Calvo Peretti Murilo, Caballero Uribe Natalia, Régnier Antonia, Trüeb Ralph M
Department of Dermatology, Clinics Hospital (Hospital de Clínicas), Federal University of Parana (HC-UFPR), Curitiba-Paraná, Brazil.
Center for Dermatology and Hair Diseases Professor Trüeb, Zurich-Wallisellen, Switzerland.
Skin Appendage Disord. 2020 Mar;6(2):67-76. doi: 10.1159/000504306. Epub 2020 Feb 5.
With today's increasing life expectation and quality of life, the desire to look young and beautiful plays a bigger role than ever. Aging of the hair is particularly visible. And yet, cosmetic dermatology has paid comparatively little attention to the care of the aging hair. The professional market for cosmetic interventions into the face has preceded those into the hair for a number of reasons. First, the market for facial rejuvenation has been dominated by plastic surgeons, until the fillers and botulinum toxin were introduced. Second, investigative dermatology found a profound interest in the study of skin aging, particularly as it relates to ultraviolet exposure, and exposed mechanisms at the level of the DNA and repair mechanisms, opening venues for effective preventive measures and pharmacological treatments of aging-related conditions of the skin. Finally, at the level of health professionals, the care for the skin has been overrated in relation to the hair, mostly due to economic reasons. Nevertheless, the hair represents an integral part of the face and our appearance. Moreover, the discovery of pharmacological targets and the development of safe and effective drugs for treatment of hair loss indicate strategies of the drug industry for maintenance of hair growth and quantity, while the hair care industry has become capable of delivering active compounds directed toward meeting the consumer demand for maintenance of hair cosmesis and quality. To offer patients the best outcomes toward a more youthful look, we therefore should look at the whole face including the condition of the hair for a more comprehensive approach toward a total facial skin and hair care concept.
随着如今预期寿命和生活质量的不断提高，看起来年轻漂亮的愿望比以往任何时候都发挥着更大的作用。头发的老化尤为明显。然而，美容皮肤科对老化头发的护理关注相对较少。由于多种原因，面部美容干预的专业市场先于头发美容市场。首先，在填充剂和肉毒杆菌毒素出现之前，面部年轻化市场一直由整形外科医生主导。其次，研究性皮肤科对皮肤老化的研究产生了浓厚兴趣，特别是与紫外线暴露相关的老化，以及在DNA水平上的暴露机制和修复机制，为皮肤老化相关病症的有效预防措施和药物治疗开辟了道路。最后，在医疗专业人员层面，相对于头发，对皮肤的护理受到的重视过高，这主要是出于经济原因。然而，头发是面部和我们外貌的一个组成部分。此外，治疗脱发的药理学靶点的发现以及安全有效药物的开发表明了制药行业维持头发生长和数量的策略，而护发行业已经能够提供针对满足消费者对头发生美观和质量维护需求的活性化合物。因此，为了给患者提供更年轻外观的最佳效果，我们应该审视整个面部，包括头发状况，以采用更全面的方法来实现全面的面部皮肤和头发护理理念。
