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一款用于改善细纹、皱纹和光损伤肌肤的面部精华液的功效与耐受性

Efficacy and tolerability of a facial serum for fine lines, wrinkles, and photodamaged skin.

作者信息

McCall-Perez Fred, Stephens Thomas J, Herndon James H

出版信息

J Clin Aesthet Dermatol. 2011 Jul;4(7):51-4.

Abstract

BACKGROUND

Dermatology visits for the prevention and treatment of aging skin are rapidly increasing. The clinical sequelae including wrinkling, pigmentary changes, roughness, laxity, and telangiectasia can all result in the appearance of aging skin, impacting quality of life. A facial serum was developed with ingredients associated with an improvement in the appearance of fine lines and wrinkles and increase in stratum corneum barrier function. Patients were instructed to use a gentle wash before applying the formulation and a moisturizer afterwards.

OBJECTIVE

To assess the efficacy and tolerability of a facial serum in improving the appearance of fine lines, wrinkles, and signs of photodamage.

METHODS

Thirty-four female subjects (Fitzpatrick classification I-IV) with early to advanced photodamaged skin in a 12-week, single-arm, open-label clinical trial. Visits were scheduled at Baseline and Weeks 4, 8, and 12. Efficacy was assessed using visual grading of facial and periocular skin (modified 10-point scales); changes in viscoelasticity properties were assessed by cutometry. Cutaneous tolerability was evaluated both clinically and subjectively using a 4-point scale and monitoring adverse events. Digital photography documented treatment-related changes in skin appearance. Subjects completed self-assessments at Baseline and Weeks 4, 8, and 12.

RESULTS

Significant improvements in all parameters and skin condition were seen as early as Week 4 (p≤0.05). There was an 18-percent improvement in overall appearance by Week 12 (p≤0.05). Fine lines and coarse winkles improved by 27 and 15 percent, respectively (both p≤0.05). Significant improvements were also seen in uneven pigmentation, firmness/elasticity, toned/resiliency, skin radiance, tone, and tactile roughness/smoothness (10%, 11%, 18%, 21%, 16%, and 47%, respectively; allp≤0.05). By Week 12 subjects reported a 43-percent improvement in overall facial skin appearance and 24-percent reduction in mean scores for facial lines and wrinkles (bothp≤0.05). Improvements were also reported in overall skin tone, firmness, dryness, appearance of pores, appearance of brown spots/facial discoloration, skin radiance, and texture (37%, 35%, 35%, 28%, 24%, 39%, 38%, respectively; allp≤0.05). There was a 71-percent reduction in erythema and 94-percent reduction in skin dryness by Week 12 (both p≤0.05).

CONCLUSION

The facial serum, in combination with the wash and moisturizer, may be effective and well-tolerated when treating photodamaged skin and may improve the appearance of fine lines and wrinkles. Significant improvements were seen with all grading parameters as early as four weeks of usage. A controlled study is warranted to further validate these findings.

摘要

背景

因预防和治疗皮肤老化而进行的皮肤科就诊人数正在迅速增加。包括皱纹、色素沉着变化、粗糙、松弛和毛细血管扩张在内的临床后遗症均可导致皮肤老化的外观,影响生活质量。研发了一种面部精华液,其成分有助于改善细纹和皱纹外观并增强角质层屏障功能。指导患者在涂抹该配方产品前使用温和洁面产品,之后使用保湿霜。

目的

评估一种面部精华液改善细纹、皱纹和光损伤迹象外观的疗效和耐受性。

方法

34名女性受试者(Fitzpatrick皮肤分型I - IV型)患有早期至晚期光损伤皮肤,参与一项为期12周的单臂、开放标签临床试验。在基线期以及第4、8和12周安排就诊。使用面部和眼周皮肤视觉分级(改良10分制)评估疗效;通过皮肤弹性测定法评估粘弹性特性的变化。使用4分制临床和主观评估皮肤耐受性并监测不良事件。数码摄影记录与治疗相关的皮肤外观变化。受试者在基线期以及第4、8和12周完成自我评估。

结果

早在第4周时,所有参数和皮肤状况均有显著改善(p≤0.05)。到第12周时,整体外观改善了18%(p≤0.05)。细纹和粗皱纹分别改善了27%和15%(均p≤0.05)。色素沉着不均、紧致度/弹性、色调/弹性、皮肤光泽、肤色和触觉粗糙度/光滑度也有显著改善(分别为10%、11%、18%、21%、16%和47%;均p≤0.05)。到第12周时,受试者报告整体面部皮肤外观改善了43%,面部纹路和皱纹平均评分降低了24%(均p≤0.05)。整体肤色、紧致度、干燥度、毛孔外观、褐色斑点/面部色素沉着外观、皮肤光泽和质地也有改善报告(分别为37%、35%、35%、28%、24%、39%、38%;均p≤0.05)。到第12周时,红斑减少了71%,皮肤干燥减少了94%(均p≤0.05)。

结论

该面部精华液与洁面产品和保湿霜联合使用时,在治疗光损伤皮肤方面可能有效且耐受性良好,可能改善细纹和皱纹外观。早在使用四周时,所有分级参数均有显著改善。有必要进行对照研究以进一步验证这些发现。

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