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Patricia K. Farris

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Beschreibung

Provide expert advice on cosmeceuticals and integrate them into your cosmetic practice Patients look to you for expert advice on topical skin care product, and cosmeceuticals are an important innovation. They want to know which products will work best for them. But new products seem to appear almost daily. How can you provide your patients with effective advice on how and when to use cosmeceuticals? In Cosmeceuticals and Cosmetic Practice, Dr Farris has invited leading experts, including cosmetic chemists, researchers and cosmetic dermatologists, to provide these answers. Together they have analysed and synthesized the evidence and combined it with their experience to provide you with best-practice advice on the most effective way to apply cosmeceuticals in your everyday practice. This book explains: * How cosmeceutical products are developed, tested and how they work * The most up-to-date key ingredients such as: * Vitamin antioxidants * Botanicals * Peptides * Growth factors * Stem cells * How to use cosmeceuticals in practice Cosmeceuticals and Cosmetic Practice shows you how to improve the health and appearance of your patients' skin. Titles of related interest Dermatologic Surgery: Step by Step Nouri (ed.); ISBN 978-1-4443-3067-0 Ethnic Dermatology: Principles and Practice Dadize, Petit, Alexis (eds); ISBN 978-0-470-65857-4 Diagnostic Dermoscopy: The Illustrated Guide Bowling; ISBN 978-1-4051-9855-4

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Table of Contents

Title Page

Copyright

List of Contributors

Preface

Chapter 1: Cosmeceuticals and Clinical Practice

Definition and regulatory issues

The cosmeceutical marketplace

Cosmeceuticals in cosmetic practice

Skin care regimens based on science

Office dispensing

Efficacy and safety

Conclusion

Further reading

Part I: Development, Formulation and Evaluation of Cosmeceuticals

Chapter 2: Bench to Beauty Counter: Development of Cosmeceuticals

Introduction

Foundation for the development process

The science of formulation chemistry: product prototypes development

Toxicology, safety and stability evaluation

Conclusion

Further reading

Chapter 3: Evaluating Cosmeceuticals

Introduction

In vitro evaluations

In vivo evaluations

Conclusion

Further reading

Chapter 4: Modalities for Increasing Penetration

Introduction

Emulsions

Barrier degradation

Liposomes

Nanotechnology penetration enhancement

Penetration-enhancing devices

Conclusion

Further reading

Chapter 5: Nanopharmaceuticals and Nanocosmeceuticals

Introduction

Nanotechnology in dermatology

Nanovehicles

Nanoparticle modification and functionalization

Nanoparticles in dermatology

Regulation and safety

Conclusion

Further reading

Chapter 6: Cutaneous Barrier Function, Moisturizer Effects and Formulation

Barrier function

Stratum corneum structure and function

Desquamation

Exogenous conditions effect barrier function

Water and its effect on the epidermis

Moisturizing basics

Emulsions

Contents of a moisturizer

Choosing a moisturizer

Conclusion

Further reading

Part II: Cosmeceutical Ingredients

Chapter 7: Cosmeceutical Uses and Benefits of Alpha, Poly and Bionic Hydroxy Acids

Introduction

Hydroxyacid classification: AHA, PHA, BA

Benefits of hydroxyacids by skin condition

Formulating with AHAs

Conclusion

Further reading

Chapter 8: Vitamin A: Retinoids and the Treatment of Aging Skin

Introduction

Define the active ingredient

The biology of aging skin

Mechanisms of action

Clinical benefits

Indications and contraindications

Side effects

Conclusion

Further reading

Chapter 9: Vitamin C Cosmeceuticals

Introduction

Vitamin C: stability and derivatives

Vitamin C: an important antioxidant

Vitamin C and photoprotection

Vitamin C, collagen synthesis and wrinkles

Clinical studies: treating photoaging

Vitamin C: an important skin lightener

Vitamin C: A potent anti-inflammatory

Conclusion

Further reading

Chapter 10: Niacinamide: A Topical Vitamin with Wide-Ranging Skin Appearance Benefits

Introduction

Active ingredient

Mechanisms of action

Clinical benefits

Uses

Possible side effects

Conclusion

Further reading

Chapter 11: Innovative Botanicals

Introduction

Pine bark extract (PBE)

