rejuvenation

嫩肤
  • 文章类型: Journal Article
    背景:滑翔抬眉(GBL)已成为近年来最流行的抬眉技术之一。尽管该技术被广泛使用,文献中有一些出版物。进行此系统评价是为了提供有关GBL的最新数据,并确定其在提起眉毛程序中的位置。
    方法:在PubMed,谷歌学者,WebofScience,和Scopus数据库。筛查于2019年1月至2023年12月进行。所有出版物中单独进行GBL或与其他面部年轻化程序结合进行,或包括与该技术相关的结果。
    结果:评估了63篇出版物,四人符合检讨标准。接受GBL的患者总数为181。大多数研究是回顾性病例系列,证据水平较低。观察到评价参数大多是主观的。发现该技术通常有效,并发症发生率低。
    结论:尽管本系统综述显示GBL是一种有效且低并发症的眉毛提升技术,有必要分享前景,更广泛的病例系列和随访时间更长的患者的客观数据。
    BACKGROUND: Gliding brow lift (GBL) has become one of the most popular techniques for eyebrow lifting in recent years. Despite the widespread use of the technique, there are a few publications in the literature. This systematic review was conducted to present current data on GBL and determine its place among brow lift procedures.
    METHODS: GBL-related studies were searched in PubMed, Google Scholar, Web of Science, and Scopus databases. The screening was carried out from January 2019 to December 2023. All publications in which GBL was performed alone or in combination with other facial rejuvenation procedures or in which the results related to the technique were included.
    RESULTS: Sixty-three publications were evaluated, and four met the review criteria. The total number of patients who underwent GBL was 181. Most studies were retrospective case series and had a low level of evidence. It was observed that the evaluation parameters were mostly subjective. The technique was found to be generally effective and had low complication rates.
    CONCLUSIONS: Although this systematic review shows that GBL is an effective and low-complication technique for a brow lift, there is a need to share prospective, more extensive case series and objective data of patients with longer follow-up periods.
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  • 文章类型: Case Reports
    本简要报告讨论了治疗真皮黑变病的挑战以及由于组织渗透不足和潜在副作用而导致的当前激光治疗的局限性。它引入了激光诱导的光学击穿(LIOB)作为一种新颖的治疗方法,该方法使用带有衍射透镜阵列(DLA)的皮秒激光来有效地靶向皮肤色素沉着。LIOB诱导多光子电离,通过吞噬和凋亡细胞去除导致黑色素清除,同时还促进真皮重塑和胶原蛋白合成。我们介绍了一例使用755nm皮秒翠绿宝石激光治疗成功治疗55岁女性皮肤色素沉着的案例,表现出显著改善而无复发。研究结果表明,LIOB通过有效解决弥漫性和局部色素沉着,为获得性真皮黑色素沉着提供了有希望的解决方案。以最小的停机时间和高的患者满意度导致皮肤恢复。
    This brief report discusses the challenges in treating dermal melanosis and the limitations of current laser treatments due to inadequate tissue penetration and potential side effects. It introduces laser-induced optical breakdown (LIOB) as a novel therapeutic approach using a picosecond laser with a diffractive lens array (DLA) to target dermal pigmentation effectively. LIOB induces multiphoton ionization, leading to melanin clearance through phagocytosis and apoptotic cell removal, while also promoting dermal remodeling and collagen synthesis. We present a case of successful treatment of dermal pigmentation in a 55-year-old woman using 755 nm-picosecond alexandrite laser therapy, demonstrating significant improvement without recurrence. The findings suggest that LIOB offers a promising solution for acquired dermal hypermelanosis by addressing both diffuse and localized pigmentation effectively, leading to skin rejuvenation with minimal downtime and high patient satisfaction.
