Mesotherapy is a mildly invasive procedure involving several subcutaneous drug injections, which are performed simultaneously. The concept is to inject a very small amount of active compounds (hyaluronic acid, vitamins, antioxidants, enzymes, humectants, …) and the aim is to stimulate the biosynthetic capacity of fibroblasts, increase collagen and elastin production and to give active essential molecules for a fibroblasts environment. Numerous studies suggest that the mesotherapy procedure improves skin hydration and mechanical properties; however, some results have not been statistically significant. In this study, we investigated an antiaging treatment as a complementary approach to a non-surgical rejuvenating procedure after 5 sessions of mesotherapy. Our main objective was to assess the improvement of face, neck and neckline skin quality, after intradermal microinjections of NCTF 135HA <sup>®</sup> . This mixture, manufactured by FILORGA Laboratories, includes a non-cross- linked hyaluronic acid, vitamins, antioxidants, mineral salts and enzymes. A statistically significant decrease in the depth of crow’s-feet wrinkles (43.3%) and in pore size (58.5%) was observed. Also, dermatological scores showed a significant decrease, and data suggest that skin tone was improved with a brighter tone. The injected mixture could then have an action on the skin pigmentation process with a photoprotective effect. Evolution of Dermis density was also investigated and an increase of dermal density and thickness were highlighted, showing an improvement of skin firmness with significant increases of dermis thickness (20%) and dermis density (24%), indicating a neocollagen activity.
Vierkotter, A. and Krutmann, J. (2012) Environmental Influences on Skin Aging and Ethnic-Specific Manifestations. Dermato-Endocrinology, 4, 227-231. https://doi.org/10.4161/derm.19858
Kammeyer, A. and Luiten, R.M. (2015) Oxidation Events and Skin Aging. Ageing Research Reviews, 21, 16-29. https://doi.org/10.1016/j.arr.2015.01.001
Ganceviciene, R., Liakou, A., Theodoridis, A., Makrantonaki, E. and Zouboulis, C. (2012) Skin Anti-Aging Strategies. Dermato-Endocrinology, 4, 308-319.
Makrantonaki, E. and Zouboulis, C. (2007) Molecular Mechanisms of Skin Aging State of the Art. Annals of the New York Academy of Sciences, 1119, 40-50.
Latha, P. and Vandana, K.R. (2011) Mesotherapy—A Review. International Journal of Advanced Pharmaceutics, 1, 19-29.
Iorizzo, M., De Padova, M.P. and Tosti, A. (2008) Biorejuvenation: Theory and Practice. Clinics in Dermatology, 26, 177-181.
Kerscher, M., Bayrhammer, J. and Reuther, T. (2008) Rejuvenating Influence of a Stabilized Hyaluronic Acid-Based Gel of Non Animal Origin on Facial Skin Aging. Dermatologic Surgery, 34, 720-726.
El-Domyati, M., et al. (2012) Efficacy of Mesotherapy in Facial Rejuvenation: A Histological and Immunohistochemical Evaluation. International Journal of Dermatology, 51, 913-919. https://doi.org/10.1111/j.1365-4632.2011.05184.x
Jager, C., Brenner, C., Habicht, J. and Wallich, R. (2011) Bioactive Reagents Used in Mesotherapy for Skin Rejuvenation in Vivo Induce Diverse Physiological Processes in Human Skin Fibroblasts in vitro—A Pilot Study. Experimental Dermatology, 21, 70-80.
Prikhnenko, S. (2015) Polycomponentmesotherapy Formulations for the Treatment of Skin Aging and Improvement of Skin Quality. Clinical, Cosmetic and Investigational Dermatology, 8, 151-157.
Dessy, L.A., Trignano, E. and Scuderi, N. (2008) Randomized Prospective Study on the Efficacy of a New Revitalizing Filler Composed of Hyaluronic Acid. Giornale Italiano di Dermatologia e Venereologia, 143, 161-165.
Geesin, J.C., et al. (1993) Regulation of Collagen Synthesis in Human Dermal Fibroblasts by the Sodium and Magnesium Salts of Ascorbyl-2-Phosphate. Skin Pharmacology, 6, 65-71. https://doi.org/10.1159/000211089
Lin, J.Y., Selim, M.A., Shea, C.R., et al. (2003) UV Photoprotection by Combination Topical Antioxidants Vitamin C and Vitamin E. Journal of the American Academy of Dermatology, 48, 866-874. https://doi.org/10.1067/mjd.2003.425
Savoia, A., Landi, S. and Baldi, A. (2013) A New Minimally Invasive Mesotherapy Technique for Facial Rejuvenation. Dermatology and Therapy, 3, 83-93. https://doi.org/10.1007/s13555-012-0018-2
Myllyharju, J. (2003) Prolyl 4-Hydroxylases, the Key Enzymes of Collagen Biosynthesis. Matrix Biology, 22, 15-24.
Nusgens, B.V., Humbert, P., Rougier, A., et al. (2001) Topically Applied Vitamin C Enhances the mRNA Level of Collagens I and III, Their Processing Enzymes and Tissue Inhibitor of Matrix Metalloproteinase 1 in the Human Dermis. Journal of Investigative Dermatology, 116, 853-859. https://doi.org/10.1046/j.0022-202x.2001.01362.x
Crisan, D., Roman, I., Crisan, M. and Badea, R. (2015) The Role of Vitamin C in Pushing Back the Boundaries of Skin Aging: An Ultrasonographic Approach. Clinical, Cosmetic and Investigational Dermatology, 8, 463-470. https://doi.org/10.2147/CCID.S84903
Kameyama, K., Saka, C., Kondoh, S., et al. (1996) Inhibitory Effect of Magnesium L-ascorbyl-2-phosphate (VC-PMG) on Melanogenesis in vitro and in Vivo. Journal of the American Academy of Dermatology, 34, 29-33.
Sparavigna, A., Tenconi, B. and De Ponti, I. (2015) Antiaging, Photoprotective, and Brightening Activity in Biorevitalization: A New Solution for Aging Skin. Clinical, Cosmetic and Investigational Dermatology, 8, 57-65. https://doi.org/10.2147/CCID.S77742
Farris, P.K. (2005) Topical Vitamin C: A Useful Agent for Treating Photoaging and Other Dermatologic Conditions. Dermatologic Surgery, 31, 814-817. https://doi.org/10.1111/j.1524-4725.2005.31725
Hakozaki, T., Takiwaki, H., Miyamoto, K., Sato, Y. and Arase, S. (2006) Ultrasound Enhanced Skin-Lightening Effect of Vitamin C and Niacinamide. Skin Research and Technology, 12, 105-113. https://doi.org/10.1111/j.0909-752X.2006.00186.x
Ebanks, J.P., Wickett, R., Boissy, R. and Raymond, E. (2009) Mechanisms Regulating Skin Pigmentation: The Rise and Fall of Complexion Coloration. International Journal of Molecular Sciences, 10, 4066-4087. https://doi.org/10.3390/ijms10094066
Hakozaki, T., Minwalla, L., Zhuang, J., Chhoa, M., Matsubara, A., Miyamoto, K., et al. (2002) The Effect of Niacinamide on Reducing Cutaneous Pigmentation and Suppression of Melanosome Transfer. British Journal of Dermatology, 147, 20-31. https://doi.org/10.1046/j.1365-2133.2002.04834.x
Rendona, M. and Horwitz, S. (2012) Topical Treatment of Hyperpigmentation Disorders. Annales de dermatologie et de vénéréologie [Annals of Dermatology and Venereology], 139, S153-S158.
Panich, U., Tangsupa, V., Onkoksoong, T., Kongtaphan, K., Kasetsinsombat, K., Akarasereenont, P., et al. (2011) Inhibition of UVA Mediated Melanogenesis by Ascorbic Acid through Modulation of Antioxidant Defense and Nitric Oxide System. Archives of Pharmacal Research, 34, 811-820. https://doi.org/10.1007/s12272-011-0515-3
Upadhya, G.A. and Strasberg, S.M. (2000) Glutathione, Lactobionate, and Histidine: Cryptic Inhibitors of Matrix Metalloproteinases Contained in University of Wisconsin and Histidine/Tryptophan/Ketoglutarate Liver Preservation Solutions. Hepatology, 31, 1115-1122. https://doi.org/10.1053/he.2000.6780
Deveci, M., Oztürk, S., Bayram, Y., Aydin, A., Eken, A. and Sengezer, M. (2005) Topical Application of Glutathione in the Treatment of Diabetic Wounds. Turkish Journal of Plastic Surgery, 13, 179-184.
Watanabe, F., Hashizume, E., Chan, G.P. and Kamimura, A. (2014) Skin-Whitening and Skin-Condition-Improving Effects of Topical Oxidized Glutathione: A Double-Blind and Placebo-Controlled Clinical Trial in Healthy Women. Clinical, Cosmetic and Investigational Dermatology, 7, 267-274. https://doi.org/10.2147/CCID.S68424
Kopal, C., Deveci, M., Ozturk, S. and Sengezer, M. (2007) Effects of Topical Glutathione Treatment in Rat Ischemic Wound Model. Annals of Plastic Surgery, 58, 449-455. https://doi.org/10.1097/01.sap.0000241681.57965.35
Wolfs, B., et al. (2009) Role of Arginine in Superficial Wound Healing in Man. Nitric Oxide, 21, 175-183.
Corsettia, G., D’Antonab, G., Saverio, G. and Rezzania, R. (2010) Topical Application of Dressing with Aminoacids Improves Cutaneous Wound Healing in Aged Rats. Acta Histochemica, 112, 497-507.
Debats, I.B., Wolfs, T.G., Gotoh, T., Cleutjens, J.P., Peutz-Kootstra, C.J. and Van der Hulst, R.R. (2009) Role of Arginine in Superficial Wound Healing in Man. Nitric Oxide, 21, 175-183.
Gniadecka, M. (2001) Effects of Ageing on Dermal Echogenicity. Skin Research and Technology, 7, 204-207. https://doi.org/10.1034/j.1600-0846.2001.70310.x
Sandby-Moller, J. and Wulf, H.C. (2004) Ultrasonographic Subepidermal Low-Echogenic Band, Dependence of Age and Body Site. Skin Research and Technology, 10, 57-63. https://doi.org/10.1111/j.1600-0846.2004.00056.x
Baspeyras, M., et al. (2013) Clinical and Biometrological Efficacy of a Hyaluronic Acid-Based Mesotherapy Product: A Randomised Controlled Study. Archives of Dermatological Research, 305, 673-682. https://doi.org/10.1007/s00403-013-1360-7
Tedeschi, A., Lacarrubba, F. and Micali, F. (2015) Mesotherapy with an Intradermal Hyaluronic Acid Formulation for Skin Rejuvenation: An Intrapatient, Placebo-Controlled, Long-Term Trial using High-Frequency Ultrasound. Aesthetic Plastic Surgery, 39, 129-133. https://doi.org/10.1007/s00266-014-0432-1
Lacarrubba, F., Nardone, B., Tedeschi, A., Nordstrom, R. and Micali, G. (2007) Ultrasound Evaluation of Mesotherapy for Skin Rejuvenation. In: Tosti, A. and De Padova, M.P., Eds., Atlas of Mesotherapy in Skin Rejuvenation, Informa Healthcare Ltd., London.
Lacarrubba, F., Tedeschi, A., Nardone, B. and Micali, G. (2008) Mesotherapy for Skin Rejuvenation: Assessment of the Subepidermal Low-Echogenic Band by Ultrasound Evaluation with Crosssectional B-Mode Scanning. Dermatology and Therapy, 21, S1-S5. https://doi.org/10.1111/j.1529-8019.2008.00234.x
Calikoglu, E., Sorg, O., Tran, C., Grand, D., Carraux, P., Saurat, J.H. and Kaya, G. (2006) UVA and UVB Decrease the Expression of CD44 and Hyaluronate in Mouse Epidermis, Which Is Counteracted by Topical Retinoids. Photochemistry and Photobiology, 82, 1342-1347. https://doi.org/10.1562/2006-02-10-RA-801
Sauermann, K., Jaspers, S., Koop, U., et al. (2004) Topically Applied Vitamin C Increases the Density of Dermal Papillae in Aged Human Skin. BMC Dermatology, 4, 13. https://doi.org/10.1186/1471-5945-4-13
Fisher, G.J., Kang, S., Varani, J., et al. (2002) Mechanisms of Photoaging and Chronological Skin Aging. Archives of Dermatology, 138, 1462-1470. https://doi.org/10.1001/archderm.138.11.1462