Microbiome-friendly Skin Help
The disturbances of microbiome balance and of the skin’s barrier function lead to post-treatment infectious process: papulopustules, manifestation or relapse of acne. As it turned out, persistent erythema (continuous redness characteristic and quite common complication of ablative laser and other high intensity treatments) is also infection-related.
Most often the cause of erythema is the development of biofilms with the presence of Micobacterium cosmetici and some fungi, inevitably found in the open cosmetic jars. It is crucial to inform the patients about this and convince them to give up their conventional skincare, including ‘natural’ and ‘organic’ cosmetics.
After a high-intensity treatment the patient should only apply skincare that meets strict pharmacological and dermatological requirements, i.e. is protected from contact with environment even after opening.
Skincare in jars, droppers, bottles, pump bottles, etc. must be avoided, instead the patient can opt for solutions in disposable single dose packaging or airless vacuum pump bottles. For optimal recovery after skin injury (we must remember, that laser, radio frequency or ultrasound impact causes skin trauma) a speedy restoration of microbiome is essential. Therefore, it is important that skincare solution applied at this time contains prebiotics promoting the growth of beneficial flora and suppressing the development of pathogenic and unwanted bacteria.
To this end we recommend applying Derma-Fill Prebiotic Moisturising Cream, a hyaluronic acid-based emulsion with prebiotic BioEcolia®. Derma-Fill moisturises the skin creating a thin breathable layer, helps the skin grow healthy flora and restores the skin’s own barrier function. Derma-Fill can be applied immediately after most treatments, and on the 5-6th day after ablative therapy.
Finally, one of the key inflammatory complications is post-inflammatory hyperpigmentation: the appearance of dark spots in the impact areas several weeks after the treatment. This complication is very common, for instance it can occur in 8 out of 10 cases after ablative laser resurfacing with CO2 laser. PIH is reversible, but therapy can take months and obviously it will cause significant discomfort to the patient. The common remedy is applying various brightening solutions based on hydroquinone, arbutin, retinol, hydroxy-acids and other active ingredients. Unfortunately, most of them make the skin more sensitive, increasing the risk of sun burns and pigmentation even after a short stay in the sun.
For the prevention of post-inflammatory hyperpigmentation, Meder Beauty offers Nrj-Soin Serum, an anti-oxidant serum with niacinamide. Niacinamide suppresses the synthesis of melanin pigment and its migration to the skin’s upper layers, ‘soothes’ pigment cells, while antioxidants in the serum’s formulation help accelerate regeneration and healing process after high-intensity treatment.
A research of the skin reaction in a group of patients applying Nrj-Soin Serum prior to laser resurfacing and phenol peeling showed none of the patients getting PIH after their treatment. Their skin recovered faster, and the scabs were shed a few days earlier. We recommend applying Nrj-Soin Serum 2 weeks before planned treatment and continue application afterwards for 1–2 months, same as Derma-Fill Prebiotic Moisturising Cream.
The use of these 3 solutions will not take up much time, but it will save a lot of effort and funds which may otherwise be required for the treatment of complications post high-intensity treatment.
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