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Restylane works by stretching fibroblasts


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#1 curious_sle

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Posted 20 February 2007 - 06:17 PM


Ok, not strictly a supplement but i seem to recall skincreams beeing discussed in here before...
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The Science Behind a Wrinkle-filler: Researchers Discover for the First Time How Product Works
By University of Michigan Health System
Feb 19, 2007 - 7:27:16 PM

The Science Behind a Wrinkle-filler: Researchers Discover for the First Time How Product Works

University of Michigan study on dermal filler Restylane shows that it causes the skin to create more collagen

(HealthNewsDigest.com) - ANN ARBOR, Mich. The current battle between the makers of anti-wrinkle products widely compared with the Coke and Pepsi struggle for superiority is receiving an injection of scientific understanding with the release of a new study from the University of Michigan Health System.

The study is the first to discover that one of the fillers known by the brand-name Restylane works by stretching fibroblasts, the cells in the skin that make collagen, in a way that causes the skin to create new collagen. This new, natural collagen then would contribute to the reduction of the appearance of creases and wrinkles. The study also shows that the product seems to inhibit the breakdown of existing collagen.

Prior to our research, it has been thought that Restylane’s physical volume caused the improvement in the appearance of one’s skin, says senior author John J. Voorhees, M.D., the Duncan and Ella Poth Distinguished Professor and chair of the Department of Dermatology at the U-M Medical School.

“It is true that the physical presence of the product increases volume in the skin. Our research makes clear that injection of the product leads to creation of new collagen, which contributes to reduction in creases and wrinkles in a person’s aging skin,” Voorhees says.

The paper appears in the new issue of the journal Archives of Dermatology. Funding was provided by the U-M Department of Dermatology Cosmetic Research Fund, the Babcock Research Endowment at U-M and grants from the National Institutes of Health.

While Medicis Aesthetics provided the Restylane syringes used in the study, the company (which makes Restylane) had no involvement in the collection, management, analysis and interpretation of the data. The company also was not involved in the preparation or review of the manuscript.

Restylane has been in the news frequently in recent months, in part because of a competition between Medicis and Allergan Inc., the maker of the dermal filler Juvederm. More than one observer has compared the rivalry to the height of the “cola wars” between Coke and Pepsi. These fillers are used to reduce the appearance of creases and wrinkles on the lower part of the face.

The findings of the study are based on injections in 11 volunteers, ages 64 to 84 years, and the subsequent analyses of the skin biopsies (including immunostaining and gene expression).

Some of the key findings relate to fibroblasts, which are in the dermis, the layer of the skin below the epidermis (outer layer). In young people, fibroblasts are stretched, and this produces enough collagen to make the skin appear relatively smooth. As people age, the fibroblasts become relaxed and do not stretch as easily, and therefore do not release as much collagen, causing creases and wrinkles to appear.

With the injection of Restylane in this study, the relaxed fibroblasts were re-stretched, says lead author Frank Wang, M.D., research fellow with the U-M Department of Dermatology. In a sense, this stretching encourages the fibroblasts to behave in the way they do in younger skin and to release collagen.

Another factor is that in older skin, an enzyme called collagenase breaks down the collagen in the skin. The research found that injection of this dermal filler inhibits the breakdown of collagen by collagenase, which also helps with the appearance of one’s skin, Wang says.

The study notes that procedures involving dermal fillers are increasingly common. Of the 12 million cosmetic procedures performed annually in the United States, about 1 million currently involve the class of injectable fillers that includes Restylane, according to the researchers.

In addition to Voorhees and Wang, authors of the study were Luis A. Garza, M.D., Ph.D.; Sewon Kang, M.D.; James Varani, Ph.D.; Jeffrey S. Orringer, M.D.; and Gary J. Fisher, Ph.D., all of the University of Michigan Medical School, except Garza, now at the University of Pennsylvania, Philadelphia.

Reference: Archives of Dermatology, Feb. 2007, Vol. 143, Issue 2, pp. 155-163, “In Vivo Stimulation of De Novo Collagen Production Caused by Cross-linked Hyaluronic Acid Dermal Filler Injections in Photodamaged Human Skin.”

www.HealthNewsDigest.com

#2 xanadu

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Posted 20 February 2007 - 08:18 PM

Very interesting. Now we just have to figure a way to get it into the skin without injecting. Bucky balls or some sort of solvent carrier comes to mind. I'm sure chemists are working on it now. It's not just for vanity, the condition of your skin has a significant effect on your health.

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#3 marqueemoon

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Posted 20 February 2007 - 10:18 PM

Very interesting. Now we just have to figure a way to get it into the skin without injecting. Bucky balls or some sort of solvent carrier comes to mind. I'm sure chemists are working on it now. It's not just for vanity, the condition of your skin has a significant effect on your health.


Why not inject it?

#4 xanadu

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Posted 20 February 2007 - 10:36 PM

"Why not inject it?"

Maybe you like being a pincushion but most people do not. Then there is the matter of safety, hygiene, and the damage caused by a needle. Something like this in a cream could be applied anywhere. Collagen is found elsewhere than just the skin so this might be really good if it's all it's cracked up to be. Maybe an oral pill could be developed?

#5 shadowrun

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Posted 20 February 2007 - 10:51 PM

Injection makes it unpalatable to most people - Myself included
A pill or cream...The stuff would sell like hotcakes!

I'm interested in hearing more about this stuff in the future

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#6 marqueemoon

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Posted 20 February 2007 - 11:24 PM

I had restylane injected under my eyes last year to minimize my tear troughs, but now that the filler has worn off I see no improvement in elasticity or skin texture. Maybe it requires more frequent treatments. It would be interesting to see how resty compares to classic anti-aging topicals like retinoids in terms of collagen synthesis.




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