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  • 文章类型: Journal Article
    本文简要介绍了迄今为止已知的年龄保护和恢复活力的方法,介绍其主要机制和局限性。为了克服复兴过程的主要局限性,可以使用称为“细胞自动克隆”的过程。“所提出的复兴方法的原理如下:细胞核自克隆的周期性过程在细胞基因组中开始,形成一个不稳定的子拷贝并随后自我消除。在这种情况下,细胞分裂过程在细胞核发散阶段停止,而细胞本身没有随后的物理分离。这对有丝分裂后的细胞尤其重要,其中,本体发生程序的“单向”线循环成“环”将意味着它们过渡到可再生细胞。自克隆机制的原型可能是细胞适应随时间增加的损伤量的已知方式。这些是多倍体和不对称细胞分裂,依靠它有可能获得一个可再生的细胞核分裂过程,当分裂的结果只剩下原始的核。虽然这不是一个简单的任务,使用可以从分子和细胞生物学和遗传学领域提出现代知识的方法,有可能的解决途径。要实现这样的目标需要做大量的工作,但是预期的结果证明了这一点。
    The article gives a brief description of geroprotection and rejuvenation methods known to date, presenting their main mechanisms and limitations. To overcome the main limitations of the process of rejuvenation, it is possible to use a process called \"cell autocloning.\" The principle of the proposed method of rejuvenation is as follows: a periodic process of autocloning of the cell nucleus is initiated in the cellular genome with the formation of one unstable daughter copy and its subsequent self-elimination. In this case, the process of cell division stops in the phase of nuclei divergence without subsequent physical separation of the cell itself. This is especially important for postmitotic cells, where the looping of the \"unidirectional\" line of the ontogenesis program into a \"ring\" will mean their transition into renewable cells. The prototype for autocloning mechanisms could be the already known ways in which cells adapt to the increasing amount of their damage over time. These are polyploidy and asymmetric cell division, relying on which it is possible to obtain a renewable process of cell nuclei division, when only the original nucleus remains as a result of division. Although this is not a simple task, there are possible pathways to its solution using approaches that can suggest modern knowledge from the field of molecular and cell biology and genetics. The realization of such a goal will require a lot of work, but the expected result justifies it.
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  • 文章类型: Journal Article
    背景:调整手术干预措施以针对与年龄相关的转变至关重要。许多寻求眼睑成形术的候选人通常表现为眉毛下垂,强调外科医生必须全面了解眉毛和前额年轻化技术。
    方法:各种手术技术可用于眉毛和前额增强,对比上下睑成形术的标准化方法。线程提升已经普及到前额提升,虽然一个更精确的术语是扬眉。使用V和I技术的浮动型螺纹的螺纹提升方法(SecretLine,现代Meditech。,Inc.,Wonju-si,大韩民国)使用。
    结果:自然老化过程通常会导致前额和眉毛在重力的影响下下垂,导致眼睑沉重的外观。抬起眉毛可以减轻下垂,增强视觉清晰度,恢复面部美感。虽然肉毒杆菌毒素A等非手术方法可以削弱肌肉并可能有助于眉毛抬高,它们的可见效果可能会受到一定的限制。
    结论:手术方法包括内窥镜前额抬高,眉毛提升技术,基于头皮切除的前额缩小手术,每个都有特定的优点和缺点。螺纹提升桥接手术和非手术方式之间的差距。额头区域通常缺乏皮下脂肪,需要精确的解剖理解有效的螺纹提升。即使在粘连牢固的患者中,使用部分隧道的套管也可以确保疗效。呈现的案例展示了使用嵌齿螺纹成功抬起眉毛,说明立即和渐进的术后变化。
    结论:眉线提升需要定期程序,提供比手术更微妙的改进。解剖学知识至关重要,这种技术带来了不适。效果持续约6个月,需要再次治疗作为效果消退。螺纹吊装,手术和非手术方法之间的中间地带,可以使眉毛恢复活力,减少停机时间。
    BACKGROUND: Tailoring surgical interventions to target age-related transformations is paramount. Many candidates seeking blepharoplasty commonly exhibit eyebrow ptosis, underscoring the necessity for surgeons to possess a comprehensive understanding of techniques for brow and forehead rejuvenation.
    METHODS: Various surgical techniques are available for eyebrow and forehead enhancement, contrasting the standardized approaches in upper and lower blepharoplasty. Thread lifting has gained popularity for forehead lifting, although a more precise term would be eyebrow lifting. The thread lifting methods using V and I techniques with floating-type threads (Secret Line, Hyundai Meditech., Inc., Wonju-si, Republic of Korea) are used.
    RESULTS: The natural aging process often causes the forehead and eyebrows to sag under the influence of gravity, leading to the appearance of heavy eyelids. Elevating the eyebrows can mitigate droopiness, enhance vision clarity, and rejuvenate the facial aesthetic. While non-surgical methods like Botulinum Toxin A can weaken muscles and potentially aid in brow elevation, their visible effects may be somewhat constrained.
