Hydrolyzed collagen preparations have attracted increasing attention because their biological properties may vary according to collagen source, peptide composition, and physicochemical characteristics. In this study, Richi I II III Collagen (HTCP), a hydrolyzed type I, II, and III collagen preparation derived from chicken sternum (keel) and manufactured by CNABIOTECH Co., Ltd. (Cheongju-si, Republic of Korea), was physicochemically characterized and evaluated for antioxidant and skin-related biological activities. Physicochemical characterization included analyses of amino acid composition and molecular weight distribution, while biological activities were assessed using ABTS and DPPH radical scavenging assays and human skin cell-based models. HTCP showed distinct responses in the two radical scavenging assays, with ABTS radical scavenging activity reaching 80.4 ± 0.0% at 100 mg/mL, whereas DPPH radical scavenging activity remained comparatively low (13.1 ± 4.6%). No cytotoxicity was detected in human dermal fibroblasts (HDF) or human epidermal keratinocytes (HEKn) at the concentrations tested. HTCP exhibited 101.65 ± 1.28% collagenase inhibition at 10% and significantly increased type I collagen, type III collagen, elastin, hyaluronic acid (HA), HAS2, and HAS3 levels, while reducing MMP-1 and HYAL1 levels. Collectively, these findings demonstrate changes in selected ECM- and HA-related protein levels in human skin cells following HTCP treatment under in vitro conditions, supporting further investigation of HTCP as a collagen-derived ingredient for skin-related applications.
The fatigue failure (F/F) test is an important method for evaluating hair strength. In this study, we evaluate commercial European hair after up to four bleaches. F/F-data were directly fitted using a two-parameter cumulative Weibull distribution (CWD) function, described by lifetime index (λ) and shape factor (β). Fibre samples taken from treated tresses (T) exhibited stable F/F behaviour across multiple treatments, while treated single fibres (S) showed early breakage if treated more than twice. We attribute this effect mainly to the liquor ratio during treatment. In this context, we suggest a strategy to estimate a treatment-related apparent decay constant for λ. The constant for T-samples was determined as kn = 0.095. This is consistent with DSC results in the literature for the denaturation enthalpy. This may indicate an important role for intermediate filaments in fatigue failure. To possibly establish a link with hair breakage during combing, we investigated the properties of the hazard function for T-samples based on β = 0.92. The model calculations indicate that early failure risks are low but increase exponentially with repeated bleaches. The correspondence with the literature results leads to the hypothesis of a relationship between F/F and combing tests.
Background: Caesarean section is associated with postoperative pain and wound-related morbidity. Topical agents that promote early wound healing may enhance postoperative recovery. This randomized, placebo-controlled clinical trial evaluated the effect of HealFast Silver Ointment on pain and early wound-healing parameters after Caesarean section. Methods: Two hundred women who underwent Caesarean section were randomly allocated into two groups: a placebo group and a HealFast Silver Ointment group, each consisting of 100 women. The intervention was applied topically three times daily for three weeks. Outcomes were assessed at baseline, week 1, and week 3, and included pain intensity using the Visual Analogue Scale, transepidermal water loss, tissue oxygenation assessment, and wound surface morphology using Visioscan. Results: Baseline characteristics were comparable between groups. At week 3, the Visual Analogue Scale score decreased from 8.13 ± 0.93 to 1.33 ± 0.71 in the treated group, compared with 8.15 ± 1.47 to 7.03 ± 1.95 in the placebo group. Transepidermal water loss decreased from 34.13 ± 6.89 to 6.84 ± 3.99 in the treated group, compared with 32.70 ± 6.67 to 30.77 ± 6.69 in the placebo group. O2C increased from 40.08 ± 6.36 to 57.48 ± 7.19 in the treated group, compared with 40.80 ± 6.70 to 45.00 ± 6.84 in the placebo group. Significant time × group interactions were observed for the main clinical and physiological outcomes. Conclusions: HealFast Silver Ointment was associated with reduced postoperative pain, improved epidermal barrier recovery, increased tissue oxygenation, and improved wound surface morphology during the first three weeks after Caesarean section. Larger registered multicenter trials with longer follow-ups are needed to confirm these findings.
