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The Reviscometer RVM600 is a sensitive instrument able to detect slight skin surface effect of cosmetics. Combined with published literature on the interpretation of RRT measurements on polymeric gel or in different skin conditions (elderly skin and photoaged skin), the Reviscometer looks to be a recommendable instrument to measure slight changes in SC stiffness/suppleness induced by cosmetic products.

Friction coefficient value depends on the type of slider surface and its physicochemical properties. In vivo,the friction coefficient may quantify the influence of lubrificant/emolients/moisturizers. For example, the friction coefficient of hydrated skin (through the action of moisturizing products) is higher than the friction coefficient of dry skin. The relationship between the friction coefficient and the Hi/Ho balance can be reversed in the presence of water and sebum on forehead, for example.

To interpret these results as accurately as possible, it would be interesting, in future investigations on the ethnic types of skin, to evaluate the sweat secretion, and to analyse each element of the sebaceous secretions quantitatively as well as qualitatively.

Until now, the wettability of the skin has been only estimated through the measurement of its critical surface tension (Zisman), or surface free energy. These methods give information on the behaviour of the surface with water, but cannot quantify its behaviour with other polar liquids. In this paper we propose to express both the hydrophilia of the skin (Hi) by the ratio of its critical surface tension (gamma(c)) to the water surface tension (gamma(H(2)O)), and its hydrophobia (Ho) by the ratio of the difference between the critical surface tension (gamma(c)), and the value of the water surface tension (gamma(H(2)O)) normalized by the latter. By using this proposed parameter, it should be possible to classify skin surfaces according to their affinities to water, which is of major importance in Cosmetology as well as in biology. We also discuss the relationship between surface hydrophilia (Hi) and polarity (P) as defined by Wu, and water adhesion tension (tau(o)) as described by Vogler. The gamma(c) of untreated skin was 27.3 +/- 3.6 mJ m(-2), confirming previous data, and consequently basal Hi was 38%. Either cleaning with ether or hydration by occlusion induced a diminution of the wetting capacity of the surface and consequently a decrease of Hi to 29% and 33%, respectively. In contrast, washing the skin surface with soap and water increased surface Hi to 43%.

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BackgroundSeveral studies have confirmed dramatic changes in skin surface parameters during the winter months. Although there are many studies supporting the positive effects of topical treatment, there are no published studies demonstrating the effects of oral supplementation in the prevention of negative skin changes during winter. The purpose of this study was to evaluate the efficacy of an oral micronutrient supplement in preventing the negative effects of winter weather on skin quality using noninvasive biometrologic instruments.MethodsThis study included 80 healthy female volunteers aged 35–55 years with phototype II–IV skin. Randomization was balanced. Two tablets of a micronutrient supplement (Perfectil® Platinum) or placebo were administered once daily for 4 months. The volunteers were examined at baseline, after 4 months, and 6 weeks after termination of treatment (month 5.5). The evaluation included skin microrelief by Visioscan® as the main outcome, and the secondary outcomes were results on standard macrophotography, skin tension by Reviscometer®, skin high-frequency ultrasound, and self-assessment.ResultsFor all pseudoroughness and microrelief indicators, there was a significant increase from baseline to month 4 in the placebo group (P<0.05) but no change in the active group. Descriptive statistics for the mean minimum, mean maximum, and minimum to maximum ratio on the nonexposed study zone showed a significant and dramatic difference between baseline and month 4 and between baseline and month 5.5 (P<0.05) in the active group, indicating decreasing anisotropy of the skin. High-frequency ultrasound on the exposed study zone revealed that skin thickness was significantly decreased in the placebo group during winter but was stable in the treated group (P<0.01). The photography scaling and self-assessment questionnaire revealed no significant changes in either group.ConclusionThese results indicate that the skin is prone to seasonal changes during winter, particularly in exposed areas. The data also indicate that oral supplementation can be a safe treatment, with no serious side effects, and may prevent or even eliminate the negative effects of winter on the skin.

The learning curve, the two-stage graft required with DE2, and not using a vacuum-assisted closure system can explain the high infection rate. The use of dermal equivalents is particularly indicated in the treatment of skin defect in oncology. The possibility of a one-stage graft with DE1 and combination with negative pressure therapy is beneficial.