AI Article Synopsis
- The study examines the effectiveness of three cosmetic formulations on dark age spots in 50 women of South-East Asian ancestry.
- The results showed that a 20% azelaic acid formulation and a mixture with 5% ascorbyl glucosamine were not effective, while a stabilized soy extract had a modest lightening effect.
- It concluded that topical whitening agents are better at reducing hyperpigmentation when the increased melanin is linked to mild melanocyte activity.
Article Abstract
Background: So-called darkened age spots encompass distinct pathological processes. The efficacy of topical depigmenting agents is difficult to objectivate.
Objective: To assess the hypopigmenting effect of three cosmetic formulations using objective biometrological methods.
Methods: 50 women of South-East Asian ancestry were enrolled in this pilot study. They had solar lentigines according to dermoscopic criteria. The lesions were treated by topical hypopigmenting formulations. Products were applied twice daily for 2 or 3 months. Assessments at 1-month intervals were made using narrow-band reflectance spectrophotometry, image analysis of video-recorded ultraviolet light reflection and photodensitometry- and image-analysis-assisted corneomelametry.
Results: A 20% azelaic acid formulation and another one containing 5% ascorbyl glucosamine, 1% kojic acid and alpha-hydroxyacid esters appeared inefficacious on solar lentigines. A stabilized soy extract showed a better although modest lightening effect when assessed by corneomelametry. The subclinical or faint mottled skin revealed by ultraviolet light examination better responded (p < 0.05) to treatments.
Conclusion: Focal epidermal hyperpigmentation is better controlled by topical whitening agents when the increase in melanin content reflects a modest functional hyperactivity of melanocytes.
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| http://dx.doi.org/10.1159/000063359 | DOI Listing |
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