Skin pigmentation is regulated by intrinsic and extrinsic factors and is closely associated with melanogenesis and cellular homeostasis. Autophagy is a cellular self-digestion process that contributes to homeostatic regulation, but its role in melanogenesis remains to be further clarified. This study investigated whether berberine chloride (BBC), an isoquinoline alkaloid, modulates melanin production through autophagy-related signaling in B16-F1 melanoma cells. Tyrosinase activity was examined by tyrosinase zymography, extracellular melanin levels in the culture supernatant were measured after BBC treatment, and the expression of melanogenesis-, mitogen-activated protein kinase (MAPK)-, and autophagy-related proteins was analyzed by Western blotting. BBC inhibited tyrosinase activity and reduced extracellular melanin levels in a dose-dependent manner. BBC also increased phosphorylated extracellular signal-regulated kinase (p-ERK) levels while decreasing melanogenesis-related protein expression. In addition, BBC modulated MAPK signaling and the expression of autophagy-associated proteins. Small interfering RNA-mediated knockdown of Atg5, Beclin1, or ERK partially restored extracellular melanin levels in BBC-treated cells. These findings suggest that BBC suppresses melanogenesis in B16-F1 melanoma cells in association with ERK and autophagy-related signaling.
Titanium dioxide, a traditional physical sunscreen agent, has long faced persistent challenges related to light transmission (manifesting as whitening and an unnatural white cast on the skin), high photocatalytic activity, and cytocompatibility concerns. In this work, a composite sunscreen material, mesoporous silica (MSN)@TiO2, was designed and synthesized by loading titanium dioxide (TiO2) onto dendritic mesoporous silica. Leveraging the high transparency of dendritic mesoporous silica, MSN@TiO2 exhibits 30% higher visible light transmittance than commercially available titanium dioxide. In addition, encapsulation within the silica carrier reduces the photocatalytic activity of MSN@TiO2 to one-seventh of that of commercially available titanium dioxide. Furthermore, we evaluated the cytocompatibility of MSN@TiO2. Cell Counting Kit-8 (CCK-8) assay results demonstrate that MSN@TiO2 has a less pronounced effect on L929 cells proliferation compared with commercial TiO2, indicating favorable L929 cell-based cytocompatibility. This strategy demonstrates that MSN@TiO2 combines a natural appearance with low photocatalytic activity, offering distinct advantages over conventional titanium dioxide in composite sunscreen materials.
Centella asiatica (L.) Urb. (Apiaceae) is widely incorporated into dermatological and wound-healing formulations, where dechlorophylization is commonly used to improve extract stability, although its biological consequences are not fully understood. In this study, an ethanolic extract of C. asiatica leaves (CAE) was compared with a dechlorophylized C. asiatica extract (DCAE) in terms of cytotoxicity, wound-healing, anti-inflammatory, and antimicrobial activities, complemented by network pharmacology analysis. DCAE exhibited improved cytocompatibility, remaining non-cytotoxic up to 100 µg/mL, whereas CAE showed cytotoxic effects above 25 µg/mL. In contrast, CAE demonstrated superior wound-healing performance, reducing the residual wound area to 21.77% compared with 36.81% for DCAE and inducing higher Ki67 expression (1.94-fold versus 1.58-fold). These findings suggest that chlorophyll-associated constituents may contribute to keratinocyte proliferation and re-epithelialization. Although DCAE was enriched in pentacyclic triterpenes, including asiatic acid, asiaticoside, madecassic acid, and madecassoside, it showed stronger anti-inflammatory effects by more effectively suppressing CXCL10, IL-6, TNF-α, and IL-8 expression. Both extracts displayed weak antibacterial activity but moderate antifungal effects against Candida albicans, likely mediated through membrane disruption. Network pharmacology further indicated that wound-healing activity is associated with the regulation of COL1A1 and VEGFA through quercetin, kaempferol, and asiatic acid by way of the PI3K-Akt and MAPK signaling pathways, whereas anti-inflammatory effects involve modulation of PTGS2 and TNF through the NF-κB and IL-17 pathways. Overall, DCAE enhances cytocompatibility and anti-inflammatory activity, while CAE retains stronger regenerative capacity. These findings support the rational design of tailored formulations for specific dermatological applications, such as promoting wound repair or alleviating chronic skin inflammation.
