Background/aims: The confocal laser scanning microscope Vivascope (Lucid, Henrietta) allows skin to be studied in real‐time with a resolution of 0.5 µm horizontal and 1.3 µm vertical in vivo. In this study, we present the results of a comparison between the skin of an older and a younger group of volunteers by in vivo histometric measurements. Methods: To investigate changes caused by age, 13 young (18–25 years) and 13 older (> 65 years) volunteers were examined. The following parameters were measured using the Vivascope at the volar forearm: minimal thickness of the epidermis (Emin), size of cells in the granular layer (Agran), thickness of the horny layer (DSC), thickness of the basal layer (DSB) and number of dermal papillae per area (PapI). The image analysis program image tool was used to measure the size of the cells and the thickness of the basal layer. Results: The older group of volunteers showed a significant increase in Emin, no significant change in DSC, a significant decrease in dermal papillae and in the thickness of the basal layer, and an increase in Agran compared to the younger group. Conclusions: Histometric measurements by in vivo confocal laser scanning microscopy are a sensitive and non‐invasive tool for characterizing and quantifying histological changes of the epidermis and papillary dermis due to ageing.

BCC can be investigated by CLSM and provide typical features. Besides the tumor parenchym and stroma, typical changes in vasculature seem to be a sensitive criteria for BCC and may in future help in diagnosing BCC by CLSM as well as in assessing the margins of large tumors. We suggest that CLSM is a promising non-invasive tool for the diagnostics of BCC and the assessment of tumor margins prior to surgery.

Biochemical and structural changes of the dermal connective tissue substantially contribute to the phenotype of aging skin. To study connective tissue metabolism with respect to ultraviolet (UV) exposure, we performed an in vitro (human dermal fibroblasts) and an in vivo complementary DNA array study in combination with protein analysis in young and old volunteers. Several genes of the collagen metabolism such as Collagen I, III and VI as well as heat shock protein 47 and matrix metalloproteinase-1 are expressed differentially, indicating UV-mediated effects on collagen expression, processing and degradation. In particular, Collagen I is time and age dependently reduced after a single UV exposure in human skin in vivo. Moreover, older subjects display a lower baseline level and a shorter UV-mediated increase in hyaluronan (HA) levels. To counteract these age-dependent changes, cultured fibroblasts were treated with a specific soy extract. This treatment resulted in increased collagen and HA synthesis. In a placebo-controlled in vivo study, topical application of an isoflavone-containing emulsion significantly enhanced the number of dermal papillae per area after 2 weeks. Because the flattening of the dermal-epidermal junction is the most reproducible structural change in aged skin, this soy extract appears to rejuvenate the structure of mature skin.

Background: The influence of ageing on the density of the functional entities of the papillae containing nutritive capillaries, here in terms as the papillary index, and the effect of topically applied vitamin C were investigated by confocal laser scanning microscopy (CLSM) in vivo.