    CONCLUSIONS: Surgical methods encompass endoscopic forehead lift, eyebrow lift techniques, and scalp excision-based forehead reduction surgery, each with specific advantages and drawbacks. Thread lifting bridges the gap between surgical and non-surgical modalities. Forehead areas often lack subcutaneous fat, requiring precise anatomical understanding for effective thread lifting. Cannula usage with partial tunneling ensures efficacy even in patients with strong adhesions. Presented cases showcase successful eyebrow lifting using cog threads, illustrating immediate and gradual post-procedure changes.
    CONCLUSIONS: Eyebrow thread lifting demands periodic procedures, offering subtler improvements than surgery. Anatomical knowledge is crucial, and the technique presents discomfort. Effects last about 6 months, requiring re-treatment as effects regress. Thread lifting, a middle ground between surgical and non-surgical methods, can rejuvenate brows with less downtime.
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  • 文章类型: Journal Article
    眼下区域是重要的美容问题的区域。光生物调节(PBM)已经成为一种有效的,安全,便宜,和皮肤恢复的方便治疗。在这里,我们的目标是评估LED眼下设备的安全性和有效性,根据客观和患者报告的结果衡量。11名参与者使用市售的LED设备自我施用治疗,发射红光(633nm)和近红外(830nm)光,持续六周。在基线和六周进行标准化照片和问卷调查。摄影数字分析表明,与基线相比,6周时眼部皱纹有所改善,皱纹评分从20.05降至19.72。然而,这一发现没有统计学意义.参与者自我报告眼下皱纹的持续改善,纹理,黑眼圈,袋子,色素沉着,和红斑.所有参与者都报告了高度的舒适性,易用性,和满意的眼睛设备。参与者注意到没有中度或重度不良事件,很少有短暂预期结果的报告,例如轻度红斑。参与者自我报告的改进和较高的用户满意度,和设备的有利的安全配置文件,突出了家用LED设备在眼睛下恢复活力的好处。未来具有更大样本量的随机对照试验可以进一步确定家用LED眼下治疗的安全性和有效性。
    The under-eye region is an area of significant cosmetic concern. Photobiomodulation (PBM) has emerged as an effective, safe, inexpensive, and convenient treatment for skin rejuvenation. Herein, we aim to evaluate the safety and efficacy of a LED under-eye device for under-eye rejuvenation, as measured by objective and patient reported outcomes. Eleven participants self-administered treatment using a commercially available LED device emitting red (633 nm) and near infrared (830 nm) light for six weeks. Standardized photographs and questionnaires were administered at baseline and six weeks. Photographic digital analysis indicated an improvement in under-eye wrinkles at six weeks compared to baseline, with a reduction in wrinkle score from 20.05 to 19.72. However, this finding was not statistically significant. Participants self-reported consistent improvements in under-eye wrinkles, texture, dark circles, bags, pigmentation, and erythema. All participants reported a high degree of comfortability, ease of use, and satisfaction with the eye device. The participants noted no moderate or severe adverse events and few reports of transient expected outcomes such as mild erythema. The participants\' self-reported improvements and high user satisfaction, and the device\'s favorable safety profile, highlights the benefits of at-home LED devices for under-eye rejuvenation. Future randomized controlled trials with larger sample sizes could further establish the safety and efficacy of at-home LED under-eye treatments.
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  • 文章类型: Systematic Review
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    色素沉着过度,肤色不均匀,纹理变化,和暗沉的皮肤是常见的化妆品问题在皮肤的颜色。其他衰老的迹象,包括细线,更深的皱纹,和皮肤松弛,也会发生,但可能会在几十年后出现。在办公室的程序,如激光治疗,能源设备,毒素,填料,和化学剥离是解决有色人种患者皮肤中最常见的化妆品问题的有用选择。当与办公室程序结合使用时,护肤可以在改善美容效果方面发挥重要作用。随着这些方法的可用性,临床医生现在可以将办公室内程序与皮肤护理策略相结合,为肤色患者提供满足其需求的全面治疗计划.J药物Dermatol.2024;23:8(增刊1):s5-10。
    Hyperpigmentation, uneven skin tone, textural changes, and dull skin are common cosmetic concerns in skin of color. Other signs of aging, including fine lines, deeper wrinkles, and skin laxity, also occur but may present in later decades. In-office procedures such as laser treatments, energy devices, toxins, fillers, and chemical peels are useful options for addressing the most common cosmetic concerns in skin of color patients. Skincare can play an important role in improving cosmetic outcomes when used in conjunction with in-office procedures. With the availability of these approaches, clinicians can now integrate in-office procedures with skincare strategies to offer patients with skin of color a comprehensive treatment plan that meets their needs. J Drugs Dermatol. 2024;23:8(Suppl 1):s5-10.
