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Beauty starts with a healthy complexion

Beauty starts with a healthy complexion

A firmer, brighter and blemish-free skin is every woman’s dream. The image of young, healthy skin is heavily promoted on social media, and all we want is to leave the house without foundation.

Beauty starts with a healthy complexion

By Dr. Dana Bratu, Dermato-Venerology Specialist

The aesthetic industry abounds in beautification procedures, skincare products, as if you don’t even know what to choose anymore. So today we will analyze in detail a procedure that has multiple indications.

Medical microneedling with Dermapen involves multiple punctures in the skin with the infusion of nutrients and moisturizing substances.

The mode of action of this treatment, which imitates the natural processes of skin regeneration, is interesting. For example, when we suffer a trauma to the skin (scratch, bruise) we notice that the skin repairs itself, possibly leaving a very fine reddish mark around. This happens because cells within the epidermis and dermis step in to repair, replacing damaged cells with new, young, healthy cells. In addition, collagen production by fibroblasts will be stimulated to “tighten” the wound and leave as little visible a mark as possible.

With the help of medical microneedling, we will target the skin cells involved in the regeneration processes and induce their ability to produce new collagen, elastin and reticulin fibers.

What does this mean and where does it apply?

1. Antiaging, rejuvenation treatments

We know that with the passage of time, our skin loses its firmness and becomes softer, looser. The main proteins in the dermis are represented by collagen fibers, which are responsible for the resistance structure of the skin. After the age of 25, about 1% of the skin’s ability to produce collagen is lost each year.

Therefore, we notice that the tissues sag, gravitationally, and when we look in the mirror we tend to raise our cheekbones to feel younger. For this reason, we can turn to treatments that “put the skin to work”, force it to produce more collagen and keep its firmness. Thus, we will notice an improvement at the level of static wrinkles, permanent.

2. Correction of post-acne scars

Following inflammatory acne lesions or windburn, our skin can be left with permanent marks. Nodules can destroy the local architecture of the dermis, and repair can be defective, with chaotically oriented fibers that leave a dent in the skin. The most common types of post-acne scars are the atrophic ones, which have a concave, hollow shape. With the help of the microneedling device, we can determine the formation of new collagen fibers that “fill” the gaps at the base of the scar, but also we reorganize the collagen fibers in an orderly, regular manner, as they exist in healthy, non-scarring skin. In addition, we can also help to heal post-inflammatory erythema, i.e. the redness that remains after the acne has passed.

3. Amelioration of post-burn or post-surgical scars

If we have a cut that affects the deep layers of the skin, we must expect a scar that will last a lifetime. The scars that remain after an unfortunate event can greatly affect our quality of life, so we try to do everything we can to alleviate them. In the case of raised scars, microneedling can act on the fibrosis and level the scar. The scar will also decrease in width, becoming less visible.

The same principle of treatment also applies to stretch marks, which are also a break in the skin with damage to elastin and collagen fibers. Basically, the elastic capacity of the skin is exceeded when the integument expands excessively, in a short term characteristic of the pregnancy period, or when we suddenly gain weight.

4. Pigment spots

Extrinsic photo aging refers to the effects that ultraviolet radiation from the sun, smoking and pollution have on the skin.

We notice that after the age of 30, the skin becomes duller, loses its brightness. In addition, pigment spots can appear that add “years” to our skin. The spots appear as a result of an induced imbalance in melanocytes, the cells located at the dermo-epidermal junction and responsible for the production of pigment – melanin. Hormonal variations, photosensitizing drugs, environmental factors will stimulate uncontrolled pigment production, and the skin will have a pigmented appearance.

Through medical microneedling, we can inhibit the transfer of melanin from melanocytes to the surrounding keratinocytes and we improve the appearance of melasma. In addition, during the treatment we will facilitate the absorption of active anti-blemish cocktails such as those containing vitamin C, retinol, niacinamides with a brightening effect.

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5. Anti-acne effect

In the pathogenesis of acne we talk about epidermal hyperproliferation

that is, the blocking of pores and the appearance of comedones as well as an intense activity of the bacterium called cutibacterium acnes which contributes to the development of papules and pustules. The bacterium develops in an anaerobic, hypoxic environment, corresponding to the deep layers of the skin where the pilosebaceous units are also found. With the help of microneedling we manage to oxygenate the tissues and stimulate cell renewal, which helps fight acne.

6. Deep hydration

We hear many advertisements of cosmetic products that promise to hydrate “deeply”. But this is not possible because the skin acts as a barrier that protects the body against the penetration of external aggressive agents, mechanical or infectious. If the skin were to allow the penetration of external agents, then it would mean that the barrier function is compromised. So all ingredients in creams stop at the level of the stratum corneum (the layer of dead cells). In the case of Dermapen treatment, the needles create small holes in the dermis and thus facilitate the penetration of active agents such as hyaluronic acid, peptides and vitamins. The procedure is an optimal method of increasing skin permeability and thus we can really achieve a moisturizing, brightening and firming effect.

What is DERMAPEN 4?

The original microneedling device is called the Dermapen. The latest release on the market is the Dermapen 4, which is wireless and can connect via bluetooth to your smartphone to be updated with news. Uses a sterile, single-use cartridge with 16 high-quality needles that are built to last without blunting (and thus damage the epidermis) during a complete rejuvenation treatment for the face, neck, décolletage and the back of the hands. The doctor has the possibility to establish a personalized treatment protocol by setting the depth of penetration of the needles and the number of rotations per second. Practically, with Dermapen we can penetrate up to 3 mm and have results on scars, but we also have the ability to perform over 1900 punctures per second and thus offer a strong collagen induction. In addition, through these vertical microchannels we can “deliver” nutritious ingredients to the deep dermis.

Experience with Dermapen
Personally, I like to combine Dermapen-type treatments with subcision or chemical peeling, when we are talking about post-aging marks or pigment spots. Uber peel is a cocktail of alpha and beta hydroxyl acids that aim to remove layers of dead cells and smooth the skin, and together with Dermapen, it also fades blemished areas.

Treatment sessions are painless because we use anesthetic cream beforehand, and the interval we recommend between procedures is 4-6 weeks. After each session, patients apply Dermapen cosmeceuticals at home, such as Vitamin Rich Repair containing vitamin E, resveratrol, vitamin A esters and hyaluronic acid with 3 molecular weights. It is very important not to forget to apply sunscreen creams between Dermapen sessions to prevent the harmful effects of ultraviolet radiation.

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