Coffea arabica

Pomegranate

Tea tree oil

Grape seed extract

Conclusion

Further reading

Chapter 12: Green Tea Extract

Introduction

Active ingredient

Mechanisms of action

Clinical benefits

Treatment of warts

Chemoprevention

Possible side effects

Contraindications

Conclusion

Further reading

Chapter 13: Soy and Oatmeal-Based Cosmeceuticals

Introduction

Colloidal oatmeal

Soy

Conclusion

Further reading

Chapter 14: Bioactive Peptides

Introduction

Definition of peptide

Role of peptides in skin

The development of peptide actives

Clinical benefits

Conclusion

The future

Further reading

Chapter 15: Growth Factors in Cosmeceuticals

Introduction

Pathophysiology of skin aging

Comparison of skin aging with wound formation and healing

Growth factors and cytokines in skin aging

Clinical benefits and indications

New developments

Safety and efficacy considerations

Conclusion

Further reading

Chapter 16: Resveratrol and Synthetic Sirtuin Activators

Introduction

Resveratrol: a sirtuin activator

Resveratrol: photoprotection and chemoprevention

Resveratrol as an anti-aging agent

Resveratrol as a phytoestrogen

Delivery of resveratrol

Synthetic sirtuin activators (STACs)

Sirtuins, resveratrol and STACs: the controversy

Yeast biopeptides as sirtuin activators

Conclusion

Further reading

Chapter 17: Skin Aging, Glycation and Glycation Inhibitors

Introduction

Sugar and advanced glycation end products

Glycation and aging skin

Glycation inhibitors

Cosmeceutical ingredients

Herbs and spices

Glycation inhibitors from marine sources

Other important glycation inhibitors

Conclusion

Further reading

Chapter 18: Essential Ions and Bioelectricity in Skin Care

Ion flow and bioelectricity

Essential mineral ions and skin

Further reading

Chapter 19: Stem Cell Cosmeceuticals

Strategies to energize cells to rejuvenate skin

Conclusion

Further reading

Chapter 20: Cosmeceutical Applications from Marine Organisms

Introduction

Marine-derived compounds from marine organisms

Cosmeceutical potential of marine organism

Conclusion

Further reading

Part III: Practical Applications for Cosmeceuticals

Chapter 21: Cosmeceuticals for the Treatment of Acne Vulgaris

Introduction

Clinical description: acne vulgaris

The role of cosmeceuticals in treating acne

Conclusion

Further reading

Chapter 22: Cosmeceutical Skin Lighteners

Introduction

The melanin production pathway

Skin-lightening agents

Cosmeceutical Ingredients for Skin Lightening

Conclusion

Further reading

Chapter 23: Cosmeceuticals for Treating Cellulite

Introduction

Clinical description of the challenge (disease pathogenesis and challenges in treatment)

The role of cosmeceuticals in treating this condition

Cosmeceutical ingredients and actives appropriate for treating this condition

Adverse effects

Conclusion

Further reading

Chapter 24: Cosmeceuticals for Hair Loss and Hair Care

Introduction

Polyphenols: grape seed, apple extract, barley, and raspberry

Isoflavones and soy

Ginseng, gingko and relatives

Plant-derived 5-alpha-reductase inhibitors

Essential oils

Vitamin C

Amino acids and their derivatives

Products for hair coloring

Products for hair care and hair protection

Cassia plant

Honeydew

Eucalyptus

Conclusion

Further reading

Chapter 25: Cosmeceuticals for Treating and Preventing Scars

Introduction

Pathogenesis

Risk factors

Cosmeceutical actives that are most commonly used in the prevention and treatment of scars

Natural therapies

Conclusion

Further reading

Chapter 26: Sun Protection and Self-Tanners

Introduction

Spectral differences related to UV photocarcinogenesis

Topical photoprotection

Sunscreening agents and mechanisms of action

Effectiveness of photoprotection

Sunless tanning

Future outlook

Further reading

Chapter 27: Cosmeceuticals for Rosacea and Facial Redness

Introduction

Biochemical pathways

Basic skin care needs for rosacea management

Role of cosmeceuticals in managing rosacea

Advances in cosmetic actives

Conclusion

Further reading

Chapter 28: Cosmeceuticals for Enhancing Cosmetic Procedures

Introduction

General considerations

Synergistically enhancing procedural outcomes

Minimizing procedural complications

Conclusion

Further reading

Chapter 29: The Future of Cosmeceuticals

Introduction

Challenges for the Future

Sustainable practices

Beyond cosmeceuticals: nutraceuticals

Conclusion

Further reading

Index

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Library of Congress Cataloging-in-Publication Data

Cosmeceuticals and cosmetic practice / edited by Patricia K. Farris.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-118-38483-1 (cloth : alk. paper) – ISBN 978-1-118-38479-4 (epdf) – ISBN 978-1-118-38480-0 (epub) – ISBN 978-1-118-38481-7 (emobi) – ISBN 978-1-118-38482-4

