At-home Cosmeceutical Application and Outpatient Treatments: A 3D Stepwise Facial Rejuvenation Approach

Fabrizio  Melfa; Daniela  Siragusa; Daniela Caruso; Carmelo Lo Faro; Giovanni Francesco Nicoletti; Raffaele Rauso

doi:10.3889/oamjms.2020.5062

Authors

Fabrizio Melfa Department of Aesthetic Medicine, Private Practice, Palermo, Milano, Italy
Daniela Siragusa Department of Aesthetic Medicine, Private Practice, Palermo, Milano, Italy
Daniela Caruso Department of Aesthetic Medicine, Private Practice, Catania, Milano, Italy
Carmelo Lo Faro Department of Maxillofacial Surgery, University Federico II, Naples, Italy
Giovanni Francesco Nicoletti Head of Plastic Surgery Unit, University of Campania “Luigi Vanvitelli”, Naples, Italy
Raffaele Rauso Department of Maxillofacial Surgery, University of Campania “Luigi Vanvitelli”, Naples, Italy

DOI:

https://doi.org/10.3889/oamjms.2020.5062

Keywords:

Cosmeceutical, Chemical peel, Dermal filler, Botulinum toxin, Facial rejuvenation, Vitamin A, Facial aging

Abstract

BACKGROUND: Aging affects the 3-dimensional structure of all the facial tissues: Bones, muscles, ligaments, adipose tissue, and skin.

AIM: To customize minimally invasive treatments for facial rejuvenation, we present a standardized holistic approach characterized by at-home treatments in associations with outpatient procedures.

METHODS: Forty-four patients underwent 3-dimensional stepwise facial rejuvenation and were evaluated prospectively. Each patient received a customized treatment plan based on a clinical examination and consultation. Treatment outcomes were evaluated from patient photographs with and skin analysis was performed with an A-One Smart automated skin analysis system.

RESULTS: The mean age of the patients was 41.7 years and the approximate mean duration of treatment was 160 days. Patients applied cosmeceuticals such as retinoic acid. Outpatient procedures included the delivery of botulinum toxin or dermal fillers, thread lifting, chemical peels, etc. Upon treatment completion, significant improvements were noted in multiple domains: Skin elasticity and hydration increased, areas of hyper-pigmentation were less extensive, and there were fewer visible wrinkles and pores.

CONCLUSION: Outcomes of the present article suggest how important is to customize facial anti-aging treatments. Nonsurgical treatments carried out progressively, involving the patient to perform at-home treatments in associations with outpatient procedures, let to achieve facial improvements in terms of increased skin elasticity and hydration, reduction of hyperpigmentation, wrinkles, and pores.

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References

Shaw RB Jr., Katzel EB, Koltz PF, Yaremchuk MJ, Girotto JA, Kahn DM, et al. Aging of the facial skeleton: Aesthetic implications and rejuvenation strategies. Plast Reconstr Surg. 2011;127(1):374- 83. https://doi.org/10.1097/prs.0b013e3181f95b2d PMid:20871486

Rohrich RJ, Pessa JE. The fat compartments of the face: Anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg. 2007;119(7):2219-27. https://doi.org/10.1097/01.prs.0000265403.66886.54 PMid:17519724

McGrath JA, Eady RA, Pope FM. Anatomy and organization of human skin. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 8th ed. Oxford: Wiley-Blackwell; 2010. p. 1-53. https://doi.org/10.1002/9781444317633.ch3

Available from: https://www.surgery.org/sites/default/files/ASAPS-Stats2018_0.pdf. [Last accesses on 2020 May 22].

Zerbinati N, Rauso R, Protasoni M, D’Este E, Esposito C, Lotti T, et al. Pegylated hyaluronic acid filler enriched with calcium hydroxyapatite treatment of human skin: Collagen renewal demonstrated through morphometric computerized analysis. Biol Regul Homeost Agents. 2019;33(6):1967-71. PMid:31920061

Courdeot-Masuyer C, Robin S, Tauzin H, Humbert P. Evaluation of lifting and antiwrinkle effects of calcium hydroxylapatite filler. In vitro quantification of contractile forces of human wrinkle and normal aged fibroblasts treated with calcium hydroxylapatite. J Cosmet Dermatol. 2016;15(3):260-8. https://doi.org/10.1111/ jocd.12215 PMid:26990784

Salti G, Rauso R. Facial rejuvenation with fillers: The dual plane technique. J Cutan Aesthet Surg. 2015;8(3):127-33. https://doi. org/10.4103/0974-2077.167264 PMid:26644734

Beylot C. Skin ageing-general features of facial ageing and therapeutic choices. Ann Dermatol Venereol. 2019;146(1):41-74. PMid:30581032

Pinsky MA. Efficacy and safety of an anti-aging technology for the treatment of facial wrinkles and skin moisturization. J Clin Aesthet Dermatol. 2017;10(12):27-35. PMid:29399264

Bhawan J. Short- and long-term histologic effects of topical tretinoin on photodamaged skin. Int J Dermatol. 1998;37:286- 92. https://doi.org/10.1046/j.1365-4362.1998.00433. PMid:9585903

Kafi R, Kwak HS, Schumacher WE, Cho S, Hanft VN, Hamilton TA, et al. Improvement of naturally aged skin with Vitamin A (retinol). Arch Dermatol. 2007;143:606-12. https://doi. org/10.1001/archderm.143.5.606 PMid:17515510

Fluhr JW, Vienne MP, Lauze C, Dupuy P, Gehring W, Gloor M. Tolerance profile of retinol, retinaldehyde and retinoic acid under maximized and long-term clinical conditions. Dermatology. 1999;199 Suppl 1:57-60. https://doi.org/10.1159/000051381 PMid:10473963

Rendon MI, Berson DS, Cohen JL, Roberts WE, Starker I, Wang B. Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. J Clin Aesthet Dermatol. 2010;3(7):32-43.PMid:20725555

Kessler E, Flanagan K, Chia C, Rogers C, Glaser DA. Comparison of alpha- and beta-hydroxy acid chemical peels in the treatment of mild to moderately severe facial acne vulgaris. Dermatol Surg. 2008;34(1):45-50. https://doi. org/10.1111/j.1524-4725.2007.34007.x PMid:18053051

Camacho FM. Medium-depth and deep chemical peels. J Cosmet Dermatol. 2005;4(2):117-28. PMid:17166210

Harrar H, Myers S, Ghanem AM. Art or science? An evidence-based approach to human facial beauty a quantitative analysis towards an informed clinical aesthetic practice. Aesthetic Plast Surg. 2018;42(1):137-46. https://doi.org/10.1007/ s00266-017-1032-7 PMid:29313062

Barca I, Novembre D, Cordaro R, Lo Faro C, Colangeli W, Boschetti CE, et al. Myoepithelioma of the parotid gland: A case report with review of the literature. Oral Maxillofac Surg Cases. 2020;6(1):100131. https://doi.org/10.1016/j.omsc.2019.100131

Esposito L, Razzano S, Lo Faro C, Orabona GD, Schonauer F. Pinna fillet flap after advanced external ear tumor resection. JPRAS Open. 2016;8:9-13. https://doi.org/10.1016/j. jpra.2016.02.002