La microscopie confocale: interet pour l'analyse du relief cutané. Un outil d'évaluation dermo-cosmétique

Nowadays, the determination of human skin microtopography is usually carried out by methods based on mechanical techniques (profilometry and surfometry), or founded on optical conception (shadowing method and profilometry). Negative skin replicas made of a silicone rubber material (Silflo((R))) or positive casts performed from an epoxy resin (Araldite((R))), are used to assess the skin microstructure. Skin surface microtopography is quantified by measuring furrows depths and spaces between them. An original application using confocal scanning laser microscope (CLSM) is described in this paper. The CLSM gives simultaneously images of the skin surface associated with quantitative measurements of the microtopography. With this apparatus, it is easy to achieve perfect skin replica images with assessment of its microstructure, before and after applications of topical medicines or cosmetic products to evaluate the skin surface restoration. It is worth to mention that it is indispensable to analyse the same skin surface (same plateaux and same furrows). For this reason, it is necessary to localize exactly and to replicate the same skin surface area (4 mm(2)) before and after the cosmetic use, whatever the extended period of the topical application.