Operative Unit, Dermatologic and Plastic Surgery, Centro Diagnostico Italiano, Via Saint Bon, 20, Milan, 20147, Italy.
Carmen De Luca Beauty Clinic, Via Casilina SNC Parco del Rondò, Cassino, Italy.
J Cosmet Dermatol. 2022 Feb;21(2):615-624. doi: 10.1111/jocd.14578. Epub 2021 Nov 17.
Wasting of soft tissues leads to flattening and deflation of the aging midface skin. Polynucleotides Highly Purified Technology (PN-HPT ) demonstrated dermal hydration and elasticity as well as fibroblasts vitality and activity.
To probe the value of PN-HPT in middle third rejuvenation in an open-design, exploratory prospective cohort study in 40 real-life ambulatorily treated women.
Three treatment sessions-at baseline (2-ml prefilled syringe containing 10 mg/ml PN-HPT , 10 mg/ml hyaluronic acid, 200 mM mannitol) as intradermic gel, and after 3 weeks (2-ml prefilled syringe containing 20 mg/ml PN-HPT intradermic gel) and 6 weeks (same treatment as baseline). The protocol allowed supplemental treatment with specifically formulated PN-HPT (7.5 mg/ml) when needed in periocular and eyelid areas.
sequential photographs of the facial middle third at baseline, third treatment session and 6-8 weeks after the third treatment session; scoring of overall skin quality and texture, skin quality determinants (wrinkles and skin roughness, skin elasticity, skin brightness), scar appearance, and subjective satisfaction with impromptu 10-cm Visual Analogue Scales.
Significant improvement of overall skin quality and texture (from 7.0 ± 1.06 at baseline session to 7.8 ± 0.99 at follow-up), associated with highly significant improvements of wrinkles and skin roughness, elasticity, and brightness (-17.1%, +39.6%, and +51.1%, respectively). The severity scores of post-acne scars decreased from 7.6 ± 1.32 to 4.2 ± 2.13. Individual satisfaction score at the end of treatment: 0.8 ± 0.28.
PN-HPT candidate as a valuable option for facial middle third rejuvenation. Further trials will hopefully confirm these early results.
软组织的消耗会导致衰老的中面部皮肤变平、瘪陷。多核苷酸高度纯化技术(PN-HPT)已被证实具有皮肤保湿、弹性以及成纤维细胞活力和活性的作用。
在一项开放设计、探索性前瞻性队列研究中,评估 PN-HPT 在 40 例门诊治疗的女性中对面中部年轻化的效果。
三次治疗,基线时(预充式 2 毫升注射器,含 10mg/ml PN-HPT、10mg/ml 透明质酸、200mM 甘露醇)作为真皮内凝胶,第 3 周(预充式 2 毫升注射器,含 20mg/ml PN-HPT 真皮内凝胶)和第 6 周(与基线时相同的治疗)。该方案允许在眼周和眼睑区域需要时补充使用专门配制的 PN-HPT(7.5mg/ml)。
在基线、第三次治疗和第三次治疗后 6-8 周时对面中部的连续照片;评估整体皮肤质量和纹理、皮肤质量决定因素(皱纹和皮肤粗糙度、皮肤弹性、皮肤亮度)、疤痕外观以及使用即时 10 厘米视觉模拟量表进行的主观满意度评分。
整体皮肤质量和纹理显著改善(从基线时的 7.0±1.06 改善到随访时的 7.8±0.99),与皱纹和皮肤粗糙度、弹性和亮度的显著改善相关(分别为-17.1%、+39.6%和+51.1%)。痤疮后疤痕的严重程度评分从 7.6±1.32 降低至 4.2±2.13。治疗结束时的个体满意度评分:0.8±0.28。
PN-HPT 是面部中面部年轻化的一种有价值的选择。进一步的试验有望证实这些早期结果。