I. Farris, Patricia K., editor of compilation.

[DNLM: 1. Dermatologic Agents–therapeutic use. 2. Cosmetics–therapeutic use. QV 60]

RA778

613'.488–dc23

2013024799

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Cover image: iStock File #22275191 © Pogonici

Cover design by Meaden Creative

List of Contributors

Diane S. Berson MD, FAAD
Associate Clinical Professor Dermatology
Weill Medical College of Cornell University
New York-Presbyterian Hospital;
Private Practice
New York, NY, USA
Donald L. Bissett PhD
Retiree from The Procter & Gamble Company
Cincinnati, OH, USA
Elizabeth Bruning BS, LLB
Johnson & Johnson Consumer Companies, Inc.
Skillman, NJ, USA
Mark V. Dahl MD
Professor Emeritus
Department of Dermatology
Mayo Clinic;
Makucell, Inc.
Scottsdale, AZ, USA
Jennifer David DO, MBA
Dermatology Clinical Research Fellow
Society Hill Dermatology
Philadelphia, PA, USA
Doris Day MD, FAAD, MA
Clinical Associate Professor, Dermatology
New York University Medical Center
New York, NY, USA
Zoe Diana Draelos MD
Consulting Professor
Department of Dermatology
Duke University School of Medicine
Durham, NC, USA
Jason Emer MD
Department of Dermatology
Icahn School of Medicine at Mount Sinai
New York, NY, USA
Sung-Hwan Eom
Marine Bioprocess Research Center
Pukyong National University
Busan, Republic of Korea
Sabrina G. Fabi MD, FAAD, FAACS
Volunteer Assistant Clinical Professor
University of San Diego, California
Goldman, Butterwick, Fitzpatrick, Groff & Fabi
Cosmetic Laser Dermatology
San Diego, CA, USA
Timothy Falla PhD
VP Research & Development
Rodan & Fields, LLC
San Francisco, CA, USA
Patricia K. Farris MD
Clinical Associate Professor
Tulane University School of Medicine
New Orleans, LA, USA;
Private practice
Old Metairie Dermatology
Metairie, Louisiana, USA
Kathy Fields MD
Adjunct Clinical Assistant Professor
Stanford University
Stanford, CA, USA
Dee Anna Glaser MD
Professor and Vice-Chairman
Department of Dermatology
Professor of Internal Medicine & Otolaryngology
Saint Louis University School of Medicine
St Louis, MO, USA
Barbara A. Green RPh, MS
Vice President of Global Clinical & Regulatory Affairs
NeoStrata Company, Inc.
Princeton, NJ, USA
Tomohiro Hakozaki PhD
The Procter & Gamble Company
Cincinnati, OH, USA
Candrice R. Heath MD
Department of Dermatology
St Luke's-Roosevelt Hospital Center
New York, NY, USA
Camile L. Hexsel MD
Dermatologist, Investigator
Brazilian Center for Studies in Dermatology
Porto Alegre, RS, Brazil;
The Methodist Hospital
Houston, TX, USA
Doris Hexsel MD
Instructor, Department of Dermatology
Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS);
Principal Investigator
Brazilian Center for Studies in Dermatology
Porto Alegre, RS, Brazil
Neil Houston
Research Coordinator
Clinical Unit for Research Trials and Outcomes in Skin (CURTIS)
Massachusetts General Hospital
Boston, MA, USA
Leah Jacob MD
Department of Dermatology
Tulane University School of Medicine
New Orleans, LA, USA
Mary B. Johnson MS
The Procter & Gamble Company
Cincinnati, OH, USA
Se-Kwon Kim PhD
Marine Bioprocess Research Center
Pukyong National University;
Marine Biochemistry Laboratory
Department of Chemistry
Pukyong National University
Busan, Republic of Korea
Alexa Boer Kimball MD, MPH
Senior Vice President, Practice Improvement, Mass General Physicians Organization;
Vice Chair, Department of Dermatology
Massachusetts General Hospital;
Director, Clinical Unit for Research Trials and Outcomes in Skin (CURTIS)
Massachusetts General Hospital;
Associate Professor
Harvard Medical School
Boston, MA, USA
Alexandra Kowcz
VP, US R&D
Beiersdorf Inc.
Wilton, CT, USA
Mary Lupo MD
Clinical Professor of Dermatology
Tulane University School of Medicine;
Private Practice
Lupo Center for Aesthetic and General Dermatology
New Orleans, LA, USA
Ellen Marmur MD
Icahn School of Medicine at Mount Sinai
New York, NY, USA
Adam R. Mattox DO
Department of Dermatology
Saint Louis University School of Medicine
St Louis, MO, USA
Chris Mazur BS
Senior Researcher
McDaniel Institute of Anti-Aging Research/Laser & Cosmetic Center