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  • 文章类型: Journal Article
    表观遗传衰老时钟已被广泛用于验证细胞重编程期间的恢复效果。然而,这些预测是无法验证的,因为重编程细胞的真正生物学年龄仍然未知。我们提出了一个分析框架,从不确定性的角度考虑复兴预测。我们的分析显示,整个重编程的DNA甲基化谱在用于训练时钟模型的老化数据中表现不佳,因此在年龄估计中引入了高度的认知不确定性。此外,对不同出版时钟的预测是不一致的,有些人甚至建议零或负复兴。虽然不质疑年龄逆转的可能性,我们表明,高时钟不确定性挑战了在多能性之前和整个胚胎发生期间在体外重编程过程中观察到的复兴效应的可靠性。相反,我们的方法显示体内重编程后年龄显著增加.我们建议在未来的衰老时钟模型中包括不确定性估计,以避免误解生物年龄预测结果的风险。
    Epigenetic aging clocks have been widely used to validate rejuvenation effects during cellular reprogramming. However, these predictions are unverifiable because the true biological age of reprogrammed cells remains unknown. We present an analytical framework to consider rejuvenation predictions from the uncertainty perspective. Our analysis reveals that the DNA methylation profiles across reprogramming are poorly represented in the aging data used to train clock models, thus introducing high epistemic uncertainty in age estimations. Moreover, predictions of different published clocks are inconsistent, with some even suggesting zero or negative rejuvenation. While not questioning the possibility of age reversal, we show that the high clock uncertainty challenges the reliability of rejuvenation effects observed during in vitro reprogramming before pluripotency and throughout embryogenesis. Conversely, our method reveals a significant age increase after in vivo reprogramming. We recommend including uncertainty estimation in future aging clock models to avoid the risk of misinterpreting the results of biological age prediction.
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  • 文章类型: Journal Article
    皮肤老化,以再生减少为特征,慢性炎症,增加皮肤癌的风险,提出了重大挑战。胶原蛋白填充剂已成为通过刺激胶原蛋白再生而使皮肤恢复活力的潜在解决方案。然而,它们的临床疗效受到固有不稳定性和胶原酶促体内降解的脆弱性的限制。化学交联是提高稳定性的一种有前途的方法,但它有细胞毒性等风险,钙化,和变色。这里,我们介绍了一种高度耐用的1,4-丁二醇二缩水甘油醚(BDDE)交联胶原蛋白填充剂,用于嫩肤。BDDE有效地交联胶原蛋白,导致填料具有特殊的机械强度和可注射性。这些填料表现出良好的稳定性和耐久性,促进扩散,附着力,人包皮成纤维细胞-1细胞在体外的扩散。活体研究证实胶原蛋白再生增强而不诱导钙化。BDDE交联胶原填料为医疗美容和组织再生提供了有希望的前景。
    Skin aging, characterized by reduced regeneration, chronic inflammation, and heightened skin cancer risk, poses a significant challenge. Collagen fillers have emerged as a potential solution for skin rejuvenation by stimulating collagen regeneration. However, their clinical efficacy is limited by inherent instability and vulnerability toin vivodegradation by collagenase. Chemical cross-linking presents a promising approach to enhance stability, but it carries risks such as cytotoxicity, calcification, and discoloration. Here, we introduce a highly durable 1,4-butanediol diglycidyl ether (BDDE) cross-linked collagen filler for skin rejuvenation. BDDE effectively cross-links collagen, resulting in fillers with exceptional mechanical strength and injectability. These fillers demonstrate favorable stability and durability, promoting proliferation, adhesion, and spreading of human foreskin fibroblast-1 cellsin vitro. In vivostudies confirm enhanced collagen regeneration without inducing calcification. BDDE cross-linked collagen fillers offer promising prospects for medical cosmetology and tissue regeneration.
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