Background
Hyaluronic acid (HA) is a key contributor to skin moisture (hydration), and Microbotox demonstrates improvements for fine wrinkles of the face. The changes of dermal hydration and roughness were investigated after injecting a combined mixture of MicroHA and Microbotox on faces of 50 female participants.
Objectives
To evaluate the safety and efficacy of intradermal injection of Hydrotoxin for the treatment of skin roughness and dryness on facial dermis.
Methods
Fifty women who had thin, dry skin with fine wrinkles throughout the whole face, especially on the Crow’s feet areas and forehead areas, were enrolled in the study. To constitute the novel combined hydrotoxin mixture, 2cc stabilized-HA filler and 1cc (40U) of botulinumtoxinA were mixed. Intended to hydrate the dermis and treat fine wrinkles of the face, the mixture was injected into the real dermal layer of the face. The overall volume of HA per site was 0.002cc and toxin was 0.04U. For both pre- and post-injection, skin roughness and stratum corneum hydration (SCH) were measured via a topographic computer analysis and a noninvasive instrument each at 1, 2, 3, and 6 months.
Results
All patients (50) stated that their skin became moisturized in comparison to the start, along with improved dryness during the follow-up period. 1-month after the treatment, skin roughness reduced to 50.19% in topographic computer analysis using ×10 dermascope photos, indicating improvements in fine wrinkles after the procedure. SCH on right side Crow’s feet improved to 81.34% at 1 month and 56.12% at 2 months from a pre-treatment baseline.(P<0.0001) Skin hydration improvements on faces were GAIS-rated as 2.78 ± 0.91 at 1 month, 2.60 ± 0.96 at 2 months, and 1.92 ± 0.65 at 6 months. Fine wrinkles improvements on faces were GAIS-rated as 3.38 ± 0.53 at 1 month, 2.92 ± 0.66 at 2 months, and 2.06 ± 0.54 at 6 months.
Conclusion
The combination injection method of MicroHA and MicroBotox is not associated with initial irritation, infection, allergy, and persistent dermal lumps, and showed significant synergic effect in improvement of skin roughness and moisturizing than competitors. Using the hydrotoxin mixture, two ingredients could be injected on the exact dermal layer of faces in a session. Neuramix-hydrotoxin injection method is an easy and reproducible procedure to make constant injection depth and amount for every doctor.