Virginia Beach, VA, USA
David H. McDaniel MD, FAAD
Director
McDaniel Institute of Anti-Aging Research/Laser & Cosmetic Center
Virginia Beach, VA;
Assistant Professor, Clinical Dermatology
Eastern Virginia Medical School;
Adjunct Assistant Professor, Department of Biological Sciences
Old Dominion University
Norfolk, VA;
Co-Director, Hampton University Skin of Color Research Institute
Hampton University
Hampton, VA, USA
Suzanne Micciantuono DO
Dermatology Resident
Wellington Regional Medical Center
Boca Raton, FL, USA
Adnan Nasir MD, PhD
Department of Dermatology
University of North Carolina at Chapel Hill
Chapel Hill, NC, USA
Katherine Nolan BA
Icahn School of Medicine at Mount Sinai
New York, NY, USA
John E. Oblong PhD
The Procter & Gamble Company
Cincinnati, OH, USA
Marianne N. O'Donoghue MD
Associate Professor of Dermatology
Rush University Medical Center
Chicago, IL, USA
Rosemarie Osborne PhD
The Procter & Gamble Company
Cincinnati, OH, USA
Wolfgang Pape PhD
Beiersdorf AG
Hamburg, Germany
Marta I. Rendon MD
Medical Director
The Rendon Center for Dermatology and Aesthetic Medicine;
Associated Clinical Professor
University of Miami
Boca Raton, FL, USA
Darrell S. Rigel MD
Clinical Professor
Department of Dermatology
New York University School of Medicine
New York, NY, USA
Katie Rodan MD
Adjunct Clinical Assistant Professor
Stanford University
Stanford, CA, USA
Nicole E. Rogers MD, FAAD
Assistant Clinical Professor
Tulane University School of Medicine
New Orleans, LA;
Private Practice
Metaire, LA, USA
Dana L. Sachs MD
Associate Professor
Department of Dermatology
University of Michigan Medical Center
Ann Arbor, MI, USA
Guenther Schneider PhD
Principal Scientist
Beiersdorf AG
Hamburg, Germany
Christina Steel PhD
Senior Researcher
McDaniel Institute of Anti-Aging Research/Laser & Cosmetic Center
Virginia Beach;
Department of Biological Sciences
Old Dominion University
Norfolk, VA, USA
Ying Sun PhD
Johnson & Johnson Consumer Companies, Inc.
Skillman, NJ, USA
Hema Sundaram MD, FAAD
Medical Director
Sundaram Dermatology Cosmetic & Laser Surgery
Rockville, MD, and Fairfax, VA, USA
Susan Taylor MD
Society Hill Dermatology, Philadelphia;
Associate Clinical Professor of Dermatology
Associate Faculty of the School of Medicine
University of Pennsylvania
Philadelphia, PA, USA
Samantha Tucker-Samaras PhD
Johnson & Johnson Consumer Companies, Inc.
Skillman, NJ, USA
Yvette Vazquez MS, PA-C
Physician Assistant
Wellington Regional Medical Center
Boca Raton, FL, USA
John J. Voorhees MD, FRCP
Duncan and Ella Poth Distinguished Professor and Chair
Department of Dermatology
University of Michigan Medical Center
Ann Arbor, MI, USA
Heidi A. Waldorf MD
Director, Laser & Cosmetic Dermatology
Mount Sinai Medical Center;
Associate Clinical Director
Icahn School of Medicine at Mount Sinai
New York, NY;
Waldorf Dermatology & Laser Associates, PC
Nanuet, NY, USA
Teresa M. Weber PhD
Director, Clinical & Scientific Affairs
Beiersdorf Inc.
Wilton, CT, USA
Susan H. Weinkle MD
Affiliate Clinical Professor of Dermatology
University of South Florida
Tampa, FL;
Private Practice
Bradenton, FL, USA
Joshua A. Zeichner MD
Assistant Professor
Mount Sinai Medical Center
New York, NY, USA

Preface

The term cosmeceutical, in the US, is now a household word. It is used in magazine articles, internet postings and is even defined in the dictionary. Cosmeceuticals are a new breed of skin care products that are a hybrid between cosmetics and pharmaceuticals. The term cosmeceutical is not recognized by the Food and Drug Administration so there are no specific criteria set up for products to be included in this category. Today, we use the term cosmeceutical to refer to everything from sunscreens to prescription retinoids and almost everything in between. In fact, even simple moisturizers can technically be called cosmeceuticals as they have beneficial effects on skin physiology. In most cases, however, we reserve the use of the term cosmeceutical to refer to enhanced moisturizers containing active ingredients that provide added benefits to the skin.

