INDIVIDUAL ARTICLE: Real-World Patient Cases Using Botanical Serum-Containing Corrective Gel as an Adjunct to Aesthetic Facial Laser or Microneedling Radiofrequency (MRF) Treatment

March 2024 | Volume 23 | Issue 3 | SF400676s3 | Copyright © March 2024


Published online February 29, 2024

Michael Gold MD FAADa, Sonya Abdulla MD FAADb, Anneke Andriessen PhDc, Vivian Bucay MD FAADd, Ariel Haus MDe, Qin Xiaolei MDf, Todd Schlesinger MD FAADg, Weimin Song MDh, Hua Zhong MDi

aGold Skin Care Center, Nashville, TN
bDermatology on Bloor, Toronto, Ontario, Canada
cUMC Radboud, Nijmegen, Andriessen Consultants, Malden, the Netherlands
dBucay Dermatology and Aesthetics, San Antonio, TX
eDr Haus Dermatology, London, UK
fDEYI SKIN Dermatology Clinic, Shenzhen, China  
gClinical Research Center of the Carolinas, Charleston, SC
hYes Skin Clinic Chain, Hangzhou, Zhejiang, China  
iDermatology and Aesthetics Center of Distinct Health Care, China 

MATERIALS AND METHODS

Aim of the Project 
This real-world case series was composed to highlight integrated skincare regimens with the botanical corrective gel. The cases demonstrate how expert dermatologists choose botanical corrective gel as an adjunct treatment to laser and MRF procedures to help accelerate post-procedure healing. The clinical reasoning and rationale from a panel of experts are detailed in the following patient cases to guide cosmetic dermatologists seeking to apply integrated skincare practices in their patients.

Steps in the Process 
The real-world cases were compiled and selected in the following steps: 1) project definition and expert panel selection, 2) data collection and preparation of patient cases, 3) patient case discussion and selection for publication, 4) literature review to support selected cases, e) drafting, review, and finalization of the manuscript.

Role of the Panel 
The selected expert panel consisted of 8 licensed dermatologists with collective worldwide experience in cosmetic and enhancement procedures. Panelists represented clinical practices from 3 different countries and have treated diverse patient populations in order to capture a wide variety of integrated skincare practices. During the World Congress of Dermatology in Singapore on July 8th, 2023, panelists met to report on and discuss patient cases where cosmetic procedures benefited from adjunctive use of botanical corrective gel. These real-world cases highlight experience with botanical corrective gel for cutaneous healing post-facial laser or MRF treatment.

The panel used the following template to gather insight through a case-based approach:
a) Cosmetic Evaluation and Alignment of Treatment Goals
b) Treatment Options (Device vs Topicals)
c) Post-Procedure Recovery
a. Physician Clinical Assessment
b. Patient Self-Assessment and Impact on Patient Quality of Life
d) Special Considerations

Integrated Skincare Regimen 
After each rejuvenation procedure, physicians discussed skincare regimens with their patients. At this time, all patients were supplied with the products of interest: gentle cleanser, daily moisturizer, and botanical corrective gel. In general, patients were instructed to start applying the botanical corrective gel immediately after laser or MRF treatment. The skincare regimen included daily use of a gentle, non-irritating facial cleanser and moisturizer in addition to twice-daily application of the botanical corrective gel. The use of a daily, neutral broad-spectrum sunscreen was encouraged. 

Data Gathering and Outcome Measures 
Suggested information to present included patient demographics, clinical features, cosmetic treatment goals, and qualitative and quantitative outcome measures. Post-facial laser treatment patient outcome was tracked over 28 days at days 0, 2 (+/- 3 days), 7 (+/- 3 days), 14 (+/- 3 days), and 28 (+/- 3 days). Outcome was evaluated based on physician assessment of facial erythema, oozing/crusting, discoloration, and epithelialization scores on a scale of 0 (none) to 4 (severe) (Table 2). Patients also self-evaluated their recovery in the following categories: