DermExcel™ | Aging.Dry.Breakouts Treatment Plan

your dermal diagnosis™ results

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We're thrilled you're taking proactive steps to understand your skin better. Below, you'll find your most recent Dermal Diagnosis™ results. Use this data as a roadmap to achieving healthier skin.

Date	Dermal Diagnosis™	Profile and Treatment Plan

DERMAL DIAGNOSIS™ RESULT BREAKDOWN

Aging Score	Hydration Score	Pigmentation Score	Inflammation category

Date	Dermal Diagnosis™

DERMAL DIAGNOSIS™ RESULT BREAKDOWN

Aging Score
Hydration Score
Pigmentation Score
Inflammation category

's Dermal Diagnosis™ Profile

Aging . Dry . Breakouts

Embarking on the skincare journey with your ADB Skin Type, characterized by Aging, Dryness, and Acne Breakouts, invites you to adopt a nuanced and deliberate care routine tailored to your skin's unique demands. Your skin presents a distinctive combination of challenges that requires a balanced approach, blending gentle yet effective treatments to nurture and protect.

In your skin's case, aging and dryness interlace with acne breakouts, presenting a complex scenario. The inflammatory conditions not only exacerbate the aging process by predisposing your skin to fine lines and wrinkles but also impair its barrier. This compromised barrier function renders your skin more susceptible to the invasion of irritants, allergens, and bacteria, further disrupting its equilibrium.

The resultant dryness, characterized by a lack of optimal sebum production, hampers your skin's ability to retain moisture, leading to a texture that may feel parched and stiff. This lack of hydration and the ensuing roughness diminish your skin's natural glow, as healthy light reflection is compromised.

Addressing the ADB skin type's unique needs calls for a regimen that not only combats inflammation and fortifies the skin's barrier but also deeply hydrates and rejuvenates the skin. Incorporating ingredients known for their anti-inflammatory, antioxidant, and moisturizing properties can help mitigate the signs of aging, soothe acne-related inflammation, and enhance your skin's overall resilience and luminosity.

Focusing on medical-grade treatment products that can hydrate, rejuvenate, and clarify on the cellular level, will pave the way toward a more vibrant and resilient complexion. Integrating products that suit your specific needs will allow you to build a routine that not only tackles the present issues but also anticipates the changing needs of your skin.

benefits

barriers

goals

YOUR SKIN'S MAIN CHARACTERISTICS

Dehydration

Aging skin

Acne Breakouts

↓ Barrier Function

Benefits of your ADB skin type

Reduced Oiliness

Even Skin Tone

Protection

Reduced Oiliness: You are less likely to experience the sheen and discomfort associated with oily skin types. This can contribute to a matte finish and potentially less clogged pores outside of breakout areas.
Minimal Hyperpigmentation: Dry skin types might notice fewer pigmentation changes without the frequent inflammation from acne, which can lead to post-inflammatory hyperpigmentation. Additionally, your dry skin type may be less exposed to injuries or irritations that can lead to pigmentation issues.
Natural Protection Against Certain Bacteria: The dry nature of your skin means it's less hospitable to certain bacteria that thrive in oily environments, potentially reducing your risk of some types of bacterial skin infections.

Barriers to your skin health

Dehydrated Skin

Aging skin

Acne Breakouts

↓ Barrier Function

Dehydration and Dryness: Your Skin Type often struggles with maintaining optimal hydration levels, leading to a compromised skin barrier that cannot effectively retain moisture. This exacerbates dryness and potentially makes the skin feel tight and uncomfortable.
Visible Signs of Aging: The aging process may be more noticeable with your skin type due to the inherent dryness and the potential for breakouts to cause post-inflammatory changes or damage that accentuates the appearance of fine lines, wrinkles, and a loss of skin elasticity.
Breakouts: Despite being less oily, your skin type is still prone to breakouts, possibly due to dead skin cell accumulation and a compromised moisture barrier. Managing breakouts without further drying out the skin or causing irritation requires a delicate balance in your skincare routine.
Compromised Skin Barrier: Aging and dryness contribute to a weakened skin barrier, making it more vulnerable to external aggressors and less able to repair and retain moisture. This leads to a cycle of dryness, irritation, and inflammation.

your frustrations

Congested pores in the form of blackheads and whiteheads.
Impaired and dehydrated skin barrier.
Premature skin aging.
Rough skin texture with inflammation in the form of breakouts.
Sensitive skin that reacts to various stimuli and products.

your goals

Bright, hydrated, and healthy skin.
Protected and healed skin barrier.
No allergic skin reactions.
Prevention and correction of premature skin aging, including lines and wrinkles.
Smooth skin texture with no breakouts and inflammation.

Aging . Dry . Breakouts

treatment objectives

Smooth skin texture

Replace dull and dead skin cells with remodelled skin layers. Resurfacing procedures can induce new collagen formation with a more structured pattern.

Deeply Hydrate and Nourish

Advance the skin's hydration capabilities by boosting its capacity to attract and retain moisture at a cellular level. Promote the enhancement of the skin's own hydrating agents, ensuring sustained moisture balance and preventing dryness.

Skin Barrier Restoration

Repair damaged skin barrier and restore barrier function. Boost the protective skin layer by increasing the production of elastin, collagen, ceramides, and lipids.

Prevent & Repair Premature Aging

Protect the skin from factors that accelerate aging, such as UV exposure and pollution, and correct existing signs of aging, like fine lines, wrinkles, and loss of elasticity.

Reduce Inflammation

Alleviate inflammation and redness by restoring equilibrium to the skin's microbiome. Focus on creating a harmonious skin environment that supports healthy bacterial flora, essential for maintaining skin health and preventing breakouts.

DNA Protection and Repair

Safeguard and repair UV-induced DNA damage, utilizing a blend of UV defense, Retinol, Niacinamide, and antioxidants. This strategy prevents future damage and aids in the repair of existing cellular impairments.

include

Anti-inflammatory and anti-microbial agents.
Broad spectrum sunscreen with antioxidants - preventing premature aging and protecting DNA.
Chemical exfoliating ingredients that accelerate cell turnover and reveal new skin cells.
Effective barrier repair agents that restore your skin's natural barrier and prevent premature aging.
Skin-identical medical-grade ingredients that penetrate the skin to activate a biological response.

avoid

Damaging lifestyle habits, e.g., smoking, tanning beds, excessive sun, and sugar consumption.
Toners and foaming cleansers containing soap & sulfates.
Fragrance in skincare products.
Harsh anti-bacterial products that disrupt the skin's natural microbiome.
Irritating plant extracts and essential oils that will trigger adverse reactions.

Aging . Dry . Breakouts

Active Ingredients your skin needs

Retinoic acid analogue

Retinoic acid, often referred to as tretinoin in its pharmaceutical form, is the active form of Vitamin A. It is widely recognized for its powerful effects in dermatology and skin care, particularly in treating acne and signs of skin aging.

Retinoic acid works at the cellular level to modify gene expression and affect cell growth. In treating acne, it promotes the turnover of skin cells, reducing the likelihood of pore-clogging and helping to clear existing breakouts. Additionally, it decreases the cohesiveness of follicular epithelial cells, further preventing the formation of comedones.

Retinoic acid's ability to stimulate collagen production is a key benefit in anti-aging skincare. This leads to a reduction in fine lines and wrinkles and an improvement in overall skin texture and tone. It also aids skin discoloration and hyperpigmentation by accelerating cell turnover, bringing new skin cells to the surface faster, and shedding pigmented and damaged cells.

Despite its benefits, retinoic acid can irritate the skin, causing side effects like redness, dryness, and peeling, especially during the initial period of use. Its potency means it is generally available by prescription and requires careful monitoring by a healthcare professional.

Hydroxypinacolone Retinoate (HPR) is a newer, esterified form of retinoic acid. Unlike cosmetic retinol, HPR binds directly to the retinoid receptors of the skin cells without needing conversion. This direct binding allows it to deliver similar benefits to retinoic acid, such as stimulating collagen production, improving skin elasticity, and reducing signs of aging, but with a lower risk of irritation.

HPR is considered more gentle and less irritating than traditional retinoic acid while offering comparable benefits. With HPR, everyone has access to the benefits of prescription retinoids without the risk of side effects.

Physiological Effects

Cell Turnover and Renewal: HPR promotes rapid cell turnover, aiding in the exfoliation of dead skin cells and generating new cells.
Skin Texture: Promoting cell renewal improves skin texture and addresses issues like roughness and dullness.
Collagen Production: It stimulates collagen production, which is essential for reducing the appearance of fine lines and wrinkles and improving skin elasticity.
Acne Treatment: Effective in treating acne by unclogging pores and reducing the size of sebaceous glands, it diminishes both inflammatory and non-inflammatory acne lesions.
Pigmentation: It can reduce hyperpigmentation by accelerating the turnover of hyperpigmented skin cells and inhibiting melanin production.
Photoaging: Effective in treating signs of photoaging, reversing some of the damage caused by UV radiation.

Special Benefits

Retinoid Receptor Activity: HPR, an ester of retinoic acid, binds directly to retinoid receptors in the skin, enabling it to work without needing to be converted into retinoic acid.
Lower Irritation: Typically, it causes less irritation than retinoic acid, making it more suitable for sensitive skin types.
Collagen Stimulation and Anti-Aging: Like retinoic acid, HPR helps in stimulating collagen production and has anti-aging properties.
Acne and Hyperpigmentation: It effectively treats acne and reduces hyperpigmentation, often with fewer side effects than retinoic acid.
Stability and Penetration: HPR is more stable and lipid-soluble, so it penetrates the skin more effectively and is less prone to degradation.

References

Zaenglein, A. L., Pathy, A. L., Schlosser, B. J., Alikhan, A., Baldwin, H. E., Berson, D. S., ... & Thiboutot, D. M. (2016). Guidelines of care for the management of acne vulgaris. Journal of the American Academy of Dermatology, 74(5), 945-973.e33.
Fisher, G. J., Wang, Z. Q., Datta, S. C., Varani, J., Kang, S., & Voorhees, J. J. (1996). Pathophysiology of premature skin aging induced by ultraviolet light. New England Journal of Medicine, 337(20), 1419-1428.
Truchuelo, M. T., Jiménez, N., Jaén, P. (2018). Assessment of the efficacy of a new complex-based retinoic acid and retinol in a 3-month study using objective methods and skin biomarker analysis. Journal of Cosmetic Dermatology, 17(3), 347-354.
Mukherjee, S., et al. (2006). Retinoids in the treatment of skin aging: an overview of clinical efficacy and safety. Clinical Interventions in Aging.
Randhawa, M., et al. (2015). Hydroxypinacolone retinoate: a new retinoid and its use in dermatology. Skin Therapy Letter.

Vitamin K1

Vitamin K1, known as phylloquinone, is primarily recognized for its crucial role in blood coagulation. Beyond its well-known effects on blood clotting, recent research has highlighted its potential benefits in skin care, particularly in managing bruising and dark circles under the eyes and improving skin elasticity. Its mechanisms of action involve regulating blood clotting and reducing blood leakage into the skin and soft tissues. This property makes it particularly useful in topical treatments to minimize bruising and under-eye dark circles, often caused by fragile capillaries leaking small amounts of blood.

Studies have suggested that when applied topically, Vitamin K1 can help reduce the severity and duration of bruising after laser procedures or surgical treatments. It is believed to aid in the body's process of reabsorbing blood near the skin's surface, thereby reducing the appearance of bruises.

Physiological Effects

Blood Clotting and Bruising: Vitamin K1 is critical in blood clotting. It helps reduce the appearance of bruises on the skin by aiding the body's natural healing process in resolving blood clots.

Improving Skin Elasticity: It is believed to help improve skin elasticity and may reduce the appearance of wrinkles.
Wound Healing: Vitamin K1 can assist in the skin's healing process, although its effectiveness in wound healing needs further research.
Under-Eye Circles: The topical application of Vitamin K1 is thought to reduce the appearance of dark circles under the eyes by strengthening capillary walls and reducing the visibility of blood vessels beneath the skin.

Role in Managing Dermatological Conditions

Postoperative Bruising: It is often used in topical creams to reduce bruising following cosmetic skin procedures.
Dark Circles Under the Eyes: Creams containing Vitamin K1 diminish the appearance of dark circles caused by visible blood vessels or hyperpigmentation.
Skin Aging: Its potential anti-aging properties might benefit products targeting aging skin concerns.

References

Shah, N. S., et al. (2002). The effects of topical vitamin K on bruising after laser treatment. Journal of the American Academy of Dermatology.
Cohen, J. L., & Bhatia, A. C. (2009). The role of topical vitamin K oxide gel in the resolution of postprocedural purpura. Journal of Drugs in Dermatology.
AlQdah, T. (2021). Vitamin K in Dermatology. Dermatology Practical & Conceptual.

Azelaic acid

Azelaic acid, a naturally occurring dicarboxylic acid, is an effective ingredient in dermatological treatments, particularly for acne, rosacea, and hyperpigmentation, with antimicrobial and anti-inflammatory properties.

Physiological Effects

Anti-Inflammatory Properties: Azelaic acid reduces inflammation, effectively treating inflammatory skin conditions like acne and rosacea.
Antimicrobial Action: It possesses antimicrobial properties that target acne-causing bacteria (Propionibacterium acnes), helping to reduce acne outbreaks.
Keratolytic Effects: It helps unclog pores and reduce the formation of comedones (black and whiteheads) by normalizing the shedding of skin cells.
Depigmenting Agent: Azelaic acid effectively treats hyperpigmentation disorders, including melasma, as it inhibits tyrosinase, an enzyme involved in melanin production.

Role in Managing Dermatological Conditions

Acne: Azelaic acid inhibits the proliferation of acne-causing bacteria on the skin’s surface, thereby reducing bacterial growth and inflammation. Its antibacterial activity is primarily against Propionibacterium acnes, a key bacterium involved in the development of acne. Furthermore, azelaic acid helps unclog pores and reduce skin cell buildup, effectively treating mild to moderate acne.
Rosacea: Azelaic acid's anti-inflammatory action helps to reduce redness and swelling associated with rosacea. In addition, azelaic acid's ability to reduce keratinization (the process by which skin cells become more fibrous and less flexible) contributes to its effectiveness in this condition.
Pigmentation: Azelaic acid effectively treats melasma and post-inflammatory hyperpigmentation by inhibiting tyrosinase, an enzyme in melanin production. This helps to reduce the formation of excess pigment and can lead to a more even skin tone.

References

Fitton, A., & Goa, K. L. (1991). Azelaic Acid. Drugs.
Gollnick, H., & Schramm, M. (1998). Topical drug treatment in acne. Dermatology.
Passeron, T., et al. (2019). Melasma treatment: A novel approach using a topical agent that contains an anti-estrogen and a low-dose retinoid. G Ital Dermatol Venereol.
Wolf, J. E., Kerrouche, N., & Arsonnaud, S. (2006). Efficacy and safety of once-daily metronidazole 1% gel compared with twice-daily azelaic acid 15% gel in the treatment of rosacea. Cutis, 77(4 Suppl), 3-11.
Hollinger, J. C., Angra, K., & Halder, R. M. (2018). Are natural ingredients effective in the management of hyperpigmentation? A systematic review. The Journal of clinical and aesthetic dermatology, 11(2), 28.