Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory Validation

Topical antiaging products are often a first-line intervention to counter visible signs of facial photoaging, aiming for sustained cosmetic improvement. However, prolonged application of a single active topical compound was observed clinically to lead to a plateau effect in improving facial photoagi...

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প্রধান লেখক: Lisa DiNatale, Jolanta Idkowiak-Baldys, Young Zhuang, Anthony Gonzalez, Thomas J. Stephens, Lily I. Jiang, Weiping Li, Rubinder Basson, Ardeshir Bayat
বিন্যাস: প্রবন্ধ
ভাষা:English
প্রকাশিত: Frontiers Media S.A. 2021-09-01
মালা:Frontiers in Medicine
বিষয়গুলি:
অনলাইন ব্যবহার করুন:https://www.frontiersin.org/articles/10.3389/fmed.2021.724344/full
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author Lisa DiNatale
Jolanta Idkowiak-Baldys
Young Zhuang
Anthony Gonzalez
Thomas J. Stephens
Lily I. Jiang
Weiping Li
Rubinder Basson
Ardeshir Bayat
Ardeshir Bayat
author_facet Lisa DiNatale
Jolanta Idkowiak-Baldys
Young Zhuang
Anthony Gonzalez
Thomas J. Stephens
Lily I. Jiang
Weiping Li
Rubinder Basson
Ardeshir Bayat
Ardeshir Bayat
author_sort Lisa DiNatale
collection DOAJ
description Topical antiaging products are often a first-line intervention to counter visible signs of facial photoaging, aiming for sustained cosmetic improvement. However, prolonged application of a single active topical compound was observed clinically to lead to a plateau effect in improving facial photoaging. In view of this, we set out to reduce this effect systematically using a multi-tiered approach with laboratory evidence and clinical trials. The objective of the study was to evaluate the effects of active topical ingredients applied either alone, in combination, or in a rotational manner on modulation of facial photoaging. The study methodology included in vitro, organotypic, and ex vivo skin explants; in vivo biopsy study; as well as clinical trials. We demonstrate for the first time that a pair of known antiaging ingredients applied rotationally, on human dermal fibroblasts, maximized pro-collagen I production. Indeed, rotational treatment with retinol and phytol/glycolic acid (PGA) resulted in better efficacy than application of each active ingredient alone as shown by explants and in vivo biopsy study, with penetration of active ingredients confirmed by Raman spectroscopy. Furthermore, two split-face, randomized, double-blinded clinical trials were conducted, one for 12 months to compare treated vs. untreated and the other for 6 months followed by a 2-month regression to compare treated vs. commercially marketed products. In both studies, rotational regimen showed superior results to its matching comparison as assessed by clinical grading and image analysis of crow's feet wrinkles. In conclusion, rotational regimen using retinol and PGA is effective in treating facial photoaging signs with long-lasting benefits.
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spelling doaj.art-5dce4b3c9dd14143ac15b520a3eabf602022-12-21T20:02:41ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-09-01810.3389/fmed.2021.724344724344Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory ValidationLisa DiNatale0Jolanta Idkowiak-Baldys1Young Zhuang2Anthony Gonzalez3Thomas J. Stephens4Lily I. Jiang5Weiping Li6Rubinder Basson7Ardeshir Bayat8Ardeshir Bayat9Global Innovation Center, Avon Products Inc., Avon Skin Care Institute, Suffern, NY, United StatesGlobal Innovation Center, Avon Products Inc., Avon Skin Care Institute, Suffern, NY, United StatesGlobal Innovation Center, Avon Products Inc., Avon Skin Care Institute, Suffern, NY, United StatesGlobal Innovation Center, Avon Products Inc., Avon Skin Care Institute, Suffern, NY, United StatesThomas J. Stephens & Associates, Inc., Richardson, TX, United StatesThomas J. Stephens & Associates, Inc., Richardson, TX, United StatesCentre for Dermatology Research, National Institute for Health Research Manchester Biomedical Research Centre, Stopford Building, University of Manchester, Manchester, United KingdomCentre for Dermatology Research, National Institute for Health Research Manchester Biomedical Research Centre, Stopford Building, University of Manchester, Manchester, United KingdomCentre for Dermatology Research, National Institute for Health Research Manchester Biomedical Research Centre, Stopford Building, University of Manchester, Manchester, United KingdomMedical Research Council of South Africa Wound Healing Unit, Hair and Skin Research Laboratory, Division of Dermatology, University of Cape Town, Cape Town, South AfricaTopical antiaging products are often a first-line intervention to counter visible signs of facial photoaging, aiming for sustained cosmetic improvement. However, prolonged application of a single active topical compound was observed clinically to lead to a plateau effect in improving facial photoaging. In view of this, we set out to reduce this effect systematically using a multi-tiered approach with laboratory evidence and clinical trials. The objective of the study was to evaluate the effects of active topical ingredients applied either alone, in combination, or in a rotational manner on modulation of facial photoaging. The study methodology included in vitro, organotypic, and ex vivo skin explants; in vivo biopsy study; as well as clinical trials. We demonstrate for the first time that a pair of known antiaging ingredients applied rotationally, on human dermal fibroblasts, maximized pro-collagen I production. Indeed, rotational treatment with retinol and phytol/glycolic acid (PGA) resulted in better efficacy than application of each active ingredient alone as shown by explants and in vivo biopsy study, with penetration of active ingredients confirmed by Raman spectroscopy. Furthermore, two split-face, randomized, double-blinded clinical trials were conducted, one for 12 months to compare treated vs. untreated and the other for 6 months followed by a 2-month regression to compare treated vs. commercially marketed products. In both studies, rotational regimen showed superior results to its matching comparison as assessed by clinical grading and image analysis of crow's feet wrinkles. In conclusion, rotational regimen using retinol and PGA is effective in treating facial photoaging signs with long-lasting benefits.https://www.frontiersin.org/articles/10.3389/fmed.2021.724344/fullrotational combination regimenskin cosmeticsskin topical applicationfacial photoagingcosmetic dermatology
spellingShingle Lisa DiNatale
Jolanta Idkowiak-Baldys
Young Zhuang
Anthony Gonzalez
Thomas J. Stephens
Lily I. Jiang
Weiping Li
Rubinder Basson
Ardeshir Bayat
Ardeshir Bayat
Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory Validation
Frontiers in Medicine
rotational combination regimen
skin cosmetics
skin topical application
facial photoaging
cosmetic dermatology
title Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory Validation
title_full Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory Validation
title_fullStr Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory Validation
title_full_unstemmed Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory Validation
title_short Novel Rotational Combination Regimen of Skin Topicals Improves Facial Photoaging: Efficacy Demonstrated in Double-Blinded Clinical Trials and Laboratory Validation
title_sort novel rotational combination regimen of skin topicals improves facial photoaging efficacy demonstrated in double blinded clinical trials and laboratory validation
topic rotational combination regimen
skin cosmetics
skin topical application
facial photoaging
cosmetic dermatology
url https://www.frontiersin.org/articles/10.3389/fmed.2021.724344/full
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