Transdermal redermalization in rosacea: Rehab procedures in intercurrent period

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Background: The authors presented their own experiences of skin restoration in patients with rosacea after a course of active therapy using transdermal redermalization.

Aim: The course of cosmetic correction procedures using this method aimed to restore the energy potential of cells, water balance, and structures of the dermal elastin fibers, normalize microcirculation processes, and create an optimal physiological environment for the mitotic activity of epidermal cells.

Materials and methods: An innovative method of transdermal redermalization represents the administration of a drug containing hyaluronic acid and sodium succinate using the technique of papular intradermal injections, taking into account the peculiarities of lymphatic drainage in the facial area.

Results: To assess the therapy’s efficiency, noninvasive monitoring of changes in morphological structures of the skin was performed using confocal laser scanning microscopy.

Conclusions: The authors revealed the high efficiency of the method, which controls the remission state for a long term, subsequently avoiding drug therapy

Full Text

Restricted Access

About the authors

Anastasia S. Romashkina

LLC Beauterra

Author for correspondence.
Email: RomashkinaAS@mail.ru
ORCID iD: 0000-0002-6775-9797

MD, PhD, Medical director of Limited liability company Beauterra

Russian Federation, Moscow

O. Y. Olisova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: RomashkinaAS@mail.ru
ORCID iD: 0000-0003-2482-1754
Russian Federation, Moscow

E. S. Snarskaya

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: RomashkinaAS@mail.ru
ORCID iD: 0000-0002-7968-7663
Russian Federation, Moscow

References

  1. Tan J, Steinhoff M, Berg M, Del Rosso J, Layton A, Leyden J, et al.; Rosacea International Study Group. Shortcomings in rosacea diagnosis and classification. Br J Dermatol. 2017;176(1):197-9.
  2. Picardo M, Ottaviani M. Skin microbiome and skin disease: the example of rosacea. J Clin Gastroenterol. 2014;48(Suppl.1):85-6.
  3. Rusina TS, Snarskaya ES. Erythematotelangiectatic rosacea: the optimization of diagnostics and therapy. Russian Journal of Skin and Venereal Diseases. 2019;22 (3-4):111-20. (in Russian)
  4. Araviyskaya ER, Samtsov AV. Federal clinical guidelines of therapy of patients with rosacea. Moscow: Russian Society of Dermatologists and Cosmetologists; 2015. (in Russian)
  5. Khayrutdinov VR. Rosacea: modern concepts of the pathogenesis, clinical picture and treatment. Effective pharmacology. 2014;(19):32-7 (in Russian)
  6. Steinhoff M, Schmelz M, Schauber J. Facial erythema of rosacea – aetiology, different pathophysiologies and treatment options. Acta Derm Venereol. 2016;96(5):579-86.
  7. Steinhoff M, Schauber J, Leyden JJ. New insights into rosacea pathophysiology: a review of recent findings. J Am Acad Dermatol. 2013;69(6, Suppl. 1):S15-26.
  8. Ariza AC, Deen PM, Robben JH. The succinate receptor as a novel therapeutic target for oxidative and metabolic stress-related conditions. Front Endocrinol (Lausanne). 2012;3:22.
  9. Lukyanova LD, Kirova Yu I, Germanova EL. Specific features of immediate expression of succinate-dependent receptor GPR91 in tissues during hypoxia. Bull Exp Biol Med. 2016;160(6):742-7.
  10. Rubic T, Lametschwandtner G, Jost S, Hinteregger S, Kund J, Carballido-Perrig N., et al. Triggering the succinate receptor GPR91 on dendritic cells enhances immunity. Nat Immunol. 2008;9(11):1261-9.
  11. Liskina IV, Derkach NN, Kuzovkova SD. Comparative clinical and morphological study of the effect of two hyaluronic acid based products on the skin. Ukrainian Journal of Dermatology, Venereology, Cosmetology. 2010;(2):64-70. (in Russian)
  12. Ulusal B. Platelet-rich plasma and hyaluronic acid - an efficient biostimulation method for face rejuvenation. J Cosmet Dermatol. 2017;16(1):112-9.
  13. Grant-Kels JM, Pellacani G, Longo C. Reflectance confocal microscopy clinical applications: the skin from inside. Dermatol Clin. 2016;34(4):xiii–xiv.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Cycle of tricarboxylic acids under normoxia conditions.

Download (212KB)
3. Fig. 2. Cycle of tricarboxylic acids under hypoxic conditions.

Download (172KB)
4. Fig. 3. Scheme of administration of the drug Hyalual 1.1% in patients rosacea.

Download (161KB)
5. Fig. 4. Patient S., 32 years old. Rosacea, telangiectatic and papulopustular subtype, mild (L71). a - before the course of redermalization; b - after the 1st procedure of transdermal redermalization; c - after three procedures of transdermal redermalization; d - upon completion of the course of transdermal redermalization.

Download (531KB)
6. Fig. 5. The same patient. Confocal laser scanning microscopy. a - before the course of redermalization: significantly expanded, horizontally located vessels, structural changes the frame of the dermis in the form of areas of rarefaction of its structures; b - after a course of transdermal redermalization: there is a pronounced narrowing of previously dilated vessels, both the smallest and largest, including in the papillae of the dermis. General structure the upper dermis acquired a more uniform structured appearance with a normal arrangement of fibers and vessels.

Download (280KB)

Copyright (c) 2020 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 86501 от 11.12.2023 г
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80653 от 15.03.2021 г
.



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies