Background This paper presents the possibilities of pretreatment instrumental diagnosis for assessing the condition of various facial skin areas. Aim Tests which aimed at determining the firmness and elasticity of facial skin were conducted. Methods Analysis of skin parameters in selected facial areas in adults over a wide age range was performed using the Cutometer Dual MPA 580 probe. Parameters R0, R2, R5, R7, R8, and R9 were analyzed. Results The following results were obtained: R0 (0.20‐0.33) mm; R2 (0.66‐0.82) a.u.; R5 (0.60‐0.92) a.u.; R7 (0.37‐0.52) a.u.; R8 (0.10‐0.27) mm; and R9 (0.03‐0.05) mm. The R0 parameter showed no statistically significant correlation between skin firmness and age. On the basis of the other parameters, it can be concluded that skin elasticity and an ability to return to its original shape around the eyes, on the cheeks and around the lips, are greater in younger patients than in older groups. There were no statistically significant differences within each age group between the right and left sides of the face. Conclusion Skin firmness described by the R0 parameter is constant in the studied groups and independent of age. Skin elasticity, and an ability to return to its original shape around the eyes, on the cheeks and around the lips, is greater in younger patients. The aging process simultaneously affects the entire facial skin.
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Affiliation(s)
| | - Maja Matthews-Kozanecka
- Department of Social and Humanistic Sciences, Poznan University of Medical Sciences, Poznan, Poland
| | - Marta Janus-Kubiak
- Department of Biophysics, Poznan University of Medical Sciences, Poznan, Poland
| | - Leszek Kubisz
- Department of Biophysics, Poznan University of Medical Sciences, Poznan, Poland
| | - Dorota Hojan-Jezierska
- Department of Hearing Healthcare Profession, Chair of Biophysics, Poznan University of Medical Sciences, Poznan, Poland
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