Objective evaluation of the effects of intense pulsed light treatment on Asian skin by reflectance confocal microscopy analysis

Lasers in Medical Science - Tập 33 - Trang 779-784 - 2017
Wenjia Sun1, Jiaqiang Wu1, Hui Qian1, Juemin Zhao1, Leihong Xiang1, Chengfeng Zhang1
1Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China

Tóm tắt

This study aimed to evaluate the effect of IPL treatment on Asian skin by reflectance confocal microscopy (RCM) analysis. Ten Asian female volunteers (39~54 years old, Fitzpatrick skin type III~IV) received five monthly IPL treatments. RCM skin images were evaluated, and several skin physiological parameters including thickness of stratum corneum, minimal thickness of epidermis, thickness of basal layer, density of dermal papillae, and mean diameter of papillae capillaries were measured both at baseline and 1 month after the last treatment. Transepidermal water loss (TEWL) was evaluated, as well. Thickness of stratum corneum was 4.80 ± 1.48 μm before IPL treatment and 5.50 ± 1.35 μm after treatment (p = 0.322). Both minimal thickness of epidermis and thickness of basal layer were significantly increased (p = 0.002 and 0.018, respectively) after IPL treatment. Dermal papillae density was significantly increased (p = 0.035), whereas mean capillary diameter was reduced significantly (p = 0.035). TEWL was slightly increased after treatment, while the difference was not significant on either T-zone or U-zone (p = 0.085 on T-zone and p = 0.114 on U-zone). RCM imaging is a feasible method to evaluate the effect of IPL effect on human skin. Moreover, IPL treatment serves to be highly safe in skin rejuvenation.

Tài liệu tham khảo

Li D, Lin SB, Cheng B (2016) Intense pulsed light: from the past to the future [J]. Photomed Laser Surg 34(10):435–447 Husain Z, Alster TS (2016) The role of lasers and intense pulsed light technology in dermatology [J]. Clin Cosmet Investig Dermatol 9:29–40 Negishi K, Tezuka Y, Kushikata N, Wakamatsu S (2001) Photorejuvenation for Asian skin by intense pulsed light [J]. Dermatol Surg 27(7):627–631 discussion 632 Li YH, Wu Y, Chen JZ, Zhu X, Xu YY, Chen J, Dong GH, Gao XH, Chen HD (2010) A split-face study of intense pulsed light on photoaging skin in Chinese population [J]. Lasers Surg Med 42(2):185–191 Shin JW, Lee DH, Choi SY, Na JI, Park KC, Youn SW, Huh CH (2011) Objective and non-invasive evaluation of photorejuvenation effect with intense pulsed light treatment in Asian skin [J]. J Eur Acad Dermatol Venereol 25(5):516–522 Rajadhyaksha M, Marghoob A, Rossi A, Halpern AC, Nehal KS (2017) Reflectance confocal microscopy of skin in vivo: from bench to bedside [J]. Lasers Surg Med 49(1):7–19 Gonzalez S, Gilaberte-Calzada Y (2008) In vivo reflectance-mode confocal microscopy in clinical dermatology and cosmetology [J]. Int J Cosmet Sci 30(1):1–17 Kang HY, Bahadoran P, Ortonne JP (2010) Reflectance confocal microscopy for pigmentary disorders [J]. Exp Dermatol 19(3):233–239 Sauermann K, Clemann S, Jaspers S, Gambichler T, Altmeyer P, Hoffmann K, Ennen J (2002) Age related changes of human skin investigated with histometric measurements by confocal laser scanning microscopy in vivo [J]. Skin Res Technol 8(1):52–56 Longo C, Casari A, Beretti F, Cesinaro AM, Pellacani G (2013) Skin aging: in vivo microscopic assessment of epidermal and dermal changes by means of confocal microscopy [J]. J Am Acad Dermatol 68(3):e73–e82 Alexiades-Armenakas M (2009) Assessment of the mobile delivery of infrared light (1100-1800 nm) for the treatment of facial and neck skin laxity [J]. J Drugs Dermatol 8(3):221–226 Huzaira M, Rius F, Rajadhyaksha M, Anderson RR, Gonzales S (2001) Topographic variations in normal skin, as viewed by in vivo reflectance confocal microscopy [J]. J Invest Dermatol 116(6):846–852 Neerken S, Lucassen GW, Bisschop MA, Lenderink E, Nuijs TA (2004) Characterization of age-related effects in human skin: a comparative study that applies confocal laser scanning microscopy and optical coherence tomography [J]. J Biomed Opt 9(2):274–281 Hegyi J, Hegyi V, Messer G, Arenberger P, Ruzicka T, Berking C (2009) Confocal laser-scanning capillaroscopy: a novel approach to the analysis of skin capillaries in vivo [J]. Skin Res Technol 15(4):476–481 Sauermann K, Jaspers S, Koop U, Wenck H (2004) Topically applied vitamin C increases the density of dermal papillae in aged human skin [J]. BMC Dermatol 4(1):13 Negishi K, Wakamatsu S, Kushikata N, Tezuka Y, Kotani Y, Shiba K (2002) Full-face photorejuvenation of photodamaged skin by intense pulsed light with integrated contact cooling: initial experiences in Asian patients [J]. Lasers Surg Med 30(4):298–305 Ping C, Xueliang D, Yongxuan L, Lin D, Bilai L, Shaoming L (2016) Gold MH.A retrospective study on the clinical efficacy of the intense pulsed light source for photodamage and skin rejuvenation [J]. J Cosmet Laser Ther 18(4):217–224 Lagarrigue SG, George J, Questel E, Lauze C, Meyer N, Lagarde JM, Simon M, Schimitt AM, Serre G, Paul C (2012) In vivo quantification of epidermis pigmentation and dermis papilla density with reflectance confocal microscopy: variations with age and skin phototype [J]. Exp Dermatol 21(4):281–286 Bargo PR, Walston ST, Chu M, Seo I, Kollias N (2013) Non-invasive assessment of tryptophan fluorescence and confocal microscopy provide information on skin barrier repair dynamics beyond TEWL [J]. Exp Dermatol 22(1):18–23 Czaika V, Alborova A, Richter H, Sterry W, Vergou T, Antoniou C, Lademann J, Koch S (2012) Comparison of transepidermal water loss and laser scanning microscopy measurements to assess their value in the characterization of cutaneous barrier defects [J]. Skin Pharmacol Physiol 25(1):39–46