Upload
trantram
View
213
Download
0
Embed Size (px)
Citation preview
The A To Z Of
Skincare Ingredients
And How They Work On The
Skin With A Focus On Melanogenesis
Candace Noonan, LE November 2015
Disclosure
Candace Noonan is a Licensed Esthetician, True U Certified Educator and Master Trainer for Dermaconcepts, distributor of Environ Skin Care.
3
The Evolution Of Skin
333
The Process Of Melanogenesis
Pituitary gland
UVUV
• POMC • Melanin
Stimulating Hormone
The Keratinocyte
What Goes Wrong?
• The Melanocyte is damaged
• Dendrites shorten • DNA damage
• pigment dumping • uncontrolled pigment
production
The Keratinocyte is damaged
• pigment is inadvertently placed in stem cell
• cell to cell communication
• keratinocyte saturation
• stem cells bear imprinted pigment
• keratinocyte cannot stop the process
• pigment is trapped in Dermal-Epidermal Junction
Vitamin A
11
Vitamin A
Retinoids
Alcohol
Retinol
Ester (fat)
Retinyl Palmitate
Retinyl Acetate
Carotenoids
Beta-CaroteneAcid
Retinoic Acid
Vitamin A
13
The Process Of Melanogenesis
Retinyl Palmitate (Vit. A)Retinyl Palmitate (Vit. A)
Retinyl Palmitate (Vit. A)
Vitamin B
B5 Panthenol
B12 Cyanocobalamin
B7Biotin
B3 Niacinimide
14
Vitamin B3
15
The Process Of Melanogenesis
Niacinamide (Vit. B3)
Vitamin C
Magnesium Ascorbyl
Phosphate
Sodium Ascorbyl
Phosphate
Ascorbyl Tetraiso-palmitate
Ascorbic Acid
16
Vitamin C
17
The Process Of Melanogenesis
Ascorbyl Tetraisopalmitate (VC-IP)
Hydroquinone
Lactic Acid
Kojic Acid
Scientific research has shown the benefits of
using vitamin E are:
• Tocopherol and Tocopheryl Acetate • This is a lipid soluble antioxidant which assists in protecting
cell membranes. • Tocopherol protects the lipid phase in the products.
18
Vitamin E
AntioxidantsWhy are they so important?
19
• Protect from free radical damage • unstable molecule with an unpaired electron
• caused by external factors i.e. pollution, cigarette smoke, UV light and environmental stress
• naturally caused during energy production
• immune system produces free radicals to fight off infections, but they can also damage healthy cells
• in excess, Free Radicals can create cellular destruction
• their effect can be minimized by supplementation of antioxidants
20
Lycopene Lutein
Carotenoids
Coenzyme Q10,
Ubiquinone
Resveratrol
Ferulic Acid CurcuminEGCG(Epigallocatechin)
Selenium
Alpha Lipoic Acid
Glutathione
Witch Hazel
Green Rooibos Tea
Extract
Antioxidants
Chemical
Salicylates Cinnamates BenzophenonesPara amino benzoates
Sun Protection
23
Acids and Enzymes
24
Alpha Hydroxy Acids: • Glycolic Acid
• Lactic Acid
• Mandelic Acid
Fruit Acids: • Citric Acid
• Malic Acid
• Tantaric Acid
25
alpha hydroxy acids
26
The Process Of Melanogenesis
Ascorbyl Tetraisopalmitate (VC-IP)
Hydroquinone
Lactic Acid
Kojic Acid
Beta Hydroxy Acids :• Salicylic Acid.