The advent of cosmeceuticals represents one of the most important innovations in topical skin care. As a blend between cosmetics and pharmaceuticals, these products provide therapeutic benefits above and beyond simple cosmetics and are highly sought after by consumers. They are readily available, reasonably priced and heavily marketed, making them one of the fastest growing segments of the personal care market. Consumers turn to cosmeceuticals to treat skin aging and a myriad of skin conditions such acne, melasma and rosacea. They view these products as alternatives to medications and often try cosmeceutical products before seeking professional help. Physicians also value cosmeceuticals for their therapeutic effects. We use them in conjunction with medications to treat skin conditions and to enhance the benefits of in-office procedures.

In view of this demand, it is no surprise that cosmetic and pharmaceutical companies are focused on growing the cosmeceutical marketplace. Most major cosmetic companies have heavily invested in developing cosmeceuticals and many pharmaceutical companies are now joining in. Through basic science research these companies are working to identify potential targets for improving skin health and appearance and develop new active ingredients that can be used as interventions. They create innovative delivery systems allowing for more effective and targeted delivery of actives to the skin. Their efforts are to be commended as they have contributed significantly to the development of more effective skin care products and to our basic understanding of skin aging, moisturization and the pathogenesis of diseases.

Patients increasingly are looking to their physicians for advice on product selection. They are overwhelmed by the marketing hype that often creates unrealistic expectations and some degree of consumer confusion. They are looking for individualized skin care regimens and want to know what works and what doesn't. The aesthetic physician faces a formidable challenge to be knowledgeable about cosmeceuticals. There are few resources on the subject and the scientific studies conducted by the companies who develop these products are not always readily available. In addition, it seems as if new products and ingredients are marketed almost daily, making it impossible for us to keep up with this rapidly developing market.

This provides the rationale for this textbook. It provides you with the expertise of clinicians, researchers and industry-based cosmetic chemists from around the globe. The book is divided into three parts. Part I provides you with insight into how cosmeceuticals are developed, tested and how these science-driven skin care products are brought to market. Innovations in delivery systems and penetration enhancer will also be discussed.

Part II covers many of the key cosmeceutical ingredients including vitamin antioxidants, botanicals, growth factors, peptides and marine-based ingredients, just to name a few. Some of the newest anti-aging strategies including stem cell modulating compounds, glycation inhibitors, and ion-based anti-aging skin care are also discussed.

In Part III, clinicians who are considered leaders in the field will provide their unique and individual perspective on how cosmeceuticals can be used in clinical practice. Studies supporting the use of cosmeceuticals to treat common conditions such as acne, rosacea, hyperpigmentation, hair loss and striae are reviewed. The use of cosmeceuticals to enhance cosmetic procedures performed in the office setting such as chemical peels and laser treatments complete Part III.

Through our collective efforts, we hope to be able to provide you with a resource that will make it easier to advise your patients on product selection and give you the information you need to incorporate cosmeceuticals into your clinical practice.

I owe my deepest gratitude to my contributors who are among the leading experts in the field of topical skin care and without whom this textbook would never have been possible. I commend them for their deep commitment to professionalism and for their never-ending pursuit to put science behind cosmeceuticals. Finally, I would like to acknowledge Rachel Green and Jeffery B. Henry for all of their efforts and help in preparing this book.

Patricia K. Farris

Chapter 1

Cosmeceuticals and Clinical Practice

Patricia K. Farris

Tulane University School of Medicine, New Orleans, LA, USA

Definition and regulatory issues

The term cosmeceutical was coined by Albert Kligman, M.D., in 1993, referring to skin care products that are a blend of cosmetics and pharmaceuticals. This term is engrained in medical literature, the lay press, and is commonly used by consumers. There is an implied medical nature as a result of “ceutical” and an expectation of medicinal-like properties. Today cosmeceutical is generally used to refer to skin care products that contain active ingredients that are beneficial to improving skin's appearance and promoting healthy skin.

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!

Lesen Sie weiter in der vollständigen Ausgabe!