Draelos Zoe Diana, Brieva Patricia, Choudhary Hina, White Stacy
J Drugs Dermatol. 2025 Sep 1;24(9):904-909. doi: 10.36849/jdd.9201.
The accumulation of endogenous advanced glycation end products (AGEs) has been shown to degrade the integrity of the extracellular matrix in the dermis, resulting in signs of aging. Resurfacing procedures are a first-line treatment option. Post-procedure skin care is integral in achieving optimal results with minimal downtime. This single-site, randomized, split-face, double-blind, controlled study investigated the efficacy and tolerance of an AGE inhibitory moisturizer on facial appearance on a diverse panel of 42 female subjects, including Fitzpatrick skin types I through VI, following either radiofrequency microneedling or a glycolic acid peel after twice daily application for 10 weeks. Investigator clinical efficacy was assessed using the modified Griffiths scale at baseline and weeks 1, 2, 4, and 8. Before and after images were captured with VISIA Imaging (Canfield Scientific) at the same timepoints as efficacy assessments. Objective and subjective tolerance assessments were conducted during the study. At pre-treatment, participants applied either the AGE inhibitory moisturizer or the bland moisturizer to one-half of the face in conjunction with cleanser and sunscreen for 14 days. At baseline, based on Fitzpatrick skin type, participants received either a single session of full-face ultrasound radiofrequency microneedling (RFMN) or a glycolic acid peel. For participants with Fitzpatrick skin type III-VI who were treated with a glycolic acid peel, the AGE inhibitory moisturizer-treated side of the face compared to the control-treated side of the face resulted in a greater statistically significant improvement at week 8 in 5 attributes: skin clarity, evenness of skin tone, fine lines, elasticity, and overall appearance (all P<0.05). Furthermore, the following 10 attributes were statistically significantly improved compared to baseline (overall facial appearance, wrinkles, fine lines, elasticity, laxity, firmness, evenness, radiance, clarity, and hyperpigmentation). For participants with Fitzpatrick skin type I-II who were treated with RFMN, the AGE inhibitory moisturizer-treated side of the face resulted in a greater statistically significant improvement in laxity, clarity, fine lines, elasticity, and overall facial appearance at week 8 versus the control moisturizer-treated side of the face (all P<0.05). The AGE inhibitory moisturizer is an effective and well-tolerated option for women of all skin tones to improve the signs of aging following resurfacing procedures.
内源性晚期糖基化终产物(AGEs)的积累已被证明会破坏真皮细胞外基质的完整性,从而导致衰老迹象。皮肤重塑手术是一线治疗选择。术后皮肤护理对于以最短的停工期实现最佳效果至关重要。这项单部位、随机、半脸、双盲、对照研究调查了一种AGE抑制性保湿霜对42名女性受试者(包括I至VI型菲茨帕特里克皮肤类型)面部外观的疗效和耐受性,这些受试者在接受射频微针治疗或乙醇酸焕肤后,每天两次涂抹该保湿霜,持续10周。在基线以及第1、2、4和8周时,使用改良的格里菲斯量表评估研究者的临床疗效。在与疗效评估相同的时间点,用VISIA成像系统(Canfield Scientific)拍摄前后图像。在研究期间进行客观和主观耐受性评估。在预处理阶段,参与者将AGE抑制性保湿霜或普通保湿霜与洁面产品和防晒霜一起涂抹在半侧面部,持续14天。在基线时,根据菲茨帕特里克皮肤类型,参与者接受单次全脸超声射频微针治疗(RFMN)或乙醇酸焕肤。对于接受乙醇酸焕肤治疗的III - VI型菲茨帕特里克皮肤类型的参与者,与对照处理的面部一侧相比,使用AGE抑制性保湿霜处理的面部一侧在第8周时在5个属性上有更大的统计学显著改善:皮肤清晰度、肤色均匀度、细纹、弹性和整体外观(所有P<0.05)。此外,与基线相比,以下10个属性有统计学显著改善(整体面部外观、皱纹、细纹、弹性、松弛度、紧致度、均匀度、光泽度、清晰度和色素沉着)。对于接受RFMN治疗的I - II型菲茨帕特里克皮肤类型的参与者,与对照保湿霜处理的面部一侧相比,使用AGE抑制性保湿霜处理的面部一侧在第8周时在松弛度、清晰度、细纹、弹性和整体面部外观方面有更大的统计学显著改善(所有P<0.05)。AGE抑制性保湿霜对于所有肤色的女性来说,是一种有效且耐受性良好的选择,可改善皮肤重塑手术后的衰老迹象。