Other Desquamating Acids :• Trichloracetic Acid (TCA)
• Resorcinol
• Phenol Peels
27
beta hydroxy acids
• Kojic Acid• Hydroquinone
• Sepiwhite MSH• Azelaic Acid
28
Other Actives
29
The Process Of Melanogenesis
Ascorbyl Tetraisopalmitate (VC-IP)
Hydroquinone
Lactic Acid
Kojic Acid
ggSepiwhite MSHhhhhhhhhhhhhhhhhhhhhhhheeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee P
30
Laser & Light Technologies
Cosmetic Lasers
31
x-rays cosmic rays
Microwaves TV and
radio waves
Excimer Argon
KTP
Dye
Ruby
AlexandriteNd:YAG
Er:YAG
CO2
308
488
532 585
755
694
1064
2940
1060
0
UVVISIBLE
INFRARED400 nm 700 nm
Holmium
2100
Visible Light And Near-Infrared Lasers
32
• Argon: blue-green (488nm); melanin, blood • KTP: green (532nm); melanin, blood
• Pulsed Dye: yellow (585nm); blood • Ruby: deep red (694nm); melanin
Visible Light Lasers
Near-infrared Lasers
• Alexandrite: near infrared (755nm); melanin, blood
• Diode: near infrared (810nm); melanin, blood • Nd:YAG: near infrared (1064nm); melanin, blood, water
Difference between Lasers & IPL
33
LASER IPL
Broad Spectrum
Non-coherent
Non-collimated (divergent)
Monochromatic
Coherent
Collimated (non-divergent)
34
Laser & Light Technologies
A comparison of Q-switched alexandrite laser and intense pulsed light for the treatment of freckles and lentigines in Asian persons: A randomized, physician-blinded, split-face comparative trial Chia-Chen Wang, MDa, b, , , Yuh-Mou Sue, MDc, Chih-Hsiung Yang, MDa, Chih-Kang Chen, MDa
•Journal of the American Academy of Dermatology Volume 54, Issue 5, May 2006, Pages 804–810
All patients experienced improvement (P < .0001). Postinflammatory hyperpigmentation developed in one patient with freckles and 8 patients with lentigines after QSAL. No postinflammatory hyperpigmentation occurred after IPL. Freckles achieved greater improvement after QSAL than IPL (P = .04). In lentigines, the results after IPL were better than QSAL among those with postinflammatory hyperpigmentation after QSAL.
Postinflammatory hyperpigmentation (PIH) is much less frequent with fractional laser skin resurfacing than with other ablative procedures but is observed in 1% to 32% of patients, depending on the system used, parameters applied, and skin phototypes treated.7,11,19,24,26–29 Patients with darker skin phototypes (Fitzpatrick III-VI) have a higher likelihood of developing PIH. In general, fractional resurfacing of darker skin should use higher fluencies, lower density settings, and longer treatment intervals.26,30 To further minimize the risk of PIH, patients should avoid sun exposure at least 2 weeks before and after fractional skin resurfacing.26,31 In contrast to traditional nonfractionated laser resurfacing, PIH is typically less intense and of shorter duration. Although it often resolves without treatment, application of topical bleaching and mild peeling agents (e.g., retinoic, azelaic, ascorbic, glycolic acid) and judicious use of sunblock can hasten its resolution.2
•Fractionated Laser Skin Resurfacing Treatment Complications: A Review ANDREI I. METELITSA MD1 andTINA S. ALSTER MD2 Article first published online: 19 JAN 2010 DOI: 10.1111/j.1524-4725.2009.01434.x
© 2010 by the American Society for Dermatologic Surgery, Inc.
35
Client Responsibility
Client ResponsibilityPigmentation is a very frustrating and difficult condition to deal with.
A treatment program must take many different aspects into consideration, that may not work at all if a few rules are not adhered to, or if certain changes are not made in the client's skin care regimen and/or diet.
•SUN EXPOSURE Sun AVOIDANCE is a must. Every treatment protocol will fail if this is not the case! And not even "protected skin under the umbrella with a hat and sunscreen, at the beach" is acceptable! A daily SPF is a must, and one CANNOT rely on the SPF provided by makeup - it rubs off.
• INTERNAL Diet is important. 3000 mg omega 3 is a great recommendation to ensure a healthy cellular membrane. Both the keratinocyte and melanocyte need those healthy membranes to function efficiently. Supplementation with antioxidants would also be a great recommendation
•MEDICATIONS Photo sensitizing medications may contribute to pigmentation problems and include any progesterone based ones. Cortisone/steroid meds, oral and topical chemotherapy, antibiotics/anti fungal, certain essential oils, fragrances, pain medication, anti depressants
Client Responsibility(*always consult your physician prior to adding or discontinuing
the use of medications, prescriptions and supplements)
•INGREDIENTS Vitamin A to normalize the keratinocytes and melanocytes. The higher the dose the better. Consistent application over a period of time is a must. Vitamin B3 (niacinimide) and Sepiwhite MSH to control formation of melanin and transfer from melanocyte to keratinocytes. Higher doses of C recommended as the tyrosinase inhibitor. Antioxidants to help keep oxidative stress down as this whole process is stressful to all cells involved
• CELLULAR AGE After 35 we lose 10-20% functioning melanocytes every 10 years. So remaining cells are under even more stress. This may lead to cellular DNA damage or cellular senescence, and make the condition almost impossible to correct.
CONCLUSION
38
Treatment progress and success takes time. It may take months to start seeing a slight change and ANY sun exposure will set the progress back. You should only expect* to see results after 6 months of diligently;
• removing offending causes and contributors to pigmentation • avoiding the sun and using a SPF daily • adjusting the diet to include omega 3 and high dose antioxidants • use of the correct home care regimen • preferable weekly professional treatments • light therapies according to risk factors and Fitzpatrick Type