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Related Concept Videos

The Effect of Aging on Tissues01:19

The Effect of Aging on Tissues

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Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
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Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

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Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
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Tissue Renewal without Stem Cells01:23

Tissue Renewal without Stem Cells

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After cellular or tissue damage, the resident stem cells present in the human body can locally repair and regenerate the damaged tissue or organ. However, even though some tissues do not have stem cells, they can repair and regenerate with the help of pre-existing cells. For example, beta cells of the pancreas and hepatocytes of the liver can divide to renew and regenerate the tissue. Here, both cell division and cell death are well regulated by homeostasis.
However, failure of such a system...
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Renewal of Skin Epidermal Stem Cells01:12

Renewal of Skin Epidermal Stem Cells

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The skin is divided into epidermis, dermis, and hypodermis, the skin's outermost, middle, and inner layers. The human epidermal layer regularly undergoes renewal, where old, dead cells are replaced by new cells. Epidermal stem cells or EpiSCs divide and differentiate to restore the lost cells. For the renewal process, some EpiSCs continuously self-renew. In contrast, few others differentiate into transit-amplifying cells, which later form prickle or spinous cells, followed by granular...
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Clinical Applications of Epidermal Stem Cells01:19

Clinical Applications of Epidermal Stem Cells

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Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
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Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
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Articles linked to this work by shared authors, journal, and citation graph.

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Regenerative Aesthetics: Present Advances and Emerging Strategies for Optimized Tissue Health.

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]·2026
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Twelve-Month Outcome of Nasolabial Fold Correction by a Novel Non-1,4-Butanediol Diglycidyl Ether, Click-Crosslinked, Long-Chain Hyaluronic Acid Product.

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Related Experiment Video

Updated: Sep 19, 2025

Author Spotlight: Advancing Facial Rejuvenation Therapy with Post-Laser Salicylic Acid Application
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Author Spotlight: Advancing Facial Rejuvenation Therapy with Post-Laser Salicylic Acid Application

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Multimodal Treatment Combinations and Layering to Restructure the Aging Face: Recommendations From an Expert Panel.

Carla de Sanctis Pecora1, Niamh Corduff2, Julia Carroll3

  • 1From the Clínica Dermatologie, São Paulo, Brazil.

Plastic and Reconstructive Surgery. Global Open
|June 17, 2025
PubMed
Summary

A layered approach using Cohesive Polydensified Matrix hyaluronic acid (CPM-HA), calcium hydroxylapatite (CaHA-CMC), microfocused ultrasound (MFU-V), and incobotulinumtoxinA (incoBoNT-A) offers optimized whole-face rejuvenation. This method targets specific facial layers for improved outcomes and patient satisfaction.

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Area of Science:

  • Aesthetic medicine and dermatology.
  • Facial anatomy and aging processes.
  • Non-invasive and minimally invasive cosmetic procedures.

Background:

  • Facial aging is a complex, multi-layered process influenced by individual patient characteristics.
  • Various aesthetic treatments exist for facial aging, including injectables and energy-based devices.
  • Cohesive Polydensified Matrix hyaluronic acid (CPM-HA), calcium hydroxylapatite in carboxymethylcellulose (CaHA-CMC), microfocused ultrasound with visualization (MFU-V), and incobotulinumtoxinA (incoBoNT-A) are key modalities.

Purpose of the Study:

  • To establish best practices for a layered, individualized approach to whole-face rejuvenation.
  • To outline the synergistic use of CPM-HA, CaHA-CMC, MFU-V, and incoBoNT-A for comprehensive facial treatment.
  • To optimize aesthetic outcomes and patient satisfaction through a structured, multi-layered treatment strategy.

Main Methods:

  • An international panel of five expert aesthetic physicians convened to discuss and align on treatment protocols.
  • Review of scientific literature on facial aging and the mechanisms of action of selected aesthetic treatments.
  • Development of a layered treatment plan targeting specific anatomical structures and tissue depths of the face.

Main Results:

  • A proposed layered treatment plan targets facial layers from bone and ligaments to skin quality.
  • The plan details the strategic use of CPM-HA, CaHA-CMC, MFU-V, and incoBoNT-A based on their properties and target depths.
  • Expert consensus was reached on the positioning and application techniques for each modality within the layered framework.

Conclusions:

  • CPM-HA, CaHA-CMC, MFU-V, and incoBoNT-A are considered ideal for synergistic effects in layered facial rejuvenation.
  • An individualized, layered approach enhances the efficacy of aesthetic treatments for whole-face rejuvenation.
  • This expert-aligned strategy aims to maximize results and patient satisfaction in addressing facial aging.