Non-surgical aesthetic procedures, including energy-based devices and injectable therapies, have become increasingly popular worldwide, creating distinct skincare needs for peri-procedural recovery and long-term post-procedure maintenance. This narrative review summarizes current evidence on cosmetic peptides as adjunctive skincare across both phases. A structured literature search was conducted in PubMed, Embase, and Google Scholar, only including peptides with an International Nomenclature of Cosmetic Ingredients (INCI) designation and defined amino acid sequences. Available clinical evidence suggests potential roles for cosmetic peptides in two interconnected scenarios. In peri-procedural care—spanning pre-procedure conditioning through post-procedure recovery—signal peptides, carrier peptides, and antimicrobial peptides have demonstrated benefits in accelerating healing and reducing erythema, edema, and bruising. As a long-term adjuvant strategy, signal peptides, neurotransmitter-inhibiting peptides, and whitening peptides may contribute to collagen remodeling, wrinkle reduction, and pigment control. Although enzyme-inhibiting peptides currently lack direct clinical evidence, their proposed mechanisms suggest potential for future investigation. However, the evidence remains limited by small sample sizes, short follow-up periods, heterogeneous peptide formulations and treatment protocols, and frequent use of proprietary multi-ingredient products. Overall, cosmetic peptides represent a potential adjunctive approach in aesthetic medicine. Larger, well-designed randomized controlled trials are needed to establish their clinical value and long-term safety.
The application of natural bioactive compounds in cosmeceutical products, particularly as skin-lightening agents, has received increasing interest. Caulerpa racemosa, a green macroalga of the Chlorophyta division, contains beneficial nutrients that are applicable as food and cosmeceutical ingredients. This study investigated the in vitro effect of the ethanolic extract of C. racemosa (CR) on regulation of melanogenic-related signaling and gene expression in SK-MEL-5 human melanoma-derived cells. Identification of bioactive components revealed that catechin, rutin, and quercetin as flavonoid contents were found in CR extract, analyzed using HPLC. The expressions of microphthalmia-associated transcription factor (MITF), extracellular signal-regulated kinase (ERK) signaling molecules, and melanogenic-related molecules were analyzed via Western blotting and qPCR. The CR extract treatment applied to SK-MEL-5 cells decreased the MITF protein expression level, which correlated with increased pERK expression, and no cytotoxic effect was observed. The subsequent treatment reduced the expression of melanogenesis-related genes (TYR, TYRP1, MC1R, and DCT) that were downstream targets of MITF. This study provides preliminary evidence that CR extract may modulate melanogenesis-related signaling. However, the specific bioactive compounds responsible for the observed effects remain to be identified, as the extract contains a complex mixture of phytochemicals. Further fractionation studies are needed to pinpoint the active constituents. The variability of extract composition due to seasonal and geographical factors should be considered for future standardization.
Cannabis sativa and Curcuma longa have traditionally been used for the management of skin disorders; however, scientific evidence supporting their combined topical use in eczema and psoriasis remains limited. To characterize the phytochemical composition, evaluate the biological activities, investigate potential molecular mechanisms, and assess the preliminary clinical performance of a topical herbal cream containing C. sativa and C. longa extracts. Ethanolic extracts were analyzed using UHPLC and GC-MS. Antioxidant, antibacterial, cytotoxicity, and nitric oxide inhibition assays were performed. Molecular docking studies were conducted against inflammation-related protein targets. A pilot clinical study evaluated the effects of the herbal cream in patients with eczema and psoriasis over four weeks using EASI, PASI, and DLQI scores. The herbal formulation contained cannabinoids, terpenoids, and curcuminoids with measurable antioxidant activity. The extract exhibited low cytotoxicity and moderate inhibition of nitric oxide production in LPS-stimulated macrophages (0.0001–0.1 mg/mL). Docking analyses suggested favorable interactions between selected phytochemicals and inflammation-associated targets. Preliminary clinical observations indicated improvements in EASI (from 4.11 ± 3.14 to 1.28 ± 1.46), PASI (from 39 to 16.2), and DLQI (from 6.25 ± 5.25 to 1.00 ± 0.82) scores among study completers. The herbal cream demonstrated antioxidant and anti-inflammatory properties and showed preliminary clinical potential in inflammatory skin disorders. Larger controlled clinical studies are required to confirm efficacy and establish therapeutic value.
