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SKIN CARE


23


Figure 5: Before and after results of a subject using an anti-crepey skin formula with 5% heptapeptide 7 for 12 weeks. Before is on the left, after is on the right. The arrows indicate improved moisturization, wrinkle reduction, and reduced saggy skin


restructure your face back to a more youthful complexion. Our focus will be on possible topical treatments that can be taken to help mitigate or control the appearance of Ozempic face. From a topical treatment standpoint, our


logical solutions to crepey skin will involve preservation of extracellular matrix quality to offset intrinsic and extrinsic stressors. This is especially true for estrogen deficient skin (menopause), ideal treatments can help make up for the decline in certain signal activation pathways that is caused by estrogen deficiency. Additionally, remodeling is necessary to


break down damaged extracellular matrix components and promote production of new components in their place. Lastly, reducing skin irritation via thorough hydration and skin soothing components can assist as well. These solutions work to mitigate crepey skin onset, reduce skin fragility, and improve the appearance of crepey skin. Given this theoretical framework, let’s explore topical treatments with clinical evidence for reducing sagging skin.


Peptides Peptides are a cornerstone of the cosmetics industry since they are potent ligands that are pervasive in human physiology. They regulate many responses such as immunity, pigmentation, and wound healing. Wound-


Too short to fold Peptides


healing peptides in particular are commonly used for wrinkle reduction, turnover regulation, and extracellular matrix remodeling. This blend of properties makes them well


suited to take on the challenge of crepey skin, since the fundamental goal is to preserve skin integrity and remodel damaged structures. While there are several potential mechanisms peptides can work, ideally a focus should be placed on clinical efficacy for crepey skin since that is the primary endpoint. For instance, Gransome Heptapeptide 7 is a peptide with clinical evidence of reducing crepey skin and a clear mechanism of action supported by in vitro data. Heptapeptide 7 is a wound-healing peptide


that mimics EGF (epidermal growth factor) which is a well-known signaling molecule in skin. It works by promoting proliferation and migration of keratinocytes (turnover regulation), inducing a remodeling response in fibroblasts (collagen and elastin regulation), and reducing UV-induced DNA damage. Figure 3 illustrates several pathways


influenced by EGF agonists, specifically the survival, proliferation, and migration of cells. These pathways are not limited to those functions and can have several other effects as well. For example, RAF/MEK/ERK is also integral for remodeling as well. PI3K/AKT/mTOR are also known regulators of cell growth. That


is why wound healing pathways also coincide with ‘anti-ageing’ benefits. If we compare the pathways in Figure 3 to those in Figure 4 below, we can see several similarities. Figure 4 illustrates the influence of estrogen on wound healing pathways. Menopause entails a reduction in estrogen signaling, therefore activation of the MAPK/ ERK and PI3K/AKT pathways will be influenced as well. By mimicking EGF, Heptapeptide 7 can reduce this decline and thus help to maintain skin integrity. Understanding the pathways is important, but the true weight of an active is shown by its clinical efficacy. To asses this, a 12-week study was carried out on 12 subjects of 50+ years age presenting signs of crepey skin. A formulation containing 5% Heptapeptide 7 was used, the other ingredients consisted of traditionally ‘inactive’ components such as elastomers, emollients, emulsifiers, etc. The focus of the study was on the visual appearance of crepey skin and skin elasticity (measured by cutometer and pinch recoil tests). Figure 5 illustrates a visual result of the trial


which shows a dramatic reduction in crepey skin. Numerically, this coincided to a 30.56% reduction in the appearance of crepey skin by week 8 and 36.11% by week 12. The improvement in skin integrity was supported by a double digit improvement in elasticity values (cutometer)


Long enough fold into a stable 3D structure Miniproteins no folding 3-D folding 3-D folding Proteins


Small enough to penetrate the skin


Too large to penetrate Figure 6: Demonstration of miniprotein properties compared to peptides and proteins. Miniproteins are a middle ground between the two in terms of size www.personalcaremagazine.com February 2025 PERSONAL CARE


Folding threshold


Skin barrier


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