Objective: Commercial lip balm sticks are often selected based on brand popularity and marketing claims, which may not reflect formulation quality or mechanical reliability. This study investigated whether lipid matrix organization better predicts mechanical integrity and consumer acceptance than commercial positioning and introduced the Structural Lipid Architecture (SLA) concept. Materials and Methods: Seven best-selling commercial lip balm sticks were evaluated through consumer research, instrumental texture analysis, and compositional assessment. A validated questionnaire completed by 234 participants assessed product performance, fracture perception, purchasing behaviour, and willingness to pay for improved quality. Mechanical properties were determined using a Brookfield CT3 Texture Analyzer, while INCI compositions were analysed for structural wax diversity, lipid co-structuring agents, and melting point distribution within the SLA framework. Results: Overall, 76.9% of respondents reported having previously experienced stick fracture or deformation, while 94.4% expressed willingness to pay more for products offering superior performance and safety. Product fracture was strongly associated with reduced confidence in product quality (ρ = 0.672, p < 0.0001) and lower repurchase intention (ρ = 0.725, p < 0.0001). Hardness strongly correlated with mechanical work (r = 0.950, p = 0.001). Formulations combining complementary natural, mineral, and/or synthetic waxes with lipid co-structuring agents exhibited superior structural cohesion and fracture resistance, whereas simplified wax systems showed progressive mechanical failure. Conclusions: Best-selling status did not consistently predict superior mechanical performance. Optimized combinations of complementary structural waxes were key determinants of product integrity and fracture resistance.
The growing demand for natural, skin-compatible cosmetic cleansers has driven interest in oil-based systems that can effectively remove waterproof cosmetics while remaining physicochemically stable. This study characterized hemp seed oil and evaluated it as a component of a water-in-oil (W/O) microemulsion makeup remover. Hemp seed oil showed good oxidative stability (peroxide value = 1.87 ± 0.23 mEq/kg). It contained 0.134 ± 0.01 mg gallic acid equivalents/g of oil weight of phenolic compounds. The oil was rich in linoleic and α-linolenic acids and contained α-tocopherol. Microemulsions were prepared by combining hemp seed oil with castor oil (C:H) or sunflower oil (S:H) at three oil ratios and four surfactant HLB values (4.3–12). From 72 candidate formulations, only sunflower oil:hemp seed oil systems in the ratio of 3:7 and HLB of 9.5 showed the best overall balance of stability, maintaining droplet size, low PDI, and consistent viscosity/turbidity over 2 months of storage and heating–cooling cycle testing. This formulation also exhibited cleansing efficiency (ΔE = 9.64), which was slightly lower than a commercial cleansing oil (ΔE = 9.74). These results illustrate the potential of hemp seed oil to be developed into a stable, effective W/O microemulsion cleansing system for cosmetic application.
Dry skin and skin barrier dysfunction are common dermatological problems associated with increased transepidermal water loss (TEWL) and reduced stratum corneum hydration. Among moisturizing agents, trehalose—a naturally occurring disaccharide—has attracted considerable attention due to its moisturizing, protective, and stabilizing properties. The aim of this study was to develop dermatological emulsions with desirable physicochemical, rheological, mechanical, adhesive, and moisturizing properties for dry skin care. Six placebo emulsions, differing in emulsifier and oil compositions, were prepared and evaluated for stability, pH, viscosity, rheological behavior, texture, adhesion, and spreadability. Based on the results obtained, the formulation containing avocado oil and Olivem 1000 was selected as the optimal base for incorporating trehalose at concentrations of 1%, 2.5%, and 5%. The formulations were further evaluated in vivo using TEWL and corneometry measurements. All emulsions exhibited non-Newtonian shear-thinning and thixotropic properties. Regular application of the emulsions reduced TEWL by approximately 33%, while skin hydration increased up to 102%. However, discontinuation of the emulsion application resulted in decreased skin hydration and increased TEWL, suggesting the need for constant use.
Hypericum perforatum L. olive-oil macerate is a traditional topical remedy whose wound-healing efficacy is well documented, yet the phytochemical and mechanistic basis of its cosmetic-relevant activity remains poorly defined. This study provides an integrated experimental and in silico characterization of a traditionally prepared macerate of defined origin. The fatty acid composition, oxidative-stability indices, total phenolic and flavonoid contents, naphthodianthrone level, antioxidant capacity, and tyrosinase inhibition were determined, and the principal constituents were examined by molecular docking and in silico skin-permeation and toxicity profiling. The olive-oil matrix was oleic acid-dominated (73.9%) and oxidatively stable (iodine value 86.0; oxidizability index, COX, 1.84), while the macerate showed modest phenolic (36.84 μg pyrocatechol equivalents, PCE/mg) and naphthodianthrone (0.044 mg/mL hypericin equivalents) contents. It showed limited antioxidant activity but moderate tyrosinase inhibition (38.75% at 200 μg/mL). Docking revealed that, despite high affinity scores, the naphthodianthrones lay 7–9 Å from the catalytic copper centre (an artefact of the scoring function), whereas fatty acids accessed the active site more closely, implicating the matrix in the observed activity. In silico profiling indicated that the photoactive naphthodianthrones are largely retained at the skin surface. These findings link this centuries-old preparation to a mechanistically informed understanding of its cosmetic potential.
Ascorbic acid and its hydrophilic derivatives, ascorbyl phosphate, ascorbyl glucoside, and 3-O-ethyl ascorbic acid, are wide used active ingredients in cosmetics, with concentrations increasingly declared on product labels. Since such products are not subject to routine quality control, this study aimed to evaluate the content-related quality and stability of a comprehensive sample of commercial cosmetics. For this purpose, a selective HPLC-UV analytical method for their simultaneous determination was developed, validated, and applied to 41 products. The analysis revealed 0–31.7% (m/m) contents and inappropriate labeling in 22% of the products, including the absence and replacement of the labeled vitamin C form. Over half (57%) of the determined contents corresponded to the labels, which was claimed for 31 products, while the remaining contents were considerably lower (<80%). The stability study, performed on selected cosmetics and standard solutions under ambient and elevated temperatures, demonstrated instability, which could account for their inadequate content. Thus, the instability was found to be temperature-dependent and most pronounced for ascorbic acid, whereas the product price did not show a clear correlation with greater content or stability. Overall, these results highlight the need for proper quality control and stricter cosmetics regulation as well as formulation design to achieve sufficient stabilization, as observed in certain products.
Acne is a common inflammatory skin condition that significantly impacts quality of life. Standard treatments often cause skin irritation or contribute to antibiotic resistance. Cannabidiol (CBD) has demonstrated anti-inflammatory and sebum-regulating properties; however, its application is limited by poor solubility and stability. This study investigated the physicochemical properties of a CBD-loaded hyaluronic acid–graft-poly(N-isopropylacrylamide) nanogel (Hy-CBD). The biological activities of Hy-CBD, including its anti-inflammatory and antioxidant effects, were also evaluated. In addition, an exploratory clinical study was conducted to assess the safety and efficacy of the formulation in 22 Asian participants with inflammatory acne. In this open-label, non-randomized study, participants applied the gel twice daily for seven days. Assessments of skin tolerance, lesion size, redness, and pigmentation were performed at baseline, Day 2, and Day 7 using clinical examination and imaging analysis. The Hy-CBD gel was clinically tolerated, with no evidence of comedogenic or acnegenic potential. By Day 7, inflammatory lesion size was reduced by 46%, with significant improvements in redness and post-inflammatory pigmentation. All participants reported a subjective reduction in acne severity and expressed satisfaction with the treatment outcomes. These findings suggest that the Hy-CBD gel is a safe and promising delivery system for acne management. Nevertheless, larger randomized controlled studies are required to validate these preliminary findings.
Skin aging is associated with oxidative stress, extracellular matrix degradation, and dysregulation of melanogenesis, leading to wrinkles, loss of elasticity, and hyperpigmentation. Natural plant-derived compounds have attracted increasing interest as multifunctional cosmetic ingredients due to their antioxidant and anti-aging properties. Mai-Kae-Den-Klong (MKDK), a traditional Thai longevity herbal formula composed of Albizia procera (Roxb.) Benth., Cyperus rotundus L., Diospyros rhodocalyx Kurz, Piper nigrum L., Streblus asper Lour., and Tinospora crispa (L.) Hook.f. & Thomson, has historically been used to promote vitality and healthy aging; however, its potential application as a cosmetic anti-aging ingredient remains scientifically unexplored. Therefore, this study investigated the anti-aging potential of MKDK extract using integrated enzyme-based bioassays and in silico approaches. Phytochemical profiling of the ethanolic extract was performed using LC-MS analysis, revealing diverse bioactive constituents, including flavonoids, phenolic glycosides, alkaloids, and terpenoids, with (-)-epicatechin, procyanidin B1, and piperine identified as major metabolites. Antioxidant activity was evaluated using 2,2-diphenyl-1-picrylhydrazyl (DPPH) and 2,2 '-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical scavenging assays, while inhibitory activities against tyrosinase, collagenase, elastase, and hyaluronidase were assessed to determine skin anti-aging potential. The extract exhibited strong antioxidant activity, with IC50 values of 17.23 +/- 2.11 & micro;g/mL for DPPH and 11.87 +/- 1.77 & micro;g/mL for ABTS assays. In addition, the extract demonstrated inhibitory effects against tyrosinase (IC50 = 41.25 +/- 1.56 & micro;g/mL), elastase (IC50 = 49.51 +/- 3.69 & micro;g/mL), collagenase (IC50 = 61.54 +/- 2.88 & micro;g/mL), and hyaluronidase (IC50 = 63.74 +/- 6.32 & micro;g/mL), suggesting multifunctional anti-aging properties associated with skin brightening and extracellular matrix preservation. Network pharmacology analysis predicted multiple aging-related signaling pathways, particularly the FoxO signaling pathway, which is associated with oxidative stress regulation and longevity. Molecular docking analysis further demonstrated favorable binding affinities of procyanidin B1, epicatechin, and piperine toward skin-aging-related enzymes, supporting their potential contribution to the observed bioactivities. Overall, these findings suggest that MKDK possesses promising cosmeceutical potential as a natural multifunctional anti-aging ingredient and provides scientific support for the application of traditional Thai herbal formulations in cosmetic and skin health products.
The cosmetics industry continually seeks innovations that deliver ever-higher performance while meeting growing sustainability requirements. Although numerous plant-derived surfactants have recently emerged, achieving performance levels comparable to synthetic benchmarks remains challenging. In this study, we aimed to design a natural polyglycerol-10 ester (PG-10 ester) capable of stabilizing demanding systems such as high-internal-phase nano-emulsions (nano-HIPE) and mineral oil-in-water sunscreens. We investigated the key parameters governing surfactant efficiency: fatty acid composition from C12 to C22 or their blends, the presence of partial glycerides, and reaction parameters. Various polyglycerol esters were synthesized and characterized through chromatographic analysis and HLB determination, and then incorporated into formulations to assess their performance. This work made it possible to identify four parameters as essential for achieving high surfactant efficiency: (i) grafting multiple fatty acids onto a single polyglycerol backbone, (ii) combining short/medium-chain (
Ultraviolet (UV) radiation is a recognized human carcinogen, and topical sunscreens remain the primary strategy for photoprotection. As community pharmacies represent trusted sources of skincare products, evaluating the composition of sunscreens distributed through this channel is particularly relevant. This cross-sectional market analysis investigated UV filters used in sunscreen products available in Lithuanian community pharmacies in November-December 2025. Products were identified through online pharmacy catalogs and assessed for labeled Sun Protection Factor (SPF), number and type of UV filters, and filter combinations in accordance with Regulation (EC) No 1223/2009. A total of 467 products from 98 brands were included, and 26 distinct UV filters were identified. Triazine derivatives predominated, particularly bis-ethylhexyloxyphenol methoxyphenyl triazine (64.67%) and ethylhexyl triazone (58.03%). Most products (61.67%) were labeled SPF >= 50 and contained multiple UV filters (mean 4.29 +/- 1.66), with significantly more filters in SPF >= 50 formulations (p < 0.001). These results indicate that sunscreen products available in Lithuanian pharmacies are dominated by high-SPF formulations and selective multi-filter systems, providing region-specific insights relevant to regulatory oversight and consumer exposure assessment.
Regenerative medicine aims to restore the structure and function for improved tissue health; reduced tissue health can arise from causes such as aging, which results in the ongoing degradation of the extracellular matrix (ECM) of the skin. Replacement of a single biological component is not sufficient for an esthetic treatment to be described as regenerative; it is the relative amounts, ratios, types and organization of stimulated components that are important in a treatment’s regenerative potential. Regenerative aesthetics aims to recapture the youthful structure and function of tissue by exploiting the body’s own systems. Poly-L-lactic acid (PLLA-SCA; Sculptra®), an injectable, biodegradable, non-permanent biostimulator, induces a combination of mechanotransductional/mechanical stimulation and foreign body reaction response and promotes ECM remodeling via the production of collagen through the upregulation of cytokines interleukin-1b and CXCL6, elastin, proteoglycans and multiadhesive glycoproteins. In addition, PLLA-SCA stimulates adipocyte rejuvenation/adipogenesis and increases the thickness of the dermis and adipose layers. Hence, PLLA-SCA stimulates endogenous pathways, and the array of biostimulatory effects should not be considered individually but as interlinked with the overall goal of improvement in skin health. These effects manifest clinically as long-term improvements in the mechanical properties of the skin, the restoration of volume and elasticity, improvements in skin quality and thickness, and